Konjungtivitis Vernal – Download as Powerpoint Presentation .ppt), PDF File . pdf), Text File .txt) or view presentation slides online. Vernal keratoconjunctivitis (VKC), atopic keratoconjunctivitis (AKC), and giant papillary conjunctivitis (GPC) constitute the remaining subtypes. Management of Vernal Keratoconjunctivitis. Multiple pharmacologic agents may be used to provide varying degrees of relief. Mucolytic agents.

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Vernal keratoconjunctivitis

Curr Allergy Asthma Rep, There is at least one report of the successful use of omalizumab, an anti-IgE monoclonal antibody, in a patient with VKC recalcitrant to other treatment modalities [17]. Delhi Journal of Ophthalmology. Injection of local corticosteroid into the upper tarsal papillae can sometimes offer short term relief as well [2, 7]. Retrieved from ” http: InTrantas characterized the spectrum of corneal changes seen in VKC [1].

AKC typically has an older age of onset in the 2nd to 5th decade, as opposed to onset prior to age 10 with VKC. Topical corticosteroids are typically the most effective.

Removal of any and all possible allergens as well as conservative management such as cool compresses and lid scrubs make up the first line of therapy [13].

From Wikipedia, the free encyclopedia. Thought has been given to a possible endocrine method as well as there is a decrease in symptoms and prevalence after puberty [1, 2].


Vernal Keratoconjunctivitis From EyeWiki. This article needs additional citations for verification. Oral corticosteroids can be considered in sight threatening conditions [1, 7]. Vernal keratoconjunctivitis VKC is an verjal condition of the external ocular surface.

Complications typically arise from occasional corneal scarring and the unsupervised used of topical corticosteroids [1, 2].

Vernal keratoconjunctivitis – Wikipedia

Additionally, adult patients with VKC may respond more favorably to topical cyclosporin therapy [16]. Toker, Tear cytokine levels in vernal keratoconjunctivitis: Additional differential diagnoses to consider depending on history and physical would be seasonal allergic conjunctivitis and giant papillary conjunctivitis.

Retrieved from ” https: The first description of VKC is credited to Arlt who described 3 cases of peri-limbal swelling in young patients in [1].

Br J Ophthalmol, High pulse dose with quick tapering and use of low-absorptions corticosteroids fluoromethelone, loteprednol, remexolone, etc. Activated eosinophils are thought to play a significant role and these can be shown consistently in conjunctival scrapings; however mononuclear cells and neutrophils are also seen [1, 6]. The majority of VKC occurs in patients between the ages of years old with an age of onset between years old; however there are reports of patients as young as 5-months-old [2, 11].

Corneal involvement in VKC may be primary or secondary due to extension of limbal lesions. The main differential diagnosis to be considered is atopic keratoconjunctivitis AKC.


For instance, one European study demonstrated the prevalence was between 1. Mannis, and Edward J. It is difficult to obtain an accurate prevalence as many patients may not present to clinics as they may have a mild form of the disease and the condition is largely self-limiting. Privacy policy About EyeWiki Disclaimers. Vernal keratopathy includes 5 types of lesions. VKC is thought to be an allergic disorder in which IgE mediated mechanism play a role.

Treatment of Vernal Conjunctivitis

Some of the cornea and conjunctiva findings in vernal conjunctivitis. This page was last modified on November 28,at Nonetheless, the sometimes debilitating nature of this disease when it is active necessitates therapy to control symptoms.

Dual-Action agents with both H1-blocking mechanism and mast-cell stabilization have the benefits of working immediately and having long-term disease modifying effects.

Males are affected more than females, but this difference becomes smaller as age increases [3]. InGabrielides identified eosinophils in conjunctival secretions as well of the peripheral blood of VKC patients.