Progressive Keratoconus as a Complication of Atopic Keratoconjunctivitis: A Case Report.

Q4 Medicine

Ceska a Slovenska Oftalmologie Pub Date : 2026-01-01 DOI:10.31348/2026/9

Zuzana Cyžová, Miroslava Malušková, Petr Mlčák, Petra Hübnerová, Marta Karhanová

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引用次数: 0

Abstract

Purpose: Presentation of a case report demonstrating the complexity of care for a patient with atopic keratoconjunctivitis (AKC), including the management of complications such as corneal ulceration, development of keratoconus, corticosteroid-induced intraocular pressure elevation, and cataract formation.

Material and methods: We describe a case of a 52-year-old male with a marginal corneal ulcer within the context of atopic blepharokeratoconjunctivitis, focusing on complications and the need for intensive local and systemic therapy to stabilize the disease.

Results: Intensive therapy led to a gradual improvement of the disease. Corneal cross-linking stabilized keratoconus, intraocular pressure elevation was successfully managed with anti-glaucoma medication, and cataract surgery resulted in a significant improvement of visual function.

Conclusion: This case report highlights the importance of early diagnosis and the need for long-term, multidisciplinary care in patients with AKC. Regular follow-up examinations, patient education, and a combination of local, systemic, and surgical therapy are essential in order to prevent complications and stabilize the disease.

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进行性圆锥角膜作为特应性角膜结膜炎的并发症：1例报告。

目的：介绍一例特应性角膜结膜炎（AKC）患者的复杂护理，包括角膜溃疡、圆锥角膜的发展、皮质类固醇引起的眼压升高和白内障形成等并发症的处理。材料和方法：我们描述了一例52岁男性，在特应性睑角结膜炎的背景下，边缘角膜溃疡，重点关注并发症和需要强化局部和全身治疗以稳定疾病。结果：强化治疗使病情逐渐好转。角膜交联稳定的圆锥角膜，抗青光眼药物成功控制眼压升高，白内障手术使视力显著改善。结论：本病例报告强调了早期诊断的重要性以及对AKC患者进行长期多学科护理的必要性。为了预防并发症和稳定病情，定期随访检查、患者教育以及局部、全身和手术治疗的结合是必不可少的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ceska a Slovenska Oftalmologie Medicine-Ophthalmology

CiteScore

0.80

自引率

0.00%

发文量

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