FC Ophth(SA) Final Practice Questions - Fellowship Of The College Of Ophthalmologists Of South Africa Final Examination Exam

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A 34-year-old female presents with right eye irritation, mild photophobia, and reduced corneal sensation. Fluorescein staining reveals a branching, dendritic corneal epithelial lesion with terminal bulbs and swollen epithelial cells at the ulcer border. What is the most appropriate initial management step?

Initiate topical ganciclovir 0.15% gel or oral valaciclovir and withhold topical corticosteroids Start topical prednisolone acetate 1% four times daily immediately Perform immediate corneal debridement followed by topical fortified vancomycin Fit a therapeutic bandage soft contact lens and initiate topical moxifloxacin

Correct Answer:

Initiate topical ganciclovir 0.15% gel or oral valaciclovir and withhold topical corticosteroids

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