Supratarsal triamcinolone injection in the treatment of superior limbic keratoconjunctivitis.

Abstract:

PURPOSE:To evaluate the efficacy of supratarsal triamcinolone injection in the treatment of superior limbic keratoconjunctivitis (SLK). METHODS:Forty eyes of 20 patients were diagnosed with SLK. All eyes with long-standing severe ocular irritation unresponsive to topical steroid and artificial tears were treated with supratarsal triamcinolone injection in addition to ongoing treatment of dry eye. Objective tarsal conjunctiva inflammation, bulbar conjunctiva, cornea staining, and subjective symptom gradings were performed before and after 2 weeks of therapy. All patients underwent laboratory evaluations of underlying systemic abnormalities. RESULTS:All 40 eyes responded well to treatment and had long-term (average, 7.8 months) improvement of irritation and dry sensation and improvement of inflammation and staining of conjunctiva and cornea. Fourteen patients (70%) had associated autoimmune diseases. There were no irreversible complications related to this therapy. CONCLUSIONS:Supratarsal triamcinolone injection effectively and rapidly resolved symptoms and signs associated with SLK. It is helpful as primary or adjunctive therapy for SLK.

journal_name

Cornea

journal_title

Cornea

authors

Shen YC,Wang CY,Tsai HY,Lee YF

doi

10.1097/ICO.0b013e318030d230

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

423-6

issue

4

eissn

0277-3740

issn

1536-4798

pii

00003226-200705000-00008

journal_volume

26

pub_type

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