Vernal Keratoconjunctivitis Flashcards
What is vernal keratoconjunctivitis?
A rare allergic disorder of children, typically occurring before 10 years old, often associated with atopic conditions like eczema or asthma.
At what age does vernal keratoconjunctivitis usually occur?
Before 10 years old.
What are some common associated conditions with vernal keratoconjunctivitis?
Atopic conditions such as eczema and asthma.
What are the key signs of vernal keratoconjunctivitis?
- White mucous exudate
- conjunctival hyperaemia
- chemosis
- Trantas dots
- cobble stone papillae
- plaque (shield ulcer) or punctate epithelial keratopathy on the cornea
What are Trantas dots in vernal keratoconjunctivitis?
Small white dots on the corneal limbus associated with this condition.
What are the common symptoms of vernal keratoconjunctivitis?
Itching, watering, blurred vision, and photophobia.
What causes blurred vision in vernal keratoconjunctivitis?
Corneal involvement, such as plaque or epithelial keratopathy.
What is the primary symptom that patients with vernal keratoconjunctivitis complain of?
Itching.
What management step should be taken if there is corneal involvement in vernal keratoconjunctivitis?
Urgent referral to an ophthalmologist.
What is the initial management for vernal keratoconjunctivitis before referral?
Use of cold compresses and mast cell stabilisers.
When should a routine referral to an ophthalmologist be made in vernal keratoconjunctivitis?
If mast cell stabilisers do not provide relief.
What treatments might an ophthalmologist prescribe for vernal keratoconjunctivitis?
Topical steroids or immunosuppressants.
What is the potential surgical intervention for vernal keratoconjunctivitis?
Laser surgery may be required to remove corneal plaques.
What topical medication is commonly used to manage vernal keratoconjunctivitis?
Mast cell stabilisers.
How can symptomatic relief be achieved in vernal keratoconjunctivitis?
Cold compresses and mast cell stabilisers are used for initial symptomatic relief.
