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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In other projects Wikimedia Commons. Concise Ophthalmology 4th ed. It has now been shown that IgE is not enough to cause the varied inflammatory response that is seen with VKC [1, 6]. Am J Ophthalmol, Eur Rev Med Pharmacol Sci, Mast-cell stabilizers have a loading period to reach their full therapeutic effect [6]. 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]. Vdrnal has been given to a possible endocrine method as well as there is a decrease in symptoms and prevalence after puberty [1, 2].

Enroll in the International Ophthalmologists contest. Konjungtifitis 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]. Additionally, adult patients with VKC may respond more favorably to topical cyclosporin therapy [16].

It is typically bilateral but may be asymmetric in nature. Barot, RK et al. Original article contributed by: A personal or family history of atopy is seen in a large proportion of VKC patients [12]. InTrantas characterized the spectrum of corneal changes seen in VKC [1]. D ICD – Ital J Pediatr, Privacy policy About EyeWiki Disclaimers. Kosrirukvongs, Use of cyclosporine A and tacrolimus in treatment of vernal keratoconjunctivitis. This page was last modified on November verna,at VKC is seen more often in patients who have atopic family histories, but no clear correlation with specific genetic loci has been elucidated [2].


In some patients symptoms may persist beyond childhood, which in some cases may represent a conversion to an adult form of atopic keratoconjunctivitis [1]. Views Read Edit View history.

VKC was originally thought to be due to a solely IgE mediate reaction via mast cell release [1]. A topical antihistamine only may work in mild konjungtivitix [13].

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Vernal Keratoconjunctivitis

Corneal involvement in VKC may be primary or secondary due to extension of limbal lesions. Oral corticosteroids can be considered in sight threatening conditions [1, 7]. Additional differential diagnoses to consider depending on history and physical would be seasonal allergic conjunctivitis and giant papillary conjunctivitis. Retrieved from ” https: Delhi Journal of Ophthalmology.

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].

Curr Allergy Asthma Rep, Vernal Keratoconjunctivitis From EyeWiki. Articles needing additional references from December All articles needing additional references Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from December It is thought to be relatively unusual in North America and Western Europe [6, 7].

For instance, one European study demonstrated the prevalence was konhungtivitis 1.

Vernal keratoconjunctivitis – Wikipedia

Vernal keratoconjunctivitis VKC is an atopic condition of the external ocular surface. Badr, Corneal ectasia in vernal keratoconjunctivitis. Generally VKC is a rather benign and self-limiting disease that may resolve with age or spontaneously at puberty [1, 2, 7].


Retrieved from ” http: InGabrielides identified eosinophils in conjunctival secretions as well of the peripheral blood of VKC patients. Vernal keratopathy includes 5 types of lesions. Indian J Ophthalmol, If seasonal recurrence is known, it is suggested that mast-cell stabilization therapy be initiated prior to the season in which symptoms are encountered and continued throughout the season [6].

Some of the cornea and conjunctiva findings in vernal conjunctivitis. December Learn how and when to remove this template message.

Vernal keratoconjunctivitis

In Trantas described the limbal white dots that had been previously demonstrated by Horner. Complications typically arise from occasional corneal scarring and the unsupervised used of topical corticosteroids [1, 2]. Create account Log in. 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.

Topical mast cell stabilizers cromolyn sodium, nedocromil sodium, and lodoxamide are typically used with topical antihistamines and have been shown to be effective in moderate presentations of VKC [13].

Br J Ophthalmol, The first description of VKC is credited to Arlt who described 3 cases of peri-limbal swelling in young patients in [1]. VKC is thought to be an allergic disorder in which IgE mediated mechanism play a role.