Apao•AAO Joint Congress, Bali 2009 May 16 -19, 2009
To report our experience in a patient with severe vernal shield ulcer treated with a combination of surgical debridement of the ulcer, supratarsal injection of triamcinolone acetonide, topical cyclosporine 0.05% and ketotifen fumerate 0.025%. Method: A patient with severe, resistant shield ulce...
Saved in:
| Main Author: | |
|---|---|
| Format: | Monograph |
| Language: | English |
| Published: |
Pusat Pengajian Sains Kesihatan
|
| Subjects: | |
| Online Access: | http://eprints.usm.my/54635/1/DR%20SATRIAH%20ISMAIL%20-%20e.pdf http://eprints.usm.my/54635/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | To report our experience in a patient with
severe vernal shield ulcer treated with a combination of
surgical debridement of the ulcer, supratarsal injection
of triamcinolone acetonide, topical cyclosporine 0.05%
and ketotifen fumerate 0.025%. Method: A patient
with severe, resistant shield ulcer who did not res-pond
to medical treatment with topical steroids, mast
cell stabilizers and antihistamines was treated with
surgical debridement of the ulcer, supratarsal injection
of tria111Cinolone acetonide, topical cyclosporine 0.05%
and ketetifen fumarate 0.025%. Results: The ulcer
healed. well after three weeks. Topical cyclosporine
was discontinued after two months. The patient was
symptom free with no recurrence for six months.
Conclusion: Combination of surgical debridemenr·
of the ulcer, supratarsal injection of triamc!nolone
acetonide, topical cyclosporine 0.05% and ketotifen
fumerate 0.025% are effective as the treatment option
in managing patient with severe vernal shield ulcer.
Chronic use of topical steroid can be avoided. |
|---|