Abstract

A 40-year-old female presented with a 5-month history of persistent ocular dryness, pain, and superior lid tenderness, predominantly in the left eye. She was previously treated with topical corticosteroids, immuno modulators, and artificial tears, with minimal relief. Examination revealed 4+ superior conjunctival injection, papillary reaction, and superior corneal punctate keratopathy, leading to a diagnosis of superior limbic kera toconjunctivitis (SLK). Following partial improvement on topical therapy, an in-office ocular surface lavage was performed using an irrigating eyelid retractor. Subsequent treatment with topical cyclosporine 0.09% and supportive measures led to complete resolution of signs and symptoms within two months. This report highlights the potential utility of an irrigating eyelid retractor as an adjunctive treatment in refractory SLK. Targeted lavage may reduce frictional inflammation between the superior bulbar and palpebral conjunctiva, facilitating ocular surface recovery.

doi.org/10.63721/26JORT0110

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