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NR 1-3/2005
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Wiosenne zapalenie
rogówek i spojówek u dzieci
Vernal keratoconjunctivitis
in children
Bronisława Koraszewska-Matuszewska, Ewa
Pieczara, Elżbieta Samochowiec-Donocik, Erita Filipek
Z Katedry i Kliniki Okulistyki Dziecięcej Śląskiej Akademii
Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Bronisława
Koraszewska-Matuszewska |
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| Summary: |
Purpose: To
evaluate the course of palpebral type of vernal
keratoconjunctivitis (VKC) and relation of the number of
recurrences per year, to patients age and to estimate
the frequency of irreversible corneal transparency
changes and visual acuity decrease.
Material and methods: There were 34 eyes of 17
children, 13 boys (76,4%) included 2 brothers and 4
girls. The age of patients was from 5 to 14 years, mean
9.1. All patients were hospitalized because of
pathological corneal changes. Follow up from 2 to 13
years (mean 8.4). The number of recurrences ranged from
2 to 5 per year and there was not correlation between
age of children and frequency of episodes.
Results: We have observed punctate keratopathy
(79.14% of cases) and corneal ulcers (26.5% of cases).
In 25 eyes of 13 patients cryocoagulation and/or
excision of giant palpebral papillae were done. Visual
acuity ranged from 0.01 to 1.0 and mean value before
treatment was 0.879 ± 0.09 and after 0.884 ± 0.10. The
difference was not statistically significant (p =
0.878).
Conclusions:
1. The course of VKC is recurrent, the number of
recurrences per year does not depend on the age of
patients, but is correlated with giant papillae of
palpebral conjunctiva presence.
2. Large papillae should be excised, in order to make
the healing of cornea quicker.
3. Permanent visual function decreasing is not frequent
because partial leucoma is localized at the periphery of
cornea. |
| Słowa kluczowe: |
wiosenne zapalenie rogówki
i spojówek, ubytki punktowate rogówki, owrzodzenia
rogówki, dzieci, nawroty, ostrość wzroku. |
| Key words: |
vernal
keratoconjunctivitis, punctate keratopathy, corneal
ulcer, children, recurrences, visual acuity. |
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