Satriah, Ismail
Apao•AAO Joint Congress, Bali 2009
May 16 -19, 2009.
Other.
Pusat Pengajian Sains Kesihatan.
(Submitted)
Abstract
To report our experience in a patient with
severe vernal shield ulcer treated with a combination of
surgical debridement of the ulcer, supratarsal injection
of triamcinolone acetonide, topical cyclosporine 0.05%
and ketotifen fumerate 0.025%. Method: A patient
with severe, resistant shield ulcer who did not res-pond
to medical treatment with topical steroids, mast
cell stabilizers and antihistamines was treated with
surgical debridement of the ulcer, supratarsal injection
of tria111Cinolone acetonide, topical cyclosporine 0.05%
and ketetifen fumarate 0.025%. Results: The ulcer
healed. well after three weeks. Topical cyclosporine
was discontinued after two months. The patient was
symptom free with no recurrence for six months.
Conclusion: Combination of surgical debridemenr·
of the ulcer, supratarsal injection of triamc!nolone
acetonide, topical cyclosporine 0.05% and ketotifen
fumerate 0.025% are effective as the treatment option
in managing patient with severe vernal shield ulcer.
Chronic use of topical steroid can be avoided.
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