SUPRATARSAL INJECTION OF TRIAMCINOLONE ACETONIDE FOR THE TREATMENT OF SEVERE VERNAL KERATOCONJUNCTIVITIS

Main Article Content

Nazli Gul
Muhammad Israr
Muhammad Farhan
Muhammad Naeem Khan
Mushtaq Khattak
Afzal Qadir

Abstract

Objective: To find out the use of supratarsal injection of triamcinolone acetonide in severe vernal keratoconjunctivitis in children.

Methodology: This descriptive study was conducted at Department of Ophthalmology, Hayatabad Medical Complex (HMC), Peshawar from 1st May, 2015 to 30th September, 2016. It included 62 eyes of 39 patients with severe vernal keratoconjunctivitis (VKC) associated with shield ulceration/keratitis, gelatinous limbal infiltrate and/or giant papillae on tarsal conjunctiva which showed resistance to conventional topical anti-allergic drops. Patients were treated with 20mg (0.5ml) supratarsal injection of triamcinolone acetonide. The patients were followed at 1st, 2nd and 4th weeks and at 3rd and 4th months after injection. Data analysis were done using SPSS version 16.

Results: Our study included 62 eyes of 39 patients. Twenty two (56.41%) patients were male and 17(43.59%) were females. Mean age was 6.90 years (range 4.0-10 years). In all patients (100%), the disease was successfully controlled for an average of 3 months. Repeat injection was needed in 4 patients (10.26%) at one month post injection due to early recurrence of symptoms & signs. Only 9 (23.07%) patients required repeat injection after 3 months. We observed no intraoperative or postoperative complications like cataract and glaucoma.

Conclusion: Rapid and dramatic clinical response and lack of complications suggested that supratarsal injection of triamcinolone acetonide constitutes an effective and safe option for severe and challenging cases of vernal keratoconjunctivitis.

 

 

Article Details

How to Cite
1.
Gul N, Israr M, Farhan M, Khan MN, Khattak M, Qadir A. SUPRATARSAL INJECTION OF TRIAMCINOLONE ACETONIDE FOR THE TREATMENT OF SEVERE VERNAL KERATOCONJUNCTIVITIS. J Postgrad Med Inst [Internet]. 2019 Mar. 26 [cited 2022 Aug. 9];33(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2266
Section
Original Article
Author Biographies

Nazli Gul, Department of Ophthalomology, Khyber Teaching Hospital, Peshawar.

Consultant Ophthalmologist,Department of Ophthalmology, Khyber Teaching Hospital, Peshawar.

Muhammad Israr, Alshifa Trust Eye Hospital Kohat

Registrar

Alshifa Trust Eye Hospital Kohat

 

Muhammad Farhan, Qazi Hussain Ahmad Medical Complex, Nowshera

Junior Registrar

 

Qazi Hussain Ahmad Medical Complex, Nowshera

Muhammad Naeem Khan, Department of Ophthalmology, HMC,Peshawar

Associate Professor, Department of Pediatric Ophthalmology,HMC,Peshawar.

Mushtaq Khattak, Department of Ophthalmology,HMC,Peshawar.

Assistant Professor, Department of Ophthalmology,HMC,Peshawar.

Afzal Qadir, Department of Pediatric Ophthalmology,HMC,Peshawar.

Assistant Professor, Department of Pediatric Ophthalmology,HMC,Peshawar.

Most read articles by the same author(s)

1 2 > >>