Use of tacrolimus ointment (0.03%) for refractory VKC
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
We report a series of 8 children with severe vernal keratoconjunctivitis who presented to us over last two years The mean age was 7375 years The mean vision was 0375 OD and 03625 OSAll these children were using topical steroids of varying strengths for more than two year 2 out of 8 children had secondary glaucoma The mean intraocular pressure was 2175 474 OD and 2325 625 mm of Hg OS The highest IOP recorded was 28 mm Hg All patients with glaucoma had early optic disc changesTopical steroids were stopped for all patients and they were started on topical tacrolimus eye ointment 003 twice a day along with lubricants Patients relative were counseled to avoid eye rubbing ignore minimal redness of eyes and counseled against any form of steroids All patients continued tacrolimus for 3 months Tacrolimus ointment was stopped at 3 month and lubricants were continued Follow up was done at 1st week 3rd week 6th week 3rd month and monthly thereafter till 6 monthsAt 6 months follow up all except one patient was discontinued of antiglaucoma medicationKeywords VKC Tacrolimus
Authors and Affiliations
Prakashchand Agarwal
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