Shire Test Prep

Restoring Corneal Integrity

The patient received an amniotic ring in the left eye and extended-duration punctal plugs in both eyes. She continued with the erythromycin ointment qhs, a lubricating drop with 2% polyvinyl pyrrolidone and polyvinyl alcohol, and preservative-free artificial tear. Four days later the amniotic membrane ring was removed. The epithelial defect had shrunk to 0.5 x 1 mm. The patient stated that her left eye felt better but still had some discomfort.

What topical medication do you think I prescribed for this patient after removal of the amniotic ring device?

a. A corticosteroid
b. A non-steroidal anti-inflammatory drug (NSAID)
c. An antibiotic
d. None of the above
Paul Karpecki, OD, FAAO

Paul Karpecki, OD, FAAO, works in Corneal Services and is clinical research director at the Koffler Vision Group in Lexington, KY. He is a consultant for Bausch + Lomb and Bio-Tissue Inc.

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