Good Hope, Heartlands, and Solihull Eye Clinics

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