CORTICOSTEROIDS IN KERATOCONJUNCTIVITIS

To the Editor.  —I should like to compliment Dr. Laibson et al on performing a controlled study of corticosteroid therapy as reported in their recent article, "Corneal Infiltrates in Epidemic Keratoconjunctivitis," which appeared in the Archives (84:36-40, 1970). Their data have demonstrated that corticosteroids have a significant effect on the early disappearance of the subepithelial infiltrate.I must also commend the authors on their relatively direct interpretation of their clear-cut data; they wisely avoided conjecture which would have detracted markedly from this fine study. Because of this excellent restraint, the final paragraph of their "Comment" is rather perplexing. They abruptly offer a recommendation for use of corticosteroid in this disease.Their conclusion that corticosteroids should only be used in "terribly severe" disease is a nonsequitur to the presented data and comment. Undoubtedly, there must be a reason for this conclusion. Perhaps a paragraph or two was misplaced in the