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To the Editor.
—I would like to thank Dr. Aronson for his comments concerning our paper "Corneal Infiltrates in Epidemic Keratoconjunctivitis." The point Dr. Aronson brings up concerning our recommendation for steroid usage in EKC is important and was also discussed in the final review of this article by the Editors prior to its publication in the Archives.Since permanent decrease of vision is rare following ocular infection with adenovirus type 8, corticosteroids need not be used routinely to prevent what is most often only a transient subepithelial opacity. Additionally, we mention that in some cases steroid just delayed the appearance of infiltrates, and upon withdrawal of the drug, the infiltrate reappeared. Some patients were difficult to wean from steroids as the infiltrates and punctate keratitis returned when corticosteroids were stopped. Two patients needed locally applied corticosteroid once a day for up to one year for control of symptoms
Laibson PR. CORTICOSTEROIDS IN KERATOCONJUNCTIVITIS-Reply. Arch Ophthalmol. 1970;84(6):835. doi:10.1001/archopht.1970.00990040837028