Scraping Of Ulcer Base Hastens The Healing Of Grade 3 Shield Ulcer In Vernal Keratoconjunctivitis. 1013-1016
Kumar S, Mohammad Dossary Hospital PO Box 335, Al Khobar 31952 Saudi Arabia Tel- 009660568245613
Fax- 00966 3 8950735 Email: email@example.com
A 10-year-old boy presented with complaints of pain and photophobia in the left eye. Slit lamp examination revealed cobble stone papillae in both tarsal conjunctivae, diffuse punctate epitheliopathy of cornea and a 3.5x1.5 mm epithelial defect in the left eye. He was diagnosed to be suffering from bilateral vernal keratoconjunctivitis, with evolving grade 3 shield ulcer in the left eye. Shield ulcer was refractory to the combined regime of topical corticosteroids, dual acting antihistamine and lubricating eye drops.
After removal of plaque and scrapping of base, the ulcer re-epithelialized completely in two weeks, leaving behind an opacity which stained negatively with fluorescein dye. The patient was followed up for two months and no recurrence of ulcer was noted.
Drug resistant shield ulcer with plaque re-epithelialized rapidly after removal of plaque and scrapping of base of ulcer.