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In Vivo Confocal Microscopy in the Diagnosis and Management of Dry Eye: A Focus on Imaging Protocols and Interpretation
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Systematic approach to managing vernal keratoconjunctivitis in clinical practice: Severity grading system and a

Nikhil S Gokhale1

  • 1Gokhale Eye Hospital, Mumbai, Maharashtra, India.

Indian Journal of Ophthalmology
|April 7, 2016
PubMed

Insights

Vernal keratoconjunctivitis (VKC) management in children is challenging. This study introduces a grading system and treatment algorithm to simplify and standardize care for severe pediatric ocular allergies.

Area of Science:

  • Ophthalmology
  • Allergy & Immunology
  • Pediatric Medicine

Background:

  • Vernal keratoconjunctivitis (VKC) is a common, chronic, and severe ocular allergy in children.
  • VKC often presents with treatment-resistant inflammation, posing management challenges for clinicians.
  • Current management lacks standardization, necessitating a structured approach.

Purpose of the Study:

  • To develop a practical grading system for VKC severity.
  • To propose a stepladder algorithm for systematic medication selection in pediatric VKC.
  • To simplify and standardize the management of severe pediatric VKC.

Main Methods:

  • Development of a clinical grading scale for VKC inflammation.
  • Creation of a treatment algorithm based on disease severity.
  • Systematic review of treatment options for pediatric VKC.

Main Results:

  • A simple, practical grading system for assessing VKC severity was established.
  • A stepladder treatment algorithm was proposed for step-wise medication selection.
  • Standardized management can potentially reduce treatment and disease complications.

Conclusions:

  • A novel grading system and treatment algorithm can simplify pediatric VKC management.
  • Standardized, evidence-based treatment can improve outcomes and reduce complications.
  • This approach offers a practical solution for managing challenging pediatric ocular allergies.

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