Clinical workflow
A high-risk lens wearer with a sore, red eye.
OptoGuide™ frames contact-lens keratitis risk from history and signs together — the corneal danger cues stay visible, and the workflow supports escalation rather than observation when the diagnosis is uncertain.
Structured for Australian optometry practice. Clinically reviewed by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom.
Clinical decision support only
Red flags — assess urgently before anything else
Stop lens wear and use a low threshold for referral. Same-day corneal review is supported when infection risk and corneal signs are both present.
- Overnight wear with new pain or photophobia.
- Swimming or showering in lenses before onset.
- Central corneal staining or an infiltrate.
- Reduced vision or an anterior chamber reaction.
- A delay in removing lenses despite symptoms.
One connected workflow, not separate lookups
Recognition, management, prescribing, and referral usually live in different tools. In OptoGuide™ they are one path — each step hands off to the next so the decision keeps moving.
Step 1
Frame the risk from history and signs
Bring the exposure history and the corneal signs together from the outset. High-risk behaviours — overnight wear, water exposure, delayed lens removal — reframe the whole assessment.
- Stop lens wear and record the exposure history clearly.
- Frame contact lens keratitis risk from history and signs together.
- Central staining or an infiltrate raises concern for microbial keratitis.
Step 2
Open the keratitis workflow
Open the keratitis workflow for structured recognition, steroid caution, and escalation logic. Use a low threshold for referral in high-risk presentations.
- Escalate rather than observe if the diagnosis is uncertain in a high-risk wearer.
- Document corneal signs, lens history, and acuity before escalation.
Step 3
Escalate with a same-day referral
When infection risk and corneal signs are both present, draft a same-day corneal referral in the same flow. The letter is generated for you to review and copy — OptoGuide never sends it.
- Same-day corneal / ophthalmology wording for suspected microbial keratitis.
- Copy-first output for your existing referral systems. No patient data is stored.
Clinical basis
This guidance reflects standard optometric clinical reasoning based on:
- Australian optometry clinical practice patterns
- Australian medicines regulation and PBS prescribing context
- Common ophthalmology referral standards
- Evidence-based clinical training and practice
Give the next high-risk lens wearer a low threshold to escalate.
Free 14-day full-access trial. No credit card required.