OEBC OSCE Component Practice Questions - Optometry Examining Board Of Canada Entry-to-Practice Examination - OSCE Component Exam

Access More Questions

A 45-year-old patient presents for an OSCE contact lens evaluation with acute red eye, severe ocular pain, photophobia, and a 1.5 mm white focal corneal infiltrate with an overlying epithelial defect that stains with fluorescein. The patient routinely sleeps in extended-wear soft contact lenses. What is the immediate clinical management?

Discontinue contact lens wear immediately, perform a corneal swab/culture if indicated, and initiate intensive topical fluoroquinolone monotherapy (e.g., moxifloxacin or fortified antibiotics) Prescribe topical corticosteroid drops alone every 2 hours Apply an ocular pressure patch over the affected eye for 48 hours Advise the patient to switch to daily disposable contact lenses immediately without antibiotic treatment

Correct Answer:

Discontinue contact lens wear immediately, perform a corneal swab/culture if indicated, and initiate intensive topical fluoroquinolone monotherapy (e.g., moxifloxacin or fortified antibiotics)

Access more questions from this quiz

Continue to OEBC OSCE Component Practice Questions - Optometry Examining Board of Canada Entry-to-Practice Examination - OSCE Component Exam for more practice questions and the full quiz experience.

Access More Questions