Open AccessA Case of Shield Ulcer Due to Vernal Keratoconjunctivitis
Author(s) -
Dilek Bıyık Özkaya,
Gülşah Usta,
Umut Karaca
Publication year - 2021
Publication title -
iranian journal of allergy, asthma and immunology
Language(s) - English
Resource type - Journals
eISSN - 1735-5249
pISSN - 1735-1502
DOI - 10.18502/ijaai.v20i4.6961
Subject(s) - medicine , vernal keratoconjunctivitis , debridement (dental) , cornea , corneal neovascularization , surgery , corneal ulcer , neovascularization , ophthalmology , keratoconjunctivitis , dermatology , complication , visual acuity , angiogenesis
Corneal shield ulcer is an uncommon but serious complication of vernal keratoconjunctivitis (VKC) that can threaten visual acuity. We present a 12-year-old case with a corneal shield ulcer on the superior part of the cornea in the right eye. We learned from his history that he was treated with topical cyclosporine A (CsA) and corneal debridement was performed for the same complaints six months ago. His complaints recurred six months after ceasing topical CsA voluntarily. Topical anti-allergic and CsA treatments were commenced, we also performed corneal debridement. During his follow-ups, the corneal ulcer healed leaving a scar as opacity and neovascularization. This case highlights the role of the anti-inflammatory effect of CsA in preventing the recurrence of shield ulcers.