BACKGROUND The aim is to study and compare supratarsal triamcinolone injection efficacy in respect to conventional modes of topical steroids & cyclosporine in cases of refractory VKC. MATERIALS AND METHODS 78 patients of refractory VKC were randomly distributed in 3 groups of 26 patients each. Topical difluprednate was given in group I, 0.4 mg triamcinolone acetonide was injected in supratarsal area in group II while 0.1% cyclosporine/Tacrolimus was given in Group III. RESULTS 51 (65%) were male while 27 (35%) were female with mean age group of 12.2 ± 3.5 years (Range-7 to 21 years). In group I, large papillae resolved in only 20 (77%) patients of the group while active shield ulcer resolved in 18 (69%) patients. In group II patients, large papillae and active shield ulcer showed marked improvement in 25 (97%) patients. There was significant difference as compared to topical steroids in respect to these signs. In group III patients, symptoms and signs improvement was less when compared to others. Recurrence was seen in both topical steroids and injectable triamcinolone after 3 months in almost 20-30% patients. In cyclosporine treated group, this was as high as 50-60% after 3 months. CONCLUSION Supratarsal injection has better patient compliance and significant improvement in signs over topical steroids although recurrence is almost similar. Prompt IOP monitoring is very important. Cyclosporine can be used in maintenance therapy because of its less side effects though its efficacy is far less than other 2 modes.
Objective: Ophthalmologic signs and symptoms were evaluated in a patient diagnosed with reverse Straatsma syndrome.
Case Presentation: 22 years old male presented to Eye OPD with unilateral diminution of vision of left eye present since childhood. Complete ophthalmologic examination showed anisometropic hypermetropic ambylopia of +8DS/ +3.5DC x 90◦ in LE, correctable to 6/60 and myelinated nerve fibres in LE retina superior to optic disc. The RE after refractive correction of +1.5 DS showed 6/6 vision.
Results: Patient was given full refractive correction of RE and counseled for the condition in LE.
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