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Supratarsal injection of triamcinolone acetonide and childhood allergic keratoconjunctivitis

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Abstract

To evaluate the efficacy and safety of supratarsal injection of triamcinolone acetonide in the treatment of refractory allergic keratoconjunctivitis in childhood. Thirty-five patients (70 eyes) with severe allergic keratoconjunctivitis were included in this study. Fifteen patients (42.8%) had atopic keratoconjunctivitis (AKC) and 20 (57.2%) had vernal keratoconjuncivitis (VKC). All patients underwent a bilateral supratarsal injection of 20 mg triamcinolone acetonide. Mean follow-up was 28 months (range 14–38). All patients showed a significant symptomatic improvement and partial resolution of clinical features of keratoconjunctivitis within the first 2 weeks. Corneal complications related to keratoconjunctivitis disappeared in all patients. One patient with VKC experienced ocular hypertension. No patient with AKC showed side-effects. Severe relapse of the disease was noted in 10% of eyes with VKC and in 6.7% of eyes with AKC after a mean follow-up of 9 and 11 months, respectively. Supratarsal injection of triamcinolone acetonide is effective and safe in patients with severe chronic allergic keratoconjunctivits to relieve severe inflammation associated with this disease.

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The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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  1. Department of Ophthalmology, Fattouma Bourguiba University Hospital, 5019, Monastir, Tunisia

    Sonia Zaouali, Rim Kahloun, Sonia Attia, Bechir Jelliti, Manel Trigui, Salim Ben Yahia, Riadh Messaoud & Moncef Khairallah

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  1. Sonia Zaouali
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  2. Rim Kahloun
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  3. Sonia Attia
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  4. Bechir Jelliti
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  8. Moncef Khairallah
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Correspondence to Moncef Khairallah.

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Zaouali, S., Kahloun, R., Attia, S. et al. Supratarsal injection of triamcinolone acetonide and childhood allergic keratoconjunctivitis. Int Ophthalmol 32, 99–106 (2012). https://doi.org/10.1007/s10792-011-9421-4

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  • DOI: https://doi.org/10.1007/s10792-011-9421-4

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