Patient will present as → a 42-year-old white female complaining of a severely painful right eye. The pain is a constant, boring pain that worsens at night and in the early morning hours and radiates to the face and periorbital region. Additionally, she reports a headache, watering of the eye, and ocular redness.
Refer the patient for prompt evaluation by an ophthalmologist
- Treatment involves topical and sometimes systemic corticosteroids
Prescribe oral prednisone 1 mg/kg/day for one month
Prescribe topical prednisolone acetate 1% four times per day for one week
Topical steroids can be used as the first-line agent in addition to oral NSAID treatment.
The patient has not responded to first-line treatment but requires additional treatment to manage inflammation.
Prescribe topical artificial tears four times per day
Artificial tears do not manage inflammation. They may provide some relief to any ocular surface dryness present.