Corticosteroid-Induced Glaucoma in Severe Vernal Keratoconjunctivitis : Tube or Trabeculectomy

Abstract

Vernal keratoconjunctivitis (VKC) is a severe form of ocular allergy that affects primarily children and young adults living in areas with warm climates. While VKC is self-limiting, chronic forms in Asian eyes may be at higher risk of permanent visual impairment because of complications such as corneal scarring, cataract formation and glaucoma secondary to corticosteroid therapy. The incidence of glaucoma secondary to corticosteroid therapy is 2–7%, most often requiring filtering surgery. We present a case demonstrating the outcome of surgery in a patient; trabeculectomy in one eye versus Tube/shunt in the other.