2 weeks ago had a CL px ( monthly SiHg multifocals) with the usual complaints of GPC; lens awareness, decreased WT and comfort, mild stringy discharge. Noted; bilateral grd 3 papillary reaction / no corneal involvement. We reduced WT’s; started on Opatanol bd / systane ultra already being used prn through the day. Today, 2 [...]
Chap with GPC. Did short course of FML then opatanol which improved things a lot but didn’t shift it. Tried short course of maxidex then back to opatanol still not shifting. What’s next? Maxidex for longer and higher dose? What kind of dose longer term?