BILATERAL CORNEAL ABSCESS IN VERNAL KERATO-CONJUNCTIVITIS
Published 2024 - 28th ESCRS Winter Meeting
Reference: P109 | Type: Presented Poster & Poster | DOI: 10.82333/zx3m-dz96
Authors: Sara Ennaki* 1 , Naoual Mtalai 1 , Kawtar El Hadi 1 , Ghizlane Daghouj 1 , Loubna El Maaloum 1 , Bouchra El Allali 1 , Asmaa EL Kettani 1
1Centre Hospitalier Universitaire de Casablanca,Casablanca,Morocco
Purpose
Vernal Kerato-conjunctivitis (KCV) is a severe but rare form of allergic conjunctivitis. It mainly touches children between 4 and 14 years. It can cause severe damage and complications such as corneal abscesses.
Setting
We report the case of a 12-year-old boy, treated in neuropediatrics for cerebral palsy following a history of perinatal anoxoischemia. He comes to the emergency department for painful red eyes with secretions.
Methods
Ophthalmological examination revealed visual acuity that was difficult to quantify, conjunctival hyperemia, purulent secretions and a bilateral corneal abscess.
Results
The corneal abscesses were central, axial, measuring 7x5 mm on the OD and 2x2 mm on the OS. Eversion of the eyelids found giant papillae. The diagnosis was vernal keratoconjunctivitis complicated by abscess. Treatment consisted of 10 days of Fortum + Vancomycin fortified eye drops, followed by Moxifloxacin with local antiallergic agents. Both abscesses healed completely. The patient subsequently benefited from a sub-tarsal injection of corticoids to reduce the size of the conjunctival papillae and prevent further recurrences.
Conclusion
Vernal keratoconjunctivitis is common in our mediterranean climate. It remains a serious corneal complication, requiring early diagnosis and management to avoid chronicity of symptoms and treatment-related complications.