A Case of Adult Onset Vernal Keratoconjunctivitis

Moon, Sung Woon; Lee, Hui Jae; Jin, Kyung Hyun

Case Report

Korean Journal of Optometry and Vision Science 2006;5(1):42-45.
Published online December 20, 2006.

성년기에 처음 발생한 양안 봄철 각결막염 1예

문성운, 이희재, 진경현

¹Department of Ophthalmology, Kyung Hee University College of Medicine, Seoul, ²Jangsu Medical Center, Jangsu, Korea

A Case of Adult Onset Vernal Keratoconjunctivitis

Sung Woon Moon, Hui Jae Lee, Kyung Hyun Jin

Abstract

Purpose
Vernal keratoconjuctivitis is known to have the onset before the age of 10 and subside after puberty. Authors report a case of a adult onset vernal keratoconjuctivitis accompanied with shield ulcer in 25 years old patient. Methods: 25 year old male was admitted complaining deterioration of vision and pain. Best corrected vision was both 0.06. History of atopic dermatitis was noted but no prior vernal keratoconjuctivitis. Slit lamp examination revealed superior palpebral giant papillae, corneal epithelial defect, neovascularization and no anterior chamber inflammatory signs. Hematologic examination was performed. Topical auto-serum and steroid was given and Therapeutic contact lens were inserted. Results: Hematologic examination revealed increased serum IgE and eosinophilia. Mast cell stabilizers were given in addition and cyclosporine was orally given. Both vision improved to 0.3. Conclusions: Vernal keratoconjunctivitis is a disease affecting youth in their first decade of life but rarely appearing in patients older than 25 years. We report a case of first onset vernal keratoconjunctivitis in adolescent period with the review of literature. (Korean J Optom Vis Sci 2006;5(1):42-45)

Key Words: Atopy, Eosinophilia, Shiled ulcer, Vernal keratoconjunctivitis