Dr. Vaibhev Mittal
Ophthalmology (Eye Care)
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Patient's Query
Hello doctor,
I am studying abroad at present, and during the last term, I developed conjunctivitis that lasted for most of the term and progressed to a corneal ulcer. The ulcer was in the periphery of one eye and was treated with antibiotics and topical steroids. This term, the conjunctivitis has returned, and there is still some inflammation in the previously treated area. Further, my other eye has also developed some inflammation. I went to the eye doctor, who told me it is an auto-immune problem and has prescribed me Pred Forte to control intra-ocular pressure due to steroids. I have not undergone any laboratory tests. Is this a very serious problem? Can the ulcer return? Please help.
Hello,
Welcome to icliniq.com.
I have read your query and can understand your concern.
Conjunctivitis can be caused by bacterial, viral infections, or allergic reactions. In viral conjunctivitis, the cornea is involved in a few cases leading to multiple small superficial lesions with subepithelial infiltrates. These corneal lesions are immune-mediated. I suggest you undergo the following treatment. Consult your opthalmologist, discuss with them, and take these medicine with their consent. Low-potency steroids like Fluorometholone can be used in the long term. However, long-term use of steroids is associated with an increase in eye pressure, as in your case. I would not go for a more potent steroid like Prednisolone as the chances of increased IOP (intra-ocular pressure) are more with Prednisolone. Immunosuppressives like Cyclosporine eyedrop can be used twice daily for four to six months, or Tacrolimus eye ointment twice daily. The success rate of these medicines is very high in clearing cornea. Moreover, these medicines do not cause an increase in IOP. I hope your query was resolved. Thanks and regards.
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Ophthalmology (Eye Care)
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