Kerarings and cross-linking in children with keratoconus and spring catarrh

What is it about?

The association between keratoconus and vernal keratoconjunctivitis or VKC is relatively common in upper Egypt where the climate is hot and dry. Children with both keratoconus and VKC are difficult to manage because of delayed diagnosis, rapid progression of their ectasia, persistent eye rubbing and poor compliance. At the same time, the poor access to donor eye-banks in addition to the difficulties and high cost require more efforts to avoid or delay the need for keratoplasty in such children.

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Why is it important?

The results of this study should encourage eye surgeons to adopt the use of ICRS and CXL when indicated in children with keratoconus and VKC. The complications that may arise from persistent eye rubbing can be avoided by proper selection of cases, prompt treatment of new episodes of allergy in addition to Parental education of the hazards of eye rubbing on the cornea and its role in the pathogenesis and progression of kerato¬conus .