Grossly Asymmetrical Refractory Vernal Keratoconjunctivitis Treated with Supratarsal Triamcinolone Injection and Bandage Contact Lens: A Case Series of Three Young Male Patients
NR01-NR03
Correspondence
Dr. Pallavi Dhawan,
Dr. Agarwal’s Eye Hospital, 222, TTK Road, Alwarpet, Chennai-600018, Tamil Nadu, India.
E-mail: pallavi2oct@gmail.com
Vernal Keratoconjunctivitis (VKC) is a chronic conjunctival inflammatory condition predisposed to atopic disease. It usually starts before the age of ten years and affects individuals in warm climates. It generally resolves after puberty. The disease is more common among male. Generally, most cases are bilateral (98%), with symmetrical involvement. Routine treatment to start with involves topical corticosteroids, mast cell stabilisers and cyclosporine. In recalcitrant cases supratarsal triamcinolone injection is also given. Hereby, three cases of grossly asymmetrical vernal keratoconjunctivitis has been reported. All cases were young boys with history of recurring severe itching and use of topical steroids along with topical mast cell stabilisers and cyclosporine. All cases in the recent episode of ocular allergy developed corneal involvement and treated with supratarsal triamcinolone and bandage contact lens.