This guideline last updated 06/05/2022 17:54:38


Cornea

Transplant Rejection, Cornea

Differential diagnosis

  • Transplant decompensation
  • Infective keratitis
  • Anterior uveitis

Possible management by Optometrist

Treatment

  • None, unless rapid access to ophthalmology impossible
    • PoM If infection excluded, Prednisolone 1% or Dexamethasone 0.1% hourly till reviewed by ophthalmology

Advice

  • Emergency (same day) referral

Management Category

  • Emergency (same day) referral

Possible management by Ophthalmologist

  • Intensive topical steroid therapy
  • Systemic steroids