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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VKC is thought to be an allergic disorder in which IgE mediated mechanism play a role. Additionally, AKC is typically more chronic in nature and more commonly results in scarring of the cornea and conjunctival cicatrization, whereas VKC is typically more self-limiting [4, 6].
Such patients often give family history of other atopic diseases such as hay feverasthma or eczemaand their peripheral blood shows eosinophilia and increased serum IgE levels. Diseases of the eye and adnexa Disorders of conjunctiva Rare diseases.
Based on severity, authors have classified VKC into clinical grades: For instance, one European study demonstrated the prevalence was between 1. Enroll in the Residents and Fellows contest. This page was last edited on 26 Juneat Delhi Journal of Ophthalmology.
The main differential diagnosis to be considered is atopic keratoconjunctivitis AKC. Barot, RK et al.
Vernal Keratoconjunctivitis From EyeWiki. Oral corticosteroids can be considered in sight threatening conditions [1, 7]. Retrieved from ” http: VKC is a condition seen primarily in hot and dry climates most commonly in West Africa and the Mediterranean basin [1, 2].
Toker, Tear cytokine levels in vernal keratoconjunctivitis: AKC typically has an older age of onset in the 2nd to 5th decade, as opposed to onset prior to age 10 with VKC. The first description of VKC is credited to Arlt who described 3 cases of peri-limbal swelling in young patients in . 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.
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Treatment of Vernal Conjunctivitis
Topical corticosteroids are typically the most effective. Kosrirukvongs, Use of cyclosporine A and tacrolimus in treatment of vernal keratoconjunctivitis. VKC is seen more often in patients who have atopic family histories, but no clear correlation with specific genetic loci has been elucidated .
Vernal keratopathy includes 5 types of lesions. Corneal involvement in VKC may be primary or secondary due to extension of limbal lesions. Injection of local corticosteroid into the upper tarsal papillae can sometimes offer short term relief as well [2, 7].
Males are affected more than females, but this difference becomes smaller as age increases . Vernal keratoconjunctivitis VKC is an atopic condition of the external ocular surface.
Vernal keratoconjunctivitis – Wikipedia
In Trantas described the limbal white dots that had been previously demonstrated by Horner. A personal or family history of atopy is seen in a large proportion of VKC patients . Additionally, prevalence in endemic regions is much higher when looking at adolescents compared to the population as a whole . Residents and Fellows contest rules International Ophthalmologists contest rules.