Phlyctenular Keratoconjunctivitis
David Kinshuck
Details
Treatment
- g chloramphenicol four times day for one week
- g dexamethasone preservative free three times a day untill the eye is white, then reduce gradually to one a day, then to alternate days or even every third day; increase again if red
- keep a diary as to how much used..dexamethasone causes cataracts etc
- would gp refer to outpatients …
- consider if not pregnant doxcycline 50mg long term (takes weeks to work)
- Ikervis (cyclosporine) drops could replace dexamethasone if condition does not settle…would GP consider; Ikervis is safe
- lid cleaning as blepahritis