They are short, straight-forward clinical recommendations, based on experience or observation which the general ophthalmologists can easily integrate into their daily clinical practice. They constitute a vast domain of experience-based medicine, and constitute an important part of the medical education. They are helpful in dealing with clinical problems for which no controlled studies exist.
Very excellent madam
Hat’s off to you
Respected Dr Sameera Irfan!!!
Excellent effort …. Every aspect of VKC is covered in detail. Thank you very much.
In Balochistan due to extreme dry and dusty weather , inspite of trying all these, somehow for short time I do give floromethalone. But yes after a good discussion with the parents to use it for short time.
Thanks very much!
When you prescribe steroids topically, the affect is immediate, and patients realise that!!!
What they don’t realise are the extreme harmful affects related to repeated or long term use!!
So it’s your duty to make them understand that they should be used only for a few days otherwise they can lose their vision for good because of the numerous side effects!!!
salam..
i am in balochistan..
agreed have seen cases of steroid induced glaucoma…using steroids for longtime even without visiting doctor..
thank you mam
Marvellous
EXCELLENTLY FORMATTED PAGE….VERY USER FRIENDLY….I WAS A BIT LATE IN READING THE ARTICLE ON VKC…BUT VERY INFORMATIVE…
Excellent effort !!
Ma’am can you please tell the dose of tacrolimus which you use in your patients ?
Thanks very much for your comments.
Tacrolimus is available as a skin cream 0.03% to be used twice daily initially in Acute conditions and then once in the evening for 3-6 months, depending upon the causative condition.
In children it’s better to use in the evening and skip the morning dose as it causes blurring of vision which could be a problem during reading.
Patients should not go out in the sun after applying the cream even inside the eye lid as the hot weather increases the burning or warmth sensation.