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LETTER TO EDITOR
Year : 2002  |  Volume : 50  |  Issue : 2  |  Page : 160-161

Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis



Correspondence Address:
Harinder S Sethi


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Source of Support: None, Conflict of Interest: None


PMID: 12194580

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How to cite this article:
Sethi HS, Wangh VB, Rai HK. Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis. Indian J Ophthalmol 2002;50:160-1

How to cite this URL:
Sethi HS, Wangh VB, Rai HK. Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis. Indian J Ophthalmol [serial online] 2002 [cited 2020 Jun 4];50:160-1. Available from: http://www.ijo.in/text.asp?2002/50/2/160/14797

[TAG;2]Dear Editor,[/TAG;2]

We read with special interest the article "Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis" by Singh et al.[1] They have concluded that supratarsal injection of corticosteroids is very effective for temporary suppression of severe inflammation associated with VKC. We want to seek some clarifications regarding their injection technique. The mean age of their patients ranged from 5 to 23 years (mean 2.56 years). They had used a method of staged local anesthesia to allow the injection to be easily tolerated. We would like to know whether they had used any kind of premedication in the form of sedation, analgesia, etc as many of their patients were children less than 15 years. Whether they were able to give supratarsal injection under local anesthesia in children as young as 5 years or injection was given under general anesthesia.

We agree to the fact that staged local anesthesia decreased pain and discomfort associated with supratarsal subconjunctivial injection. This may not be sufficient for children especially less than 15 years who may not permit such injection. Further more, any inadvertent movement during the procedure may lead to other complications. Therefore we suggest supratarsal injection of steroids to be given under general anesthesia especially in children and patients uncooperative for local anesthesia.



 
  References Top

1.
Singh S, Pal V, Dhull CS. Supratarsal injection of corticosteroids in the treatment of refractory vernal keratoconjunctivitis. Indian J Ophthalmol 2001;49:241-45.  Back to cited text no. 1
    



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