A new corneal transplant patient who is wearing GP lenses presents with injection, edema, and neovascularization at the graft juncture. What should the fitter do?

In the scenario described, the patient exhibits signs of injection, edema, and neovascularization at the graft juncture, which indicate a potential complication associated with the use of contact lenses after a corneal transplant.

Removing the lens and contacting the referring practitioner is appropriate because it prioritizes the patient's health and safety. The symptoms suggest that the cornea may be experiencing stress or rejection, and immediate action is necessary to prevent further complications. By removing the contact lens, the fitter allows the eye a chance to stabilize and reduces any additional irritation caused by the lens.

Additionally, notifying the referring practitioner is essential for further evaluation and management. This specialist is more equipped to handle post-operative complications, particularly in a sensitive case like a corneal transplant where patient responses can vary significantly. Prompt communication ensures that the patient receives the best possible care.

The other options would not address the immediate need for assessment and intervention in this situation. Continuing with any form of lens wear or making adjustments to the lenses without addressing the underlying issue could exacerbate the patient's condition, highlighting the importance of taking immediate corrective action as suggested by the correct answer.