“…Tacrolimus has a more potent immunosuppressant action, 15 and initial evidence indicates that it may be more effective for treating some ocular surface diseases with fewer side effects than cyclosporine A (burning sensation and pain on application). 16 Tacrolimus generally is an effective alternative for specific ocular inflammatory conditions refractory to traditional treatments such as dry eye, 17 ocular surface inflammation in patients with graft versus host disease, 18,19 allergic 10,16,[20][21][22][23][24][25][26][27][28][29] lens-induced papillary conjunctivitis, 30 corneal subepithelial infiltrates secondary to adenoviral keratoconjunctivitis, 31 superior limbic keratoconjunctivitis, 32 refractory phlyctenular keratoconjunctivitis, 33 ocular cicatricial pemphigoid, 34,35 and anterior segment inflammatory disorders. [5][6][7]9 In addition, patients who are intolerant of cyclosporine can be treated effectively with topical tacrolimus.…”