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The patient was treated with prednisolone acetate 1% and homatropine 2% topical eye drops (Sina Darou, Iran) every 6 hours and 8 hours, respectively, for 5 days till the anterior chamber reaction and the ciliary injection were resolved.
DSP-Visulex therapy (two applications on the first week then weekly after) was compared to daily prednisolone acetate 1% eye drops.
The patient underwent treatment with intravenous penicillin G (24 million units/day for 14 days), along with topical prednisolone acetate 1% and oral prednisone (40 mg daily) as prophylaxis for a potential ocular Jarisch-Herxheimer reaction.
In another case, an 11-year-old boy with iridocyclitis developed a cushingoid habitus and acanthosis nigricans after he was treated with prednisolone acetate 1% eye drops every 2 hours for 6 months (18).
Systemic and topical steroid therapy was initiated with oral prednisolone 100 mg daily and prednisolone acetate 1% eye drops hourly.
Postoperatively, ofloxacin 0.3% eye drop 4 times a day, prednisolone acetate 1% eye drop once hourly, and ciprofloxacin ophthalmic ointment once a day were started.
Currently, the most widely prescribed strong topical corticosteroids in the US is prednisolone acetate 1%. While it controls inflammation effectively, it has not been shown to consistently address postoperative pain and discomfort in a large clinical trial.
However, given the findings and lack of associated symptoms, a diagnosis of sterile peripheral infiltrates was made; moxifloxacin 0.5% (Vigamox) and prednisolone acetate 1% (Pred Forte) were increased from q.i.d.
The patient was prescribed tablet prednisolone acetate 70mg daily, topical prednisolone acetate 1% eye drops 2 hourly and atropine eye drops 1% 8 hourly.
In GROUP A only Lubicants were used (in 33.33%) while in GROUP B Lubricants along with steroids (prednisolone acetate 1%) were used (in 48.33% of cases), In GROUP C Lubricans, steroids (prednisolone acetate 1%) and systemic anti- inflammatory (NSAID) were used (in 18.33% of cases).