This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Lin et al¹ have provided us with a beautifully illustrated and nicely described group of cases as reported in the August 2000 issue of the ARCHIVES. Their case report makes one wonder if other factors might be contributing to the corneal melting in these patients treated with diclofenac sodium.

Specifically, cases 3, 4, and 5 describe perforations occurring in eyes treated with corticosteroids. These bring to mind the 25 cases of corneal melting that Thygeson² reported in 1977, which he believed were related to steroids and herpetic infection. Could these be important factors in 1 or more of the authors' cases? It might also be helpful to know the working diagnosis for which diclofenac was used in cases 1, 2, 3, and 5.

I am surprised that the authors do not comment on case 5 and this patient's concurrent topical therapy. All 4 of his glaucoma medications can be associated . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?