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A 24-year-old woman status post corneal transplant to the left eye 1 year ago reports that a tennis ball struck her eye during the match.  She now reports severe vision loss and pain. On slit lamp examination, you find that she has 5 clock hours of graft dehiscience and the wound is grossly Seidel positive.

The most appropriate next step for her management is:

a. place a bandage contact lens, start a topical beta-blocker, and see the patient in 1-2 days b. start topical steroids and antibiotics and observe the patient for at least the first 72 hours c. use corneal glue immediately to seal the wound d.  take the patient to the operating room immediately for surgical repair

For answers to the above, click here on or after January 2, 2007.