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A retrospective study of 530 cases of spring catarrh using topical steroids revealed that 7% (48 patients) developed a rise in intra-ocular pressure to levels above the normal limit of 22 mm Hg. Spring catarrh in our part of world is of severe mixed variety causing intense symptoms of irritation and itching as well as severe corneal lesions often threatening the patients sight. Most cases can not be controlled by simple anti- allergic / decongestant therapy. Very often they require a potent topical steroid, instilled several times a day.
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