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

Figure 2

Photographs of Twin 2 with blepharokeratoconjunctivitis before and after treatment over an 8-month period. (a) Right cornea with stromal and epithelial vessels. (b) Left cornea with stromal and epithelial vessels. (c) Right cornea four weeks after subconjunctival triamcinolone and bevacizumab injections showing regressing vessels. (d) Left cornea in four-week time with no injections showing persisting stromal and epithelial vessels and no observable benefit from systemic effect of bevacizumab. (e) Right cornea 8 months after subconjunctival triamcinolone and bevacizumab injections and 5 months after additional triamcinolone injections, with corneal scarring. (f) Left cornea 7 months after subconjunctival triamcinolone and bevacizumab injections and 5 months after additional triamcinolone injections, with corneal scarring.

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