Superior Limbic Keratoconjunctivits.

Kim, Hong Bek; Kweon, Eung; Lee, Jong Bok

Case Report

Journal of the Korean Ophthalmological Society 1981;22(2):395-398.
Published online February 1, 1981.

Superior Limbic Keratoconjunctivits.

Hong Bek Kim, Eung Kweon, Jong Bok Lee

Department of Ophthalmology, Yonsei University, College of Medicine, Seoul, Korea.

상각막윤부 각결막염

김홍복(Hong Bok Kim),이종복(Jong Bok Lee),김응권(Eung Kwon Kim)

Abstract

Superior limbic keratoconjunctivits (SLK) is a chronic, recurrent keratoconjunctivitis of unknown etiology, which is clinically characterized by papillary hypertrophy of upper tarsus, redness of the superior bulbar conjunctiva, thickening and keratinization of the superior limbus, epithelial keratitis. recurrent filaments formation, and superior micropannus. This. disease may be bilateral and usually common in females between 20 and 60 years of age. Superior limbic keratoconjunctivitis does not respond to topical antibiotics, antivirals, nor corticosteroids. A 28 year old Korean male was found to have characteristic clinical signs of superior limbic keratoconjunctivitis O.U. which was confirmed on the scraping by demonstrating keratinizing and degenerating epithelial cells of the limbus. No thyroid disease was seen in association with superior limbic keratoconjunctivitis. Application of 0.5% silver nitrate solution improved the condition of superior limbic keratoconjunctivitis.