What Is the First-Line Treatment for This Patient’s Eye Pain?

11.05.2019 - By Emergency Medicine Board Review

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Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.

Episode 18 is limited to audio only, but video returns for episode 19.

A 21-year-old woman presents with pain, tearing, photophobia, and left eye redness. She has been wearing her contact lenses continuously for the last two weeks. A slit lamp examination reveals a white, hazy opacity on the cornea at the 3 o’clock position of the cornea with associated limbal flush. Which of the following is the most appropriate pharmacotherapy?

A. Topical acyclovir

B. Topical amphotericin B

C. Topical ciprofloxacin

D. Topical cyclopentolate

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