Review Question - QID 215074

A 34-year-old woman presents to the clinic with complaints of red eye bilaterally. The patient noticed increasing foreign body sensation in both eyes 2 days ago with progressively worsening redness. She reports a white-colored discharge and difficulty opening her eyes in the morning. She denies any vision changes or eye pain but endorses photosensitivity and tearing. The patient recently immigrated from the Philippines and reports having similar episodes in the past. Past medical history includes seasonal allergies and appendicitis requiring surgical intervention. Her temperature is 98.6°F (37.0°C), blood pressure is 115/70 mmHg, pulse is 70/min, and respirations are 12/min. Physical examination is notable for conjunctival injection with mild swelling of the eyelids. There is no epithelial staining with fluorescein. A slit-lamp examination demonstrates gray-white, round elevations at the lower palpebral conjunctiva, as well as the findings shown in Figure A. Which of the following is the most appropriate treatment for this patient?