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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Nonetheless, the sometimes debilitating nature of this disease when it is active necessitates therapy to control symptoms. Page Discussion View form View source History.

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].

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

It has now been shown that IgE is not enough to cause the varied inflammatory response that is seen with VKC [1, 6]. Retrieved from ” https: Mannis, and Edward J. Create account Log in. By using this site, you agree to the Terms of Use and Privacy Policy. The first description of VKC is credited to Arlt who described 3 cases of peri-limbal swelling in young patients in [1]. Delhi Journal of Ophthalmology. 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].


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

Retrieved from ” http: If seasonal recurrence is known, it is suggested that mast-cell stabilization therapy be initiated prior to the season in which symptoms are encountered jonjungtivitis continued throughout the season [6]. Diseases of the eye and adnexa Disorders of conjunctiva Rare diseases.

Vernal keratoconjunctivitis

Oral corticosteroids can be considered in sight threatening conditions [1, 7]. Generally VKC is a rather benign and self-limiting disease that may resolve with age or spontaneously at puberty konjungtivvitis, 2, 7]. D ICD – In other projects Wikimedia Commons. 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].

Concise Ophthalmology 4th ed. Residents and Fellows contest rules International Ophthalmologists contest rules. Toker, Tear cytokine levels in vernal keratoconjunctivitis: Vernal keratoconjunctivitis VKC is an atopic condition of the external ocular surface. 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].

A personal or family history of atopy is seen in a large proportion of VKC patients [12]. Some of the cornea and conjunctiva findings in vernal conjunctivitis.

Treatment of Vernal Conjunctivitis

The increased incidence in hot regions is speculated to be secondary to a higher level of pollution by pollens and various other allergens.


The Academy uses cookies to analyze performance konuungtivitis provide relevant personalized content to users of our website. Topical corticosteroids are typically the most effective. The main differential diagnosis to be considered is atopic keratoconjunctivitis AKC.

Vernal Keratoconjunctivitis – EyeWiki

InTrantas characterized the spectrum konjungtivitiss corneal changes seen in VKC [1]. 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]. Please help improve this article by adding citations to reliable sources. InGabrielides identified eosinophils in conjunctival secretions as well of the peripheral blood of VKC patients. Enroll in the International Ophthalmologists contest.

Oral anti-histamines are sometimes utilized, but there is no real evidence in their support. VKC is thought to be an allergic disorder in which IgE mediated mechanism play a role. Additionally, prevalence in endemic regions is much higher when looking at adolescents compared to the population as a whole [7]. Additionally, adult patients with VKC konjungtivitls respond more favorably to topical cyclosporin therapy [16]. Konjungtiviti hereditary association has been suggested, but no direct genetic associations have been made.

Vernal Keratoconjunctivitis From EyeWiki. In some patients symptoms may konjkngtivitis beyond childhood, which in some cases may represent a conversion to an adult form of atopic keratoconjunctivitis [1].

Vernal keratopathy includes 5 types of lesions.