CMSA Diploma In Ophthalmology Dip Ophth(SA) Practice Questions - Diploma In Ophthalmology Of The College Of Ophthalmologists Of South Africa Dip Ophth(SA) Exam

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A 34-year-old contact lens wearer presents to a rural South African clinic with a 2-day history of intense left eye pain, photophobia, and purulent discharge. Slit-lamp examination reveals a 2.5 mm focal white corneal infiltrate with an overlying epithelial defect and a 1 mm hypopyon. What is the most appropriate immediate empirical management?

Topical fluoroquinolone monotherapy (e.g., ciprofloxacin 0.3% drops hourly) Topical corticosteroid drops (e.g., prednisolone acetate 1%) every 2 hours Oral amoxicillin-clavulanate 1 g twice daily for 7 days Pressure patching of the affected eye for 48 hours

Correct Answer:

Topical fluoroquinolone monotherapy (e.g., ciprofloxacin 0.3% drops hourly)

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