title: Supratarsal triamcinolone injection in the treatment of superior limbic keratoconjunctivitis.
abstract: OBJECTIVE
  To evaluate the efficacy of supratarsal triamcinolone injection in the treatment of superior limbic keratoconjunctivitis (SLK).
  
  
  METHODS
  Forty eyes of 20 patients were diagnosed with SLK. All eyes with long-standing severe ocular irritation unresponsive to topical steroid and artificial tears were treated with supratarsal triamcinolone injection in addition to ongoing treatment of dry eye. Objective tarsal conjunctiva inflammation, bulbar conjunctiva, cornea staining, and subjective symptom gradings were performed before and after 2 weeks of therapy. All patients underwent laboratory evaluations of underlying systemic abnormalities.
  
  
  RESULTS
  All 40 eyes responded well to treatment and had long-term (average, 7.8 months) improvement of irritation and dry sensation and improvement of inflammation and staining of conjunctiva and cornea. Fourteen patients (70%) had associated autoimmune diseases. There were no irreversible complications related to this therapy.
  
  
  CONCLUSIONS
  Supratarsal triamcinolone injection effectively and rapidly resolved symptoms and signs associated with SLK. It is helpful as primary or adjunctive therapy for SLK.
authors: Department of Ophthalmology, Taichung Veterans General Hospital, Taiwan, China. eric550131@yahoo.com.tw
authors: Ying-Cheng
authors: YC
authors: Shen
authors: Chun-Yuan
authors: CY
authors: Wang
authors: Hin-Yeung
authors: HY
authors: Tsai
authors: Yi-Fen
authors: YF
authors: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005143:Eyelids / Q000187:drug effects*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D007637:Keratoconjunctivitis / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide