A 24-year-old woman presents to the ED complaining of right eye pain and blurry vision since waking up this morning. She states that the pain began after taking out contact lens that were in her eyes for over one week. Her blood pressure is 120/75 mm Hg, heart rate is 75 beats per minute, temperature is 99.1°F, and respiratory rate is 16 breaths per minute. Her right and left eye visual acuity is 20/60 and 20/20, respectively. Her conjunctivae are injected. The slit lamp exam reveals a large area of fluorescein uptake over the visual axis. Which of the following is the most appropriate therapy?
a. Call the ophthalmology consult for an emergent corneal transplant
b. Prescribe a systemic analgesic for pain control and advise the patient to not wear her contact lenses for the next week
c. Prescribe ciprofloxacin eye drops, oral analgesia, update tetanus prophylaxis, and arrange for ophthalmology follow up
d. Prescribe oral amoxicillin, a topical anesthetic such as tetracaine and have patient follow up with an ophthalmologist
e. Prescribe ciprofloxacin eye drops and have patient strictly wear an eye patch until her pain resolves
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