23rd May 2025

A 40-year-old woman is referred by her optician for an urgent ophthalmology review due to blurred vision.

A 40-year-old woman is referred by her optician for an urgent ophthalmology review due to blurred vision. On examination, she is found to have exposure keratitis and a dry eye. She reports pain on eye movement in the last month. She admits being more anxious recently with sleep disturbance and episodic palpitations. Her periods have been irregular for the last 6 months. She attributes these symptoms to stress at work. She was treated for keratitis and referred to the endocrinologist. Which treatment should be initiated based on the most likely diagnosis? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.