2013, Number 1
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AMC 2013; 17 (1)
Vernal keratoconjuctivitis: a diagnostic challenge
Sugrañes MA, Alvarez PC, Barreto SE, Pérez SM, Hernández VM, Sugrañes MA
Language: Spanish
References: 11
Page: 72-78
PDF size: 95.97 Kb.
ABSTRACT
Background: vernal keratoconjuctivitis is a clinical presentation of ocular allergies. It originates 46 % of ocular allergic processes, with corneal complications involving irreversible visual loss.
Objective: to describe a case of vernal keratoconjunctivitis with papillary manifestations.
Clinical case: a two-year-old girl is presented with a clinical picture characterized by: conjunctival congestion, lacrimation, secretions, pruritus and photophobia. Despite the treatments received the patient kept the symptoms, that is why she was treated in the Allergy and Ophthalmology consultation at the Pediatric Hospital Eduardo Agramonte Piña. When examining the patient, the doctor found the presence of abundant eye secretions; it was also observed in the cornea a cicatricial lesion of ulcer; papillae had a giant stone-like aspect which was strange because of the age of the patient and the period of evolution of the disease. Both specialists diagnosed vernal keratoconjuctivitis and it was decided an early therapeutic conduct owing to the evolution of the clinical picture and the possible consequences on the vision as a result of the disease.
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