About this Medicine article
Management of corneal complications in vernal keratoconjunctivitis: A review by Sepehr Feizi; Mohammad Ali Javadi; Mohammadhasan Alemzadeh-Ansari; Amir Arabi; Toktam Shahraki; Ahmad Kheirkhah is a Medicine article available to read on EtoBox.
Vernal keratoconjunctivitis (VKC) is a chronic, bilateral, allergic conjunctivitis with episodes of acute exacerbations. Although VKC has a self-limiting course, chronic recurrent inflammation can cause long-term visual impairment due to corneal complications including shield ulcers, infectious keratitis, keratoconus, corneal opacities, and limbal stem cell deficiency. The initial step in the management of corneal involvement is medical treatment of the acute stage of VKC and prevention of recurrences. Giant papillae not responding to medical treatment can be removed surgically in the case of corneal involvement. Shield ulcer with no inflammatory plaque usually heals with appropriate medical therapy. For shield ulcer with inflammatory plaque, however, surgical debridement with or without amniotic membrane transplantation might be necessary. Keratoconus may develop in chronic and severe VKC. An annual evaluation of these patients with corneal topography and/or tomography is essential for early detection of keratoconus and its timely management that includes collagen cross-linking and intrastromal corneal ring segment implantation. Corneal transplantation may be required in the advan
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- Author
- Sepehr Feizi; Mohammad Ali Javadi; Mohammadhasan Alemzadeh-Ansari; Amir Arabi; Toktam Shahraki; Ahmad Kheirkhah
- Publisher
- Elsevier BV
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)