ekc and steroid treatment

[rooster411]

i was diagnosed with ekc. i went to see a corneal specialist 12 days after the onset. i had th virus in both eyes. the docto prescribed lotemax- to be tapered as well as restasis. my questions are as follows:
1) how long do i need to be on the steroids before my vision begins to improve?
2) by taking the steroids- did i increase the time i am contageous for? if so for how long?
3) what is the point of the steroid taper?
4) what is the likelyhood that after roughly six weeks on the steroids i will be healed?
5) is it ok to fly with this condition?
thank you

[russell903]

I am not an MD, but have been a vision sufferer for about three years.  From what I've learned, eye MD's are careful about steroids in the eyes, because of aftereffects, namely increased eye pressures.  Increased pressures can lead to optic nerve damage.  If I were you, I'd make sure that during your eye drop treatment period that you have your IOPs' monitored (Interocularpressure) frequently.  In my experience, some doctors can be somewhat casual about such monitoring matters, and we must stay informed and diligent for our own protections.  Best wishes.  Russell903

[John C Hagan III, MD, FACS]

1. It can take months and months for the corneal infiltrates to fade.
2. No
3. when the infiltrates clear or you have side effects
4. perhaps 50%
5. generally yes

JCH MD