Perry Henry D, Doshi-Carnevale Sima, Donnenfeld Eric D, Kornstein Howard S
Department of Ophthalmology, North Shore University Hospital-Long Island Jewish Medical Center, Great Neck, New York, USA.
Ophthalmology. 2003 Aug;110(8):1578-81. doi: 10.1016/S0161-6420(03)00538-4.
To report the early success of the use of topical cyclosporine A 0.5% drops to treat Theodore's superior limbic keratoconjunctivitis (SLK).
A retrospective noncomparative case series.
Five patients diagnosed with SLK.
All five patients were treated with topical cyclosporine A 0.5% drops as primary or adjunctive therapy after treatment failure in some of prednisolone acetate 1% drops and topical silver nitrate 0.5% application. Topical cyclosporine A 0.5% drops were used four times a day in both eyes.
Resolution of symptoms (foreign body sensation and irritation) and signs (rose bengal staining, tarsal papillary reaction, and injection).
All five patients had long-term (6 months to 3 years) improvement of irritation and foreign body sensation, as well as improvement of injection and filamentary keratitis. Aside from burning on instillation, there were no complications related to this therapy.
Topical cyclosporine A 0.5% is helpful as primary or adjunctive therapy for SLK. It may also be used as a maintenance drug to prevent recurrence. Further study may delineate the specific role and treatment parameters for the use of topical cyclosporine A 0.5% in the treatment of SLK.
