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 Fusidic 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’
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The Eyecare Guidelines area of the eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical decision support and is intended for use by ophthalmic healthcare professionals.
As such, the Eyecare Guidelines are not intended for use by the general public and does not replace the advice of a healthcare professional. Members of the public should seek advice directly from their optometrist.
The Eyecare Guidelines were originally adapted from the College of Optometrists’ Clinical Management Guidelines (CMGs), to incorporate pragmatic experience gained from NHS Grampian’s Eye Health Network.
However, this content is currently under review. The most up-to-date versions of the College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Eyecare Guidelines area of the Website provides guidance and related information for the differential diagnosis, possible management by optometrists (treatment and advice),
management category and possible management by ophthalmologists. Users should note that that the Eyecare Guidelines will not be suitable for every situation and is not intended to be a substitute for specialist expertise and clinical judgement.
Users should also note that the Eyecare Guidelines should not be adhered to in isolation and should be considered in conjunction with other national and locally available guidance/pathways..
Unless indicated otherwise on a specific guideline webpage, users should note that the Eyecare Guidelines have not been updated for several years and thus should be considered with caution.
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