Don’t Rub; It Will Be Evident- Corneal Topographic Changes In Patients With Vernal Keratoconjunctivitis

Authors

  • Rushil Ambani 3rd year resident, C.H.Nagri Eye Hospital, Ahmedababd
  • Dharma Sanan Diya 3rd year resident, C.H.Nagri Eye Hospital, Ahmedababd
  • Deepali Purohit Professor and Head Of Unit, Cornea and refractive surgery, C.H.Nagri Eye Hospital, Ahmedababd
  • Reema Raval Associate Professor, C.H.Nagri Eye Hospital, Ahmedababd

DOI:

https://doi.org/10.48165/ijabms.2022.243806

Keywords:

Corneal topographic, vernal keratoconjunctivitis

Abstract

Abstract Aim To study topographic findings in patients with established vernal keratoconjunctivitis (VKC). Materials and methods In a hospital based cross sectional study, 112 eyes of age group 11-22 years with established case of VKC were selected for topography. Result In 112 eyes with VKC; 69.64% (78 eyes) had significant history of eye rubbing. 14.28% (16 eyes) had Kmax values >=47.2D , 85.71%(96 eyes) had Kmax values <47.2D. 19.64%(22 eyes) had I-S Difference >=1.2D ; 80.36%(90 eyes) had I-S Difference <1.2D. Topographical patterns observed included 49.11%(55eyes) with round pattern, 20.54%(23 eyes) with oval shaped, 9.82%(11 eyes) with symmetric bowtie, 6.25%(7 eyes) with asymmetric bow tie with skewing of radial axis, 5.36%(6 eyes) with inferior steepening, 6.25%(7 eyes) with irregular pattern, 0.89%(1 eye) with crab claw pattern. Conclusion High occurrence of keratoconus-like topographic pattern seen in patients of VKC. Topographic analysis should be performed in all cases of VKC.

References

J.H. Krachmer, R.S. Feder, M.W. Belin, Keratoconus and related noninflammatory corneal thinning disorders, Surv. Ophthalmol. 28 (1984)293–322

Zaky AG, El-Sobky HM, Gad NA. Topographic corneal changes in children with vernal keratoconjunctivitis. Menoufia Med J 2020; 33:646-52

Gokhale NSVernal Keratoconjunctivitis Grading System and Step Ladder Management Approach.DJO 2014; 25:85-89

Karseras AG, Ruben M. Aetiology of keratoconus. Br J Ophthalmol 1976; 60:522-525.

Rahi A, Davies P, Ruben M, Lobascher D, Menon J. Keratoconus and coexisting atopic disease. Br J Ophthalmol 1977; 61:761-764. Topographic

Dantas, Paulo Elias Correa, Alves, Milton Ruiz, & Nishiwaki-Dantas, Maria Cristina. (2005). corneal changes in patients with vernal keratoconjunctivitis. Arquivos Brasileiros de Oftalmologia, 68(5), 593-598.

Gautam V, Chaudhary M, Sharma AK, Shrestha GS, Rai PG. Topographic corneal changes in children with vernal keratoconjunctivitis: A report from Kathmandu, Nepal. Cont Lens Anterior Eye. 2015 Dec;38(6):461-5. Doi: 10.1016/j.clae.2015.05.013. Epub 2015 Jun 10. PMID: 26070227.

Y. Totan, I.F. Hepsen, C.O. ekic S, et al., Incidence of keratoconus in subjects with vernal keratoconjunctivitis: a videokeratographic study, Ophthalmology 108(2001) 824827.

R. Lapid-Gortzak, S. Rosen, S. Weitzman, T. Lifshitz, Videokeratography findings in children with vernal keratoconjunctivitis versus those of healthy children, Ophthalmology 109 (11) (2002) 2018–2023.

M.R. Shoja, M.R. Besharati, Evaluation of keratoconus by videokeratography in subjects with vernal keratoconjunctivitis, J. Res. Med. Sci. 11 (3) (2006)164–169.

Published

2022-02-02

How to Cite

Don’t Rub; It Will Be Evident- Corneal Topographic Changes In Patients With Vernal Keratoconjunctivitis . (2022). Indian Journal of Applied-Basic Medical Sciences, 24(38), 38–43. https://doi.org/10.48165/ijabms.2022.243806