What is an appropriate management step for mild SLK?

What is an appropriate management step for mild SLK?

• A. Discontinue CLs, use artificial tears, refit
• B. Steroids after discontinuing CLs
• C. Continue CLs with antibiotic drops
• D. Laser therapy

Answer: (B)

Mild SLK is driven by lid-induced friction on the superior bulbar conjunctiva and a dry, irritated surface. The most effective first step is to break that cycle: stop wearing contact lenses to remove the ongoing source of mechanical irritation, and use lubricating drops to ease dryness and reduce rubbing. Once the surface has calmed and inflammation is under control, introducing a short course of a topical steroid can rapidly quell any remaining inflammatory response. This sequence targets both the cause (lens-related friction) and the effect (inflammation), giving the eye a chance to heal cleanly and lowering the risk of persistent irritation if lenses are worn again soon. Continuing contact lenses with antibiotics would keep the friction ongoing and is less protective, while laser therapy isn’t appropriate for this benign inflammatory condition.

Mild SLK is driven by lid-induced friction on the superior bulbar conjunctiva and a dry, irritated surface. The most effective first step is to break that cycle: stop wearing contact lenses to remove the ongoing source of mechanical irritation, and use lubricating drops to ease dryness and reduce rubbing. Once the surface has calmed and inflammation is under control, introducing a short course of a topical steroid can rapidly quell any remaining inflammatory response. This sequence targets both the cause (lens-related friction) and the effect (inflammation), giving the eye a chance to heal cleanly and lowering the risk of persistent irritation if lenses are worn again soon. Continuing contact lenses with antibiotics would keep the friction ongoing and is less protective, while laser therapy isn’t appropriate for this benign inflammatory condition.