CASE REPORT:A 75-year-old Japanese woman was referred to us for persistent irritation in September 2006. She reported a history of foreign-body sensation in the left eye for 4 years. Slit-lamp examination revealed hypertrophy, hyperaemia and pronounced fluorescein staining of the superior bulbar conjunctiva in the left eye (fig 1A,B). Schirmer test results were 2 mm in the right eye and 1 mm in the left eye. The diagnosis of superior limbic keratoconjunctivitis (SLK) with aqueous deficiency dry eye was made based on these findings. Initially, treatment was attempted with 0.1% fluorometholone and 0.1% sodium hyaluronate eye-drops without success.
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