Assessment of clinical profile of patients diagnosed with the venrnal keratoconjunctivitis in Bihar region
Dr. Richa Choudhary, Dr. Sony Sinha
VKC differs from other ocular allergies for age of onset, clinical symptoms and scarce response to anti-allergic treatment. Typical symptoms are ocular itching, watering, foreign body sensation and mucoid discharge. The disease may involve upper tarsal or limbal conjunctiva characterised by papillary hypertrophy of the palpebral and/or the limbal conjunctiva giving a cobble stone appearance. These signs are associated with bulbar or perilimbal conjunctival pigmentation, bulbar hyperemia and corneal changes like superficial punctate keratopathy, corneal erosions and scarring. The disease has a good prognosis with spontaneous resolution after puberty, few sight–threatening complications due to corneal damage can occur. Patients with VKC experience significant morbidity, which affects the quality of life. Hence based on above findings the present study was planned for Assessment of Clinical Profile of Patients Diagnosed with the Venrnal Keratoconjunctivitis in Bihar region The present study was planned in Department of Ophthalmology Patna Medical College, & Hospital, Patna, Bihar, India. The study was conducted from February 2019 to April 2019. Out of the total patients diagnosed with the hospital 50 cases of Venrnal Kerato Conjunctivitis (VKC) were enrolled in the present study. All those patients in age group coming to opd with complain of itching, redness, foreign body sensation, history of any associated allergy, mucoid discharge underwent proper clinical evaluation including slit lamp evaluation to look for associated signs including palpebral papillae, ropy discharge, horner-tranta spots, any corneal findings, best corrected visual acuity, fundus examination, signs of any recurrence. History was taken of all diagnosed cases of vkc including age of onset of disease, place of residence, any seasonal variations, associated allergic illnesses. The data generated from present study concludes that Vernal keratoconjunctivitis primarily affects boys and onset is generally from about age of 5 years onwards and resolves around puberty. So, after knowing the geographical trend and clinical profile of VKC, we can make the treatment plan and preventing measures can be taken for recurring cases. Unfortunately, severe and chronic cases of this disease still remain a challenging threat. So, continued research, further detailed evaluation and studies are still required to understand the complex nature of this condition, so as to treat it fully and with less morbidity.