Symptomatic Treatment of Subepithelial Infiltrates after Viral Conjunctivitis: Loteprednol or Dexamethasone?

Ocul Immunol Inflamm. 2017 Oct;25(5):649-653. doi: 10.3109/09273948.2016.1149593. Epub 2016 Mar 25.

Abstract

Purpose: To compare the efficiency and ocular side-effect profile of topical loteprednol applied to one eye and topical dexamethasone applied to the other eye in the early period on the same patient who has subepithelial infiltrates (SEI).

Methods: The patients who developed bilateral SEI following epidemic keratoconjunctivitis (EKC) were applied topical loteprednol on one eye (group 2) and topical dexamethasone on the other (group 1).

Results: Decrease in the symptoms was faster in the dexamethasone group, but this difference between the groups was not statistically significant (p = 0.073). Both groups were found to have substantial recurrence. However, the difference between the groups was not statistically significant (p = 0.131).

Conclusions: The study has found that in the treatment of SEI, which developed after EKC, statistically similar results can be obtained with loteprednol, which is known to have fewer adverse effects.

Keywords: Epidemic keratoconjunctivitis; subepithelial corneal infiltrates; topical dexamethasone; topical loteprednol.

Publication types

  • Comparative Study

MeSH terms

  • Adenovirus Infections, Human / drug therapy*
  • Administration, Ophthalmic
  • Adolescent
  • Adult
  • Anti-Allergic Agents / adverse effects
  • Anti-Allergic Agents / therapeutic use*
  • Child
  • Conjunctivitis, Viral / drug therapy*
  • Corneal Diseases / drug therapy*
  • Corneal Diseases / etiology
  • Corneal Stroma / drug effects
  • Corneal Stroma / pathology
  • Dexamethasone / adverse effects
  • Dexamethasone / therapeutic use*
  • Epithelium, Corneal / drug effects*
  • Epithelium, Corneal / pathology
  • Eye Infections, Viral / drug therapy
  • Female
  • Glucocorticoids / adverse effects
  • Glucocorticoids / therapeutic use*
  • Humans
  • Loteprednol Etabonate / adverse effects
  • Loteprednol Etabonate / therapeutic use*
  • Male
  • Middle Aged
  • Ophthalmic Solutions
  • Prospective Studies
  • Treatment Outcome
  • Visual Acuity / physiology
  • Young Adult

Substances

  • Anti-Allergic Agents
  • Glucocorticoids
  • Ophthalmic Solutions
  • Dexamethasone
  • Loteprednol Etabonate