Date of last review: Due to be updated

Differential diagnosis

  • Corneal infiltrative lesions
  • Acanthamoeba keratitis

Possible management by Optometrist

Treatment

  • None

Advice

  • Warn contact lens wearers not to discard their lenses or lens cases, but to retain them for culture
  • Emergency referral to an ophthalmologist

Management Category

  • Emergency referral to an ophthalmologist

Possible management by Ophthalmologist

  • Corneal scraping for microscopy, culture and antimicrobial sensitivity
  • Intensive topical anti-fungal therapy