Hi Dr, seek your kind opinion...I have been diagnosed with keratitis ( such a white spots on the surface of cornea )and dry eyes. I went for a private consultation with a Consultant Ophthalmic Surgeon at a private clinic. The consultant prescribed Flarex to be taken 4 times per day for 1 week gradually for one month ( 4x,3x,2x,1x). Then the keratitis reactivate again just after few weeks I stop my medication with Flarex. Then after that (now) the consultant again prescribed stronger steroid - Maxidex which to be taken 3 times for 3 weeks. Before started maxidex..my IOP was 18 for both eyes using tanometry. After 3 days of using maxidex I come again to check for the IOP using air puff to the eye, and it was 15 for my both eyes.
Dr..my question is, I have a large optic disk but I have already done HVF (Humphrey visual) and it was normal. Probably after 3 weeks if getting better the using of maxidex will be reduce into 2 times for 3 weeks. ( accumulate 1 month and 2 weeks using maxidex. ) I am so worried that do I exposed my eye such as glaucoma, optic nerve damage, vision problems, cataracts, and perforation of the cornea. Prolonged used may also increase the risk of fungal and bacterial eye infections.
Judicious use of steroids under the care of an ophthalmologist is not the same as unsupervised long term use (think 4 months or longer).
Likely you just need a slower taper such as when it gets to once per day go to every other day for a month, then every third day for a month. Of course you need to follow your Eye MD not this schedule that I often use.
Such white spots (infiltrates) are often due to adenovirus eye infection like EKC or hypersensitivity keratitis.
Dr, is me again Systane... if that so due to hypersensitivity keratitis or in another word the opthlamologist saids NUMMULAR KERATITIS will you give the same treatment by using maxidex?? even I have large optic disk but normal HVF and IOP....
I just need your opinion to get the confidence that i met a correct Dr...
nummular just refers to shape of infiltrates. Re-read above, if you use steroids and see the ophthalmologist monthly to monitor the IOP then steroids are generally safe to use for your condition.
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