Simultaneous Subconjunctival Triamcinolone and Bevacizumab Injections for Management of Blepharokeratoconjunctivitis in Children

Figure 1

Photographs of Twin 1 with blepharokeratoconjunctivitis before and after treatment over a 10-month period. (a) Right cornea with infiltrate and overlying epithelial defect and corneal neovascularization. (b) Left cornea with central scar with active feeder vessels. (c) Right cornea eight weeks after subconjunctival triamcinolone and bevacizumab injections showing fading stromal infiltrates and regressed bloods vessels. (d) Left cornea in eight-week time with no injections showing persisting corneal neovascularization, and no observable benefit from systemic effect of bevacizumab. (e) Right cornea 10 months after bilateral subconjunctival triamcinolone and bevacizumab injections and 5 months after additional triamcinolone injections, with central corneal scarring and suppressed blood vessels. (f) Left cornea 8 months after bilateral subconjunctival triamcinolone and bevacizumab injections and 5 months after additional triamcinolone injections and diathermy with central corneal scarring and suppressed blood vessels.

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