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A rare side effect of betamethasone applied subconjunctivally is described. A 51-year-old man who had undergone penetrating keratoplasty in his left eye 2 m onths previously developed graft rejection and was treated by subconjunctival in jection of beta methasone. Within 2 weeks, the patient complained of conjunctival hyperemia and irritation. Biomicroscopic examination revealed conjunctival and subconjunctival necrosis with white necrotic tissue at the subconjunctival corticosteroid injec tion site. Simple debridement and primarywound closure of the involved area resu lted in complete healing. Ophthalmologists should be aware that subconjunctival injection of betamethasone may cause conjunctival necrosis.
A rare side effect of betamethasone applied subconjunctivally is described. A 51-year-old man who undergone penetrating keratoplasty in his left eye 2 m onths previously developed graft rejection and was treated by subconjunctival in jection of beta methasone. Within 2 weeks, the Patient complained of conjunctival hyperemia and irritation. Biomicroscopic examination revealed conjunctival and subconjunctival necrosis with white necrotic tissue at the subconjunctival corticosteroid injec tion site. Simple debridement and primarywound closure of the involved area resu lted in complete healing. Ophthalmologists should be aware that subconjunctival injection of betamethasone may cause conjunctival necrosis.