Anyone Use Subconjunctival Kenalog for Scleritis?

March 1, 2009

I had a middle aged egyptian woman  with RA who was already taking all kinds of steroid-sparing immunologics by her rheumatologist ( I forget the names- sorry), who was suffering from chronic injection and discomfort OD, unresponsive to PF. I goofed at first and thought it was episcleritis (there wasn’t much tenderness), and added Acular, but when she returned with no improvement, I remembered to examine the eye in room light, and that’s when I saw the bluish hue of the choroid that screamed scleritis. She could not tolerate Prednisone, so I tried subconj Kenalog, remembering that this is no longer considered contraindicated in scleritis. The eye bled badly when the needle punctured the injected conjunctiva, and the patient at first thought I had made things worse, as it looked awful. But after a week or so, she felt much better, and when the blood cleared, she clearly had resolved. Wouyld anyone had done any differently?

 

 



Comments

Jump down to form below to submit your own comments

Trackback URL
http://eyedocnews.com/00426-subconjunctival-kenalog-for-scleritis/trackback/

Have insights to contribute? Please submit your comment below