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Corneal Complications And Visual Impairment In Vernal Keratoconjunctivitis Patients
Abdus Salam Arif1, Bushra Aaqil1, Afsheen Siddiqui1
1Department of Ophthalmology, Women Medical College and Benazir Bhutto Shaheed Teaching Hospital, Abbottabad, Pakistan.
Vernal kerato-conjunctivitis (VKC) can cause serious corneal complications like scarring and keratoconus, leading to significant visual impairment in children. Early detection and management are crucial for preserving vision in VKC patients.
Area of Science:
- Ophthalmology
- Allergic Eye Diseases
- Corneal Pathology
Background:
- Vernal kerato-conjunctivitis (VKC) is a serious allergic eye condition prevalent in warm, humid climates.
- It often affects children, causing discomfort and potentially impacting vision due to corneal complications.
- While self-limiting, VKC's ocular effects can diminish quality of life.
Purpose of the Study:
- To identify and document corneal complications associated with VKC.
- To assess the degree of visual impairment resulting from these complications in VKC patients.
Main Methods:
- A cross-sectional study involving 290 eyes of diagnosed VKC patients.
- Diagnosis confirmed via clinical history and examination.
- Visual acuity measured using Snellen's notation and visual impairment classified per WHO standards.
Main Results:
- Corneal scarring affected 20.3% of eyes, keratoconus 5.9%, shield ulcers 3.1%, and neovascularization 2.4%.
- Corneal scarring was the primary cause of visual loss in most affected eyes.
- Keratoconus was the complication leading to the most severe visual impairment.
Conclusions:
- VKC with corneal complications poses a significant threat to vision.
- These complications can result in profound and lasting visual impairment.
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