Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam

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A 32-year-old patient presents with ocular redness, photophobia, and foreign body sensation in the right eye. Slit-lamp examination demonstrates a linear branching epithelial ulcer with terminal bulbs that stains brightly with fluorescein centrally and with rose bengal at the swollen margins. Corneal sensation is reduced. What is the most appropriate management, and which medication is strictly contraindicated?

Initiate topical ganciclovir 0.15% gel; topical corticosteroids are strictly contraindicated Initiate topical prednisolone acetate 1%; topical antivirals are contraindicated Initiate topical polymyxin B/trimethoprim; bandage contact lens is contraindicated Initiate topical cyclosporine 0.05%; oral acyclovir is contraindicated

Correct Answer:

Initiate topical ganciclovir 0.15% gel; topical corticosteroids are strictly contraindicated

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