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a. A corticosteroid
Corticosteroids are not indicated in this case as the patient demonstrated no marked inflammatory reaction. In fact, corticosteroids should be avoided in patients with neurotrophic keratitis because they may increase collagenase activity and stromal melting. 1 Please select again.
- Sacchetti M, Lambiase A. Diagnosis and management of neurotrophic keratitis. Clin Ophthalmol. 2014;8:571-9.
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b. A non-steroidal anti-inflammatory drug (NSAID)
It is recommended that topical NSAIDs be avoided in the treatment of neurotrophic keratitis patients because of their potential to inhibit epithelial healing and reduce corneal sensitivity. 1,2 Please select again.
- Sacchetti M, Lambiase A. Diagnosis and management of neurotrophic keratitis. Clin Ophthalmol. 2014;8:571-9.
- Aragona P, Stilo A, Ferreri F, et al. Effects of the topical treatment with NSAIDs on corneal sensitivity and ocular surface of Sjögren's syndrome patients. Eye (Lond). 2005;19(5):535-9.
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c. An antibiotic
Yes, I continued her prescription of an antibiotic ointment until the epithelial defect and her infection healed. For this patient, I preferred use of an ointment dosage form.
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d. None of the above
I prescribed one of the listed agents for the patient. Please select again.
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