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Journal Reading Ophtalmology
Journal Reading Ophtalmology
VS TOPICAL STEROIDS IN
RESISTANT VERNAL
KERATOCONJUNCTIVITIS
Journal Reading
Tiara Nadya P
Pembimbing: dr. Retno Wahyuningsih, Sp.M
1810221029
Departemen Mata
RSUD Ambarawa
Fakultas Kedokteran UPN “Veteran” Jakarta
ABSTRACT
Supratarsal
dexamethasone Supratarsal
sodium triamcinolone
phosphate acetoninde
Injection Injection
Topical
prednisolone
acetate 1%
ED
•Chronic
Vernal •Severe
Keratoconjuncti •Recurrent
vitis •Bilateral
seasonal allergic
(VKC) conjunctivitis
INTRODUCTION
New treatment
Characterized Forms
modalities
Redness
Group 1
Group 2
40 eyes of 20
patients Group 3
40 eyes of 20
Supratarsal patients 40 eyes of 20
injection Supratarsal patients
Triamcinolone Injection
acetonide Topical
Dexametasone Prednisolone
Sodium Phosphate Acetate 1% ED
METHOD
Treatment for 2 weeks
Inclusion Criteria • Artificial tears (carboxymethylcellulose 0,5%) ED 4x1
• Sodium cromoglycate 4% ED 2x1
•Severe, recurrent & resistant VKC with • NSAID (bromfenac 0,09%) ED 2x1
corneal manifestations (superficial • Olopatadine 0,1% ED 2x1
punctate keratitis (SPK), shield ulcer, • Naphazoline hydrochloride 0,025% 4x1
pannus) • Pheniramine maleate 0,3% ED 4x1
•Free ocular examination other than • Cold compresses
VKC, & its related manifestations • Avoiding exposure of sun & wearing dark glasses
Resistance
Exclusion Criteria 1 or more manifestation
• Persistent symptoms (redness, itching, photophobia,
lacrimation, whitish ropy discharge)
•Severe, recurrent & resistant VKC with • Persistent papillae
corneal manifestations (superficial • Persistent gelatinous limbal nodule w/wo Trantas’s
punctate keratitis (SPK), shield ulcer,
pannus) spots
•Free ocular examination other than • Persistent SPK
VKC, & its related manifestations • Persistent shield corneal ulcer
• Progressive corneal pannus
METHOD
Group 1 Group 2 Group 3
Resistant symptoms & signs don’t respond to the usual treatment severe
blindness
Intralesional steroid
In the current study, no
injection chalazion or
systemic side effects from Sahu et al. Found longer
hemangioma skin
Triamcinolone acetonide or relief period up to 24
depigmentation, subcutan
dexamethasone sodium months
tissue atrophy, retinal
phosphate
vascular occlusion
No complications were
reported in relation to the
injection itself or to the
injected drugs in the
present study
CONCLUSION
Supratarsal steroid injection (triamcinolone or dexamethasone)
in resistant cases of VKC is a safe, easy, and ef fective
technique more ef fective & longer period of improvement of
symptoms & signs w/ a lower rate & delayed recurrence in
comparison to topical steroid ED
The high clinical improvement w/ safe, easy & well -tolerated
method can improve the quality of life in resistant cases of
VKC
TERIMAKASIH