[A case of atopic keratoconjunctivitis complicated by non-infectious corneal ulcer in a child]

Abstract

A case of atopic keratoconjunctivitis complicated by non-infectious corneal ulcer in a 14-year-old female child. The patient had a history of allergic conjunctivitis, allergic rhinitis, and atopic dermatitis since childhood. She presented with redness, photophobia, lacrimation, and decreased vision in the left eye. After examination, she was diagnosed with corneal ulcer in the left eye, atopic keratoconjunctivitis in both eyes, and meibomian gland dysfunction in both eyes. After admission, the patient was treated with a variety of medications and underwent corneal lesion resection+amniotic membrane covering surgery. After regular follow-ups, the eye condition improved significantly one year later, and the allergic symptoms did not recur during the 7-year follow-up. This case is characterized by a young onset age, unilateral lesion, misdiagnosable corneal mucus plaque, and an unusual location of giant papilla. Moreover, good therapeutic effects were achieved through prevention and control, providing a reference for clinical practice.