Limbal Vernal Keratoconjunctivitis: Prompt Treatment Can Prevent Visually Threatening Complications.
Purpose: Vernal keratoconjunctivitis is a T-cell- and IgE-mediated form of allergic ocular disease that results in itching, mucous discharge, photophobia, foreign body sensation, and other potentially debilitating symptoms. The condition typically presents in the first decade of life in males and ha...
| Publicado en: | Optometry & Visual Performance Vol. 7; no. 4; pp. 213 - 221 |
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| Autores principales: | , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Optometric Extension Program
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139403103&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139403103 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Sep2019 vid: 7 iid: 4 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 139403103 139403103 139403103 139403103 ppf: 213 ppct: 8 formats: tig: atl: Limbal Vernal Keratoconjunctivitis: Prompt Treatment Can Prevent Visually Threatening Complications. aug: au: Alexopoulos, Denise Vricella, Marilyn affil: Illinois College of Optometry • Chicago, Illinois sug: subj: Conjunctivitis, Allergic Diagnosis Conjunctivitis, Allergic Drug Therapy Steroids Therapeutic Use Cromolyn Sodium Therapeutic Use Ophthalmic Solutions Therapeutic Use Male Child, Preschool Pruritus Etiology Diagnosis, Differential Ophthalmic Solutions Administration and Dosage Treatment Outcomes Steroids Administration and Dosage Cromolyn Sodium Administration and Dosage Child, Preschool: 2-5 years Male ab: Purpose: Vernal keratoconjunctivitis is a T-cell- and IgE-mediated form of allergic ocular disease that results in itching, mucous discharge, photophobia, foreign body sensation, and other potentially debilitating symptoms. The condition typically presents in the first decade of life in males and has a predilection for warm, dry areas. It is essential that optometrists closely evaluate the anterior segment on all patients, diagnose this condition as early as possible, and manage with age-appropriate medications. Case Report: A five-year-old African American male presented for evaluation with a history of bilateral persistent red, itchy eyes for nearly one year. Corneal evaluation revealed superior limbal concretions, known as Horner-Trantas dots, which would support the diagnosis of vernal keratoconjunctivitis even though minimal eyelid involvement was noted. After unsuccessful resolution of symptoms with compliant use of an antihistamine/mast cell stabilizer ophthalmic solution, the patient was then treated with a fluorometholone 0.1% and cromolyn sodium 4.0%, resulting in a reduction of both symptoms and clinical signs. Conclusions: Limbal Trantas dots without other signs of severe allergic ocular disease are an uncommon manifestation of vernal keratoconjunctivitis. Therefore, when a pediatric patient presents with classic allergic symptoms, it is essential to examine beyond the eyelids. Providing a more comprehensive anterior segment assessment will not only improve quality of life for these young patients, but will help prevent more serious sequelae of this atopic condition. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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