May 312017
 
58 year old lady. Just back from travels in Hong Kong. Whilst there, two weeks ago, diagnosed with right side facial shingles and given five days of oral aciclovir. Given topic “virupos” five times a day to right eye and was still taking this. VA 6/6 in each eye and pupils normal. R IOP 28mmHg [...]
May 312017
 
I have seen quite a few Px recently with severe ocular surface disease, usual stuff – raging blepharitis, corneas that light up like a Christmas tree with NaFl and VA down to 6/24 or worse.  They all respond well to lid hygiene, topical steroid and copious lubrication over about 3months. Had a diabetic chap in [...]
Feb 072017
 
Just wondering what sort of intervals people use for this – though I realise it can be quite case specific. I’m currently favouring pulse duration 5 days  (2x250mg day 1, then 1x250mg for 4 days); if good response, repeat again in 3/52, then third repeat in 3/52 if resolution not satisfactory – so max 3 pulses [...]