Vernal Keratoconjunctivitis Grading System and Step Ladder Management Approach

Abstract

Vernal keratoconjunctivitis is an ocular allergy that is common in the pediatric age group. It is often chronic, severe and non responsive to the available treatment options. Management of these children is difficult and often a dilemma for the practitioner. There is a need to simplify and standardize its management. To achieve this goal, we require a grading system to judge the severity of inflammation and an algorithm to select the appropriate medications. This article provides a simple and practically useful grading system and a stepladder algorithm for systematic treatment of these patients. Use of appropriate treatment modalities can reduce treatment and disease related complications.