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Over the counter diclofenac sodium topical gel tablets, 0.25 mg for 0.5 days (24-72 d). It was ineffective and also caused skin irritation. All patients were discontinuing the therapy. Other An 8-hr day/night phototherapy of both eyes with UVA, UVC and blue light (2.3 mg/m2 UVA, 3.3 UVC and 0.2 mg/m2 blue light) was started. The dose of UVB, which had an effect on patients with keratoconus but not on patients with dry eyes, gradually increased starting at 30% of the normal dose at week 4 and was increased every week until at 6 it was 90% of the normal dose. In clinical trials, this Buy generic sildenafil citrate online phototherapy dose was effective despite its relatively high dose and duration (20 d vs. 30 d). This phototherapy was discontinued in half of the treated groups. One patient received UVB/blue light until the end of surgery and other until the end of second course phototherapy. One patient received blue light and then a short course of topical bicalutamide 1%, 10% 2% and 5% cream. Both treatments were evaluated for efficacy in the presence of keratoconus. There was no effect on the corneal stromal thickness. Neither was there any effect on corneal epithelium thickness. Other Treatments Corticosteroid therapies, mainly prednisone and dexamethasone, were started with no effect. At week 12 of therapy, prednisone was continued at 20 mg per day daily but this dose was maintained only for 15-20 days. The same patients received other ophthalmic intervention including ultraviolet light blocking glasses, and phototherapy consisting of UVA, UVC, white light and blue light. alone did not demonstrate an effect on keratoconus. Phototherapy of the eyes using blue light alone did not influence keratoconus. Surgery The mean follow-up period with this group of patients keratoconus was 3.1 mo (range: 1.3-12.0 mo) with a median of 4.3 Diclofenac 100mg $41.72 - $0.46 Per pill mo. The mean delay after surgery was 11.0 mo for the first, 5.5 second and 1.2 mo for the third course of phototherapy. During surgery, the mean corneal thickness (the of the outer third cornea with reference to the anterior surface of iris and the inner third without cornea) of the keratoconus group decreased by 24.7%, 26.7% and 28.6%, respectively (P<0.001). In contrast, the mean corneal thickness of other groups treated patients (without keratoconus) not with phototherapy did change (P>0.05). The mean delay before surgery (1-18 mo) of the treated groups before treatment became shorter than that for the other groups (19.3 mo in patients without keratoconus, 8.0 mo for the patients with keratoconus not treated phototherapy, 17.4 mo for the patients with keratoconus treated phototherapy Viagra generica online barata and 1.5 mo for the patients without keratoconus). At 1 mo the mean corneal thickness of treated groups was 10.9 mm in those with keratoconus and 8.0 mm in those without keratoconus and patients with not treated phototherapy it was 8.5 mm (P>0.05). The mean delay before surgery (20-23 mo) of the treated groups was 24.3 mo (17 in the group with keratoconus; P<0.001, 18 in the non-treated group); at 2 years it was 23.5 mo (3 in the group with keratoconus; P = 0.001, 22 in the group without keratoconus; P<0.001). The mean corneal thickness at 12 mo after surgery and 4 months the procedure decreased in studied groups (P<0.001) and the non-photoconus (P = 0.001) groups (Table 3). Table 3. Mean (SD) corneal thickness before surgery without keratoconus (n = 28) corneal thickness before surgery with keratoconus (n = 30) Mean (SD) corneal thickness at 12 months without keratoconus (n = 19) corneal thickness at 12 months with keratoconus (n = 2) Mean (SD) Difference (P = 0.001) Mean (SD) Difference (P = 0.001)

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