This guideline last updated 09/05/2022 10:20:13

Differential diagnosis

• Exposure keratopathy
• Other corneal dystrophies with epithelial manifestations
• Contact lens-related epithelial conditions

Possible management by Optometrist

Treatment

• Regular ocular lubrication (drops for use during the day, unmedicated ointment for use at bedtime)
  • Should be continued for at least 3 months from date of last recurrence
• Antibiotic ointment
  • Ask if allergic to Chloramphenicol
  • If not, supply Chloramphenicol 1% eye ointment 3 times daily for 5 days
  • If allergic to Chloramphenicol, or pregnant, supply Fucidic acid 1% liquid gel twice a day for 5 days
• Cyclopentolate 1% 3 times daily for 5 days

Advice

• Review at monthly intervals for three months.
• Advise patient to return/seek further help if symptoms persist

Management Category

• Normally no referral
• If persistent or if defect large and unstable routine referral

Possible management by Ophthalmologist

• As above
• Excimer laser photo-therapeutic keratectomy
• ‘Alcohol delamination’