Grossly Asymmetrical Refractory Vernal Keratoconjunctivitis Treated with Supratarsal Triamcinolone Injection and Bandage Contact Lens: A Case Series of Three Young Male Patients

摘要

Vernal Keratoconjunctivitis (VKC) is a chronic conjunctival in?ammatory condition predisposed to atopic disease. It usually startsbefore the age of ten years and affects individuals in warm climates. It generally resolves after puberty. The disease is morecommon among male. Generally, most cases are bilateral (98%), with symmetrical involvement. Routine treatment to start withinvolves topical corticosteroids, mast cell stabilisers and cyclosporine. In recalcitrant cases supratarsal triamcinolone injection isalso given. Hereby, three cases of grossly asymmetrical vernal keratoconjunctivitis has been reported. All cases were young boyswith history of recurring severe itching and use of topical steroids along with topical mast cell stabilisers and cyclosporine. All casesin the recent episode of ocular allergy developed corneal involvement and treated with supratarsal triamcinolone and bandagecontact lens.