Table 2 Timeline of case 2
Timeline | Description of the presentation and follow-up |
|---|---|
Day 1 | Chronic allergy in both eyes for 1 year and underwent drug treatment without success. Shield ulcer classified as grade 3. Surgical removal of the plaque was performed immediately |
Day 2 | Large epithelial/anterior stromal defect at the debridement site. Occlusive dressing with ciprofloxacin hydrochloride ointment (3.5 mg/g) and dexamethasone (1.0 mg/g) was applied for a week |
Day 7 | Central epithelial defect with no signs of infection. Occlusive dressing with ciprofloxacin hydrochloride ointment (3.5 mg/g) and dexamethasone (1.0 mg/g) was applied to the LE daily for one more week. Treatment with prednisolone acetate 1% twice daily and epinastine hydrochloride 0.05 mg/ml eye drops twice daily, after a week |
Day 21 | Anterior stromal thinning in the absence of fluorescein staining, dye pooling, complete re-epithelialization of the lesion, and no signs of infection. The clinical treatment was maintained |
Day 45 | Complete re-epithelialization of the lesion. Topical corticosteroid treatment was suspended, and treatment was initiated with tacrolimus 0.02% and epinastine hydrochloride 0.05% |
Month 6 | Moderate diffuse anterior stromal haze without an epithelial defect. In routinely use of tacrolimus 0.02% twice daily in both eyes and epinastine hydrochloride 0.05% twice daily in both eyes |