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Ophthalmology · Vernal keratoconjunctivitis: treatment
Sample itemWhich drug is most useful as a steroid-sparing agent in severe vernal keratoconjunctivitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Topical cyclosporine
Topical cyclosporine or tacrolimus reduces the need for steroids and their complications. Mast cell stabilisers and antihistamines are used for milder disease.
Option by option
A. Topical timolol
Timolol is an antiglaucoma drug.
B. Topical cyclosporine (correct)
Correct. Cyclosporine is an effective steroid-sparing immunomodulator.
C. Topical atropine
Atropine is a cycloplegic and does not treat allergy.
D. Topical natamycin
Natamycin is an antifungal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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