Atopowe zapalenie rogówki i spojówek - opis przypadku
Atopic Keratoconjunctivitis - Case Report
Anna Gotz-Więckowska, Elżbieta Cymerys
Katedra i Klinika Okulistyki Akademii Medycznej im. Karola Marcinkowskiego w Poznaniu Kierownik: dr hab. n. med. Jarosław Kocięcki
Summary: 8-years old patient suffering from atopic dermatitis since birth came to Ophthalmology Department due to the keratoconjunctivitis exacerbation in September this year. The main symptoms were severe photophobia, lacrimation as well as intense ocular itching. Mixed hyperaemia, papillary hypertrophy of the palpebral conjunctiva were also stated. Extensive corneal plaque with peripheral superior neovascularization in the right eye and punctate epitheliopathy with small white corneal infiltrates staining with fluorescein were observed. Topical treatment was changed. Dexpanthenol was continued and Ketotifen two times daily to both eyes and Fluorometholone three times daily to the left eye were initiated. Soft silicone-hydrogel therapeutic contact lens was applied on the right eye. Gradual improvement was observed. At first, photophobia was reduced and then the eyes condition improved. Therefore, Fluorometholone three times daily to the right eye was initiated. When after one month since the begining of the treatment therapeutic contact lens was removed, eyes were pale. Thin single blood vessels in the superior part and corneal haze without fluorescein staining in the central part of the right cornea were observed. Residue corneal haze without fluorescein staining in the supero-temporal part of the left cornea was presented. Topical treatment was prolonged: Ketotifen two times daily to both eyes, Fluorometholone two times daily to the right eye and once a day to the left eye.
Keywords: allergic conjunctivitis, atopic keratoconjunctivitis (AKC), atopic dermatitis.