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. 2005 Mar;18(53):76-8.

Vernal keratoconjunctivitis

Anthony Hall  1 , Bernadetha Shilio
Affiliations

Vernal keratoconjunctivitis

Anthony Hall et al. Community Eye Health. 2005 Mar.
No abstract available

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Figures

Fig. 3
Fig. 3
Right eye of patient in figure 1 One week after supratarsal triamcinalone injection: the eye is quiet and comfortable with resolution of all signs of inflammation.
Fig. 11
Fig. 11
Right eye of child in Figures 8 and 9 one month after supratarsal subconjunctival triamcinalone under local anaesthetic drops. Note that the conjunctiva hyperaemia has gone. The thickened vascularised gelatinous pannus has resolved leaving a mildly pigmented flat scar. The vascular pannus accompanying the pannus has resolved apart from the one larger nasal feeder vessel. Visual acuity had improved from 6/18 to 6/6.
Fig. 4
Fig. 4
Left eye of patient in figure 1 Blinding VKC corneal scarring and vascularisation.
Fig. 2
Fig. 2
Right eye of patient in figure 1
Fig. 6
Fig. 6
Child with severe limbal VKC
Fig. 1
Fig. 1
Adult with long standing severe vernal keratoconjunctivitis (VKC)
Fig. 7
Fig. 7
Drug induced allergic conjunctivitis This man was seen at a health centre complaining of itchy dry eyes. He was given gentamicin and prednisolone drops which he used continuously for three weeks. He came to us complaining that the eyes were now red and sore and felt worse when the drops were put in. Note the conjunctival hyperaeminia in the lower half of the eye. The upper half is white and quiet.
Fig. 5
Fig. 5
Technique of supratarsal injection Note the needle is parallel to the superior tarsal border – entering from the temporal side.
Fig. 8
Fig. 8
13 year old girl with predominantly unilateral severe limbal vernal keratoconjunctivitis. Note the lid swelling, increased skin pigmentation around the lid and the injected conjunctiva. The eye is watering and she looks uncomfortable. The other eye appears by to be relatively normal by comparison.
Fig. 10
Fig. 10
Child with severe limbal VKC. This is a close up of the right eye of the girl Figure 8. Note the marked conjunctival hyperaemia, Trantas' dots and invasion of cornea by thickened gelatinous pannus.
Fig. 9
Fig. 9
This is the same girl as in Figure 8 one month after supratarsal subconjunctival triamcinalone under local anaesthetic drops. She is happy and relaxed. The lid swelling has gone. She can now open her eye which is white and quiet. Her left eye which appeared to be relatively normal before, evidently has moderate vernal keratoconjuctivitis too. The lids are a little swollen and the limbal conjunctiva is injected and thickened. She is so pleased with the response in her right eye she is requesting an injection for her left eye.
None
None
See this image and copyright information in PMC

References

    1. Bonini S, Bonini S, Schiavone M, Centofanti M, et al. Vernal keratoconjunctivitis revisited: a case series of 195 patients with long-term follow-up. Ophthalmology. 2000 Jun;107(6):1157–63. - PubMed
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    1. Saini JS, Gupta A, Pandey SK, Gupta V, Gupta P. Efficacy of supratarsal dexamethasone versus triamcinalone injection in recalcitrant vernal keratoconjunctivitis. Acta Ophthalmol Scand. 1999;77:515–8. - PubMed
    1. Pucci N, Novembre E, Cianferoni A, et al. Efficacy and safety of cyclosporine eye drops in vernal keratoconjunctivitis. Annal Allergy Asthma Immunol. 2002;89:298–303.. - PubMed

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