Bilateral Limbus-Sparing Conjunctivitis in a Boy With Rash and Pneumonia

An adolescent boy presented with bilateral eye redness, an erythematous chest rash, lip blistering, and worsening sore throat for 2 days while receiving ciprofloxacin and trimethoprim-sulfamethoxazole for community-acquired pneumonia. Bedside ophthalmic examination revealed bilateral limbus-sparing conjunctival hyperemia that blanched minimally with phenylephrine, bilateral nasal and temporal conjunctival epithelial ulcerations, and inferior forniceal pseudomembranes. What would you do next?
Source: JAMA Ophthalmology - Category: Opthalmology Source Type: research