Sequels Of Severe Vernal Keratoconjunctivitis (Kcv): About A Case

Published 2022 - 40th Congress of the ESCRS

Reference: PO374 | Type: ESCRS 2022 - Posters | DOI: 10.82333/r53d-c742

Authors: Zineb Hammoumi* ¹ , Hamza Alaoui ¹ , Manal Yousfi ¹ , Ghizlane Daghouj ¹ , Loubna El Maaloum ¹ , Bouchra Allali ¹ , Asmaa El Kettani ¹

¹Ophtalmology,20 august 1953 hospital - CASABLANCA - MOROCCO,CASABLANCA,Morocco

Purpose

The aim of our study is to show the value of an early diagnosis of vernal keratoconjunctivitis and rapid management to avoid the major consequences of this pathology on the eye and the psychic.

Setting

Pediatric ophtalmology department. Hospital 20 august 1953. Casablanca. Morocco.

Methods

Our study concerns a single case of a young patient of 15 years, resident in a rural environment, having as history of itching and redness of the eye since childhood never having consulted an ophthalmologist. Having consulted for a major, disabling photophobia, with tearing and significant ocular pruritus, associated with a decline in bilateral visual acuity affecting the patient's education. The ophthalmological examination shows a visual acuity of 3/10 in the right eye and 2/10 in the left.There is conjunctival hyperaemia, giant papillae and nodules of limbic Trantas.At the anterior segment,a raised vernal plate occupies the upper of the cornea,with 360° neovessels and a clear lens.

Results

The fluorescein test results in a diffuse superficial punctuated keratitis. It is a bilateral vernal keratoconjunctivitis of mixed form complicated of corneal involvement.Therapeutic management:Scraping of the plaque at the scarifier in the operating room under topical anesthesia, anti-allergic treatment, eye wash solutions,wetting and healing corneal agents without preservatives and corticosteroids strengthened local then ciclosporin eye drops 1%:2 drop/day with an allergy assessment.The evolution was marked by a regression of pruritus and photophobia with decrease of conjunctival hyperaemia with persistence of a corneal opacity sequellary associated with neovascularization.

Conclusions

Vernal keratoconjunctivitis is a clinical form of eye allergy that can induce major visual complications. The disabling functional signs of inflammatory outbreaks have a major impact on the lives of children and parents. It can be a source of drop-out, anxiety and behavioural disorders, hence the interest of psychological support for the patient.