How do you treat Thygeson's superficial punctate keratitis?

Question

Hi doctor,

I am suffering from Thygeson's superficial punctate keratitis disease and it is chronic. My father has glaucoma. I have been using steroid eye drop. They are Fluorometholone ophthalmic suspension and Restasis eye drop. I have been having this eye problem since about two years. I am attaching my detailed description. Please help me.

Answer 1

Hello,

Welcome to icliniq.com. The recommended treatment for Thygeson's superficial punctate keratitis (TSPK) typically involves the use of artificial tears and topical corticosteroids, which you are currently using. In addition, topical Cyclosporine (Restasis) and the use of soft contact lenses may be considered if necessary. The effectiveness of these treatments depends on the severity of the disease, and in your case, it appears to be relatively less severe. The long-term visual prognosis is generally excellent. It is advisable to undergo periodic ophthalmic dilated eye examinations and eye pressure checks to detect any early signs of cataracts or glaucoma. Gradually tapering off the topical steroid and transitioning to using Restasis alone could be a suitable approach if you can tolerate it. Surgical interventions on the eyes are not recommended.