Clinical Study

Retrospective Review on the Use of Topical Cyclosporin A 0.05% for Paediatric Allergic Conjunctivitis in Hong Kong Chinese

Table 2

Case series on the clinical course of allergic conjunctivitis after treatment with Restasis.

PatientOcular diagnosisAgeSexRelevant allergiesSymptom onset before use of RestasisBrief description on disease courseEye drops in use before start of Restasis

1LE VKC6MEczema and asthma4 weeks Presented with persistent epithelial defect and cobblestone giant papillae. Developed shield ulcer complicated by herpes simplex infection; ulcer healed with Restasis and acyclovir ointment with only faint corneal scars. Patanol/ RT/PF

2BE SAC16MNil 6 weeksLeft limbitis and BE papillae. Treated with Restasis BD, with recovery of the limbitis and improvement of symptoms.Patanol/RT/Nadexin

3BE AKC10MEczema and asthma2 yearsStarted Restasis BD with improvement of symptoms. Patanol/RT/FML

4BE VKC13MAllergic rhinitis 2 yearsBE cobblestone giant papillae. Started on Restasis BD then tapered down to once daily on alternate days.Patanol/ RT/FML/PF

5BE PAC12FNil 1 yearImprovement in symptoms and decreased punctuate epithelial erosions and reduced conjunctival injection over the papillae with Restasis BD.Patanol/FML

6BE VKC9MNil 2 yearsOn and off limbitis and papillae. Used Restasis BD for 1 year with good control and 1 flare-up requiring QID. Now down to once daily dose on alternate days.Patanol/RT/FML/PF

7BE AKC8MEczema and asthma2 yearsBE giant papillae, with reduced conjunctival injection over the papillae Restasis BD Patanol/RT/Nadexin/Lotemax

8BE VKC10MNil 1.5 yearsGiant papillae, with reduced conjunctival injection over the papillae with Restasis BD.Patanol/FML

9BE PAC14MAsthma3 yearsPreviously started with Restasis BD to TDS. Tapered down to once daily on alternate days after 5 months, with improvement of symptoms.Patanol Lotemax

10BE PAC10MAllergic rhinitis3 yearsReduced conjunctival injection over the papillae while on Restasis BD.Patanol/FML

11BE PAC6MAllergic rhinitis1 yearReduced conjunctival injection over the papillae while on Restasis BD.Patanol

12BE AKC16MAllergic rhinitis16 monthsPapillae with keratitis. Restasis BD used for 4 months, now down to once daily on alternate days, with recovery of the keratitis and improvement of symptoms.Patanol/RT/FML

13BE PAC9MNil4 yearsReduced conjunctival injection over the papillae while on Restasis BD, later stopped due to financial reason.Patanol/RT FML

14BE VKC12MAllergic rhinitis2 monthsTrantas dots and limbitis with papillae, now on Restasis BD, with recovery of the limbitis and improvement of symptoms.Patanol/PF

BE = both eyes.
LE = left eye.
BD = twice daily.
TDS = three times daily.
Patanol = olopatadine hydrochloride ophthalmic solution 0.1%; Alcon Laboratories Inc., Fort Worth, Texas, USA.
RT = Refresh Tears (carboxymethylcellulose sodium 0.5%; Allergan Inc., Irvine, CA, USA).
PF = Pred Forte (prednisolone acetate 1%; Allergan Inc., Irvine, CA USA).
FML = fluorometholone (Allergan Inc., Irvine, CA, USA).
Nadexin = (dexamethasone 0.1% + chloramphenicol 0.5%; National Pharm Co. Ltd., Unit A-D 7/F Candy Novelty House 164 Wai Yip Street, Kowloon, Hong Kong).
Lotemax = (loteprednol etabonate ophthalmic 0.5%; Bausch & Lomb Inc., Tampa, Florida, USA).