A Case of Intractable Vernal Keratoconjunctivitis Treated by Papillectomy and Amniotic Membrane Transplantation. |
Hee Jun Song, Jin Young Kwon, Ji Sang Han, Ji Ho Yang, Ji Won Kwon |
Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. eyeminerva@naver.com |
유두절제술과 양막이식을 이용한 난치성 봄철각결막염의 치료 1예 |
송희준⋅권진영⋅한지상⋅양지호⋅권지원 |
서남대학교 의과대학 명지병원 안과학교실 |
Correspondence:
Ji Won Kwon, Email: eyeminerva@naver.com |
Received: 11 May 2017 • Revised: 22 June 2017 • Accepted: 18 July 2017 |
Abstract |
PURPOSE To report a successful case of intractable vernal keratoconjunctivitis treated by papillectomy and amniotic membrane transplantation. CASE SUMMARY: A 20-year-old female patient presented with repeated vernal keratoconjunctivitis in both eyes since the age of 14. Despite medical therapy, she developed severe itching, burning and foreign body sensations, and limbal nodules with mutiple giant papillae of the upper tarsal plate. Surgical resection of the giant papillae and amniotic membrane transplantation in her left eye was performed. One month later, the same procedure was performed in her right eye. The patient's symptoms then improved. Neither recurrence nor serious complication were observed during the 6 months follow up period after surgery. CONCLUSIONS: In intractable vernal keratoconjunctivitis, papillectomy with amniotic membrane transplantation may potentially be a good treatment option for better clinical outcome and low recurrence rates. |
Key Words:
Amniotic membrane transplantation;Papillectomy;Vernal keratoconjunctivitis |