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Answers: 2008 Series -  September 2, 2008 Lecture 18 of 53  NEXT»

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An 8-year-old child presented with redness and discharge in his eyes and complained of itching, light sensitivity, and was noted to have blepharospasm in both eyes. He appears normal otherwise. The most prominent feature of his eyes is noted in the photographs.

1. The most likely diagnosis is?

b -- vernal keratoconjunctivitis

This is an example of the limbal form of vernal keratoconjuctivitis. These lesions are called Trantas or Horner-Trantas dots.

2. What else is likely to be true about this patient?

e -- only (a) and (b)

Vernal keratoconjunctivitis is more common in boys and is an allergic condition that is self limiting, usually disappearing after the second decade and is not associated with preauricular lymphadenopathy.

3. Suitable treatment for this condition is?

e -- all of the above

All of these treatments are suitable. However it important to emphasize here that the use of topical steroids should be very carefully monitored to avoid side effects such as glaucoma.

 


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