What is the follow-up interval for exposure keratopathy after starting treatment?

• A. 1 week
• B. 2-3 weeks
• C. 4-6 weeks
• D. 8-12 weeks

Answer: (B)

When managing exposure keratopathy, the aim of a follow-up is to confirm that the corneal surface is healing under the protective measures and that eyelid closure is adequately supporting the tear film. Reassessing in two to three weeks provides a practical window to see meaningful improvement in the corneal epithelium with the current treatment (lubrication, moisture protection, lid hygiene, or lid-tightening procedures if needed). By this point you can confirm whether the epithelial defects are resolving, staining is decreasing, and symptoms are improving, or you can decide if therapy needs to be intensified (for example, adding moisture aids, temporary tarsorrhaphy, or surgical interventions for lid dysfunction). Checking too soon, like after one week, often doesn’t capture the full healing trajectory, and waiting too long (four to six weeks or more) risks missing progression to ulcers or scarring.