Muhammad Nawaz Cheema, Muhammad Tariq Bangash, Saba Anwar, Muhammad Afzal Naz, Muhammad Moneeb Nawaz, Sanabel Majeed.
Vernal Kerato Conjunctivitis Comparative study of Different Trends in its Management.
Pak J Med Health Sci Jan ;13(2):376-8.

Aim: To evaluate efficacy safety tolerability of supratarsal injection of triamcinolone and comparison with topical steroids and olopatadinein vernal keratoconjuctivitis. Methods : Thirty patients of vernal keratoconjunctivitis were included in study which was divided into two groups of each consist of 15 patients; one was studied by using topical steroids with olopatadine topical eye drops. while other group was observed by administration of supratarsal injection of triamcinolone patients evaluation was done 2nd, 7th and 14th days and followed by three months for different signs and symptoms like photophobia burning sensations, itching , hyperemia conjuctival papillary sizes and corneal shield ulcers. Results : The patients of vkc having cobblestone papillae and corneal shield ulcers treated with supratarsal injection if triamcinolone resolved 50% in size after first results attained with the supratarsal injection of triamcinolone both signs and symptoms were dramatic and prompted patients experienced relief with in 2 to 5 days. Furthermore in 14 or 15 patients(93.33%)complete resolution of cobblestone papillae after supratarasal injection of triamcinolone injection in 5-14 days. similarly limbal eodema and shield ulcers resolved completely and there was no increase in intra occular pressure in any of the patients upto 3 months follow up injection. patients on topical steroids with olopatadine clinical improvementoccurred in 11 out of 15 patients (73.33%)three putof fifteen patients ( 20%) on topical steroids developed mild increase in iop. Conclusion : triamcinolone kenacort is a long acting steroid which was administered supratarsally caused resolution of cobblestone papillae and shield corneal ulcers along with relief of other signs and symptoms without development of raised IOP or another side effects .

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