Immunology of vernal keratoconjunctivitis
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240869Keywords:
Vernal keratoconjunctivitis, Allergic conjunctivitis, Cytokines, IgEAbstract
Vernal keratoconjunctivitis (VKC) is a bilateral seasonally occurring chronic inflammation of the conjunctiva especially in the adolescent boys, the pathogenesis of which includes a variety of genetic, climatic and environmental factors. The symptoms include itching, photophobia, watering and redness, ropy discharge which eventually lead to punctate epithelial erosions, shield ulcers over corneal and affects the vision and quality of life of young children. There are three types of VKC- palpebral, bulbar and mixed forms. The palpebral form has cobble stone papillae and congestion. The bulbar form shows horner tranta spots and pseudogerontoxon, while the mixed form has both. Several cells like histamines, IgE, chemokines, lymphokines play a role in the pathogenesis of the disease. The aim of this review was to review article of the multitude of cells and mediators that have a relevant role in VKC and the necessary treatment options targeted against the specific cells that may help in subsiding the disease process.
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References
Leonardi A. Vernal keratoconjunctivitis: pathogenesis and treatment. Prog Retin Eye Res. 2002;21(3):319-39.
Bonini S, Coassin M, Aronni S, Lambiase A. Vernal keratoconjunctivitis. Eye (Lond). 2004;18(4):345-51.
Nebbioso M, Iannaccone A, Duse M, Aventaggiato M, Bruscolini A, Zicari AM. Vascular Endothelial Growth Factor (VEGF) Serological and Lacrimal Signaling in Patients Affected by Vernal Keratoconjunctivitis (VKC). J Ophthalmol. 2018;2018:3850172.
Malhotra C, Jain AK, Thapa B. Limbal pseudoepitheliomatous hyperplasia mimicking ocular surface squamous neoplasia in palpebral vernal keratoconjunctivitis. Case Rep Ophthalmol Med. 2013;2013:527230.
Nebbioso M, Sacchetti M, Bianchi G, Zicari AM, Duse M, Del Regno P, et al. Tear Ferning Test and Pathological Effects on Ocular Surface before and after Topical Cyclosporine in Vernal Keratoconjunctivitis Patients. J Ophthalmol. 2018;2018:1061276.
Sacchetti M, Lambiase A, Moretti C, Mantelli F, Bonini S. Sex hormones in allergic conjunctivitis: altered levels of circulating androgens and estrogens in children and adolescents with vernal keratoconjunctivitis. J Immunol Res. 2015;2015:945317.
Bonini S, Bonini S, Lambiase A, Marchi S, Pasqualetti P, Zuccaro O, et al. Vernal keratoconjunctivitis revisited: a case series of 195 patients with long-term followup. Ophthalmology. 2000;107(6):1157-63.
Leonardi A, Lazzarini D, Bortolotti M, Piliego F, Midena E, Fregona I. Corneal confocal microscopy in patients with vernal keratoconjunctivitis. Ophthalmology. 2012;119(3):509-15.
Stagi S, Pucci N, Di Grande L, de Libero C, Caputo R, Pantano S, et al. Increased incidence of thyroid dysfunction and autoimmunity in patients with vernal keratoconjunctivitis. Int J Endocrinol. 2014;2014:804870.
Leonardi A. Management of vernal keratoconjunctivitis. Ophthalmol Ther. 2013;2(2):73-88.
Guo P, Kheirkhah A, Zhou WW, Qin L, Shen XL. Surgical resection and amniotic membrane transplantation for treatment of refractory giant papillae in vernal keratoconjunctivitis. Cornea. 2013;32(6):816-20.
Zheng X, Yao J, Li B. Expression of TSLP and Downstream Molecules IL-4, IL-5, and IL-13 on the Eye Surface of Patients with Various Types of Allergic Conjunctivitis. J Ophthalmol. 2016;2016:5072781.
Monzón S, Arrondo E, Bartra J, Torres F, Basagaña M, Del Mar San Miguel M, et al. Conjunctivitis and Total IgE in Lacrimal Fluid: Lacrytest Screening. J Allergy (Cairo). 2009;2009:518903.
Salehi A, Jabarzare S, Neurmohamadi M, Kheiri S, Rafieian-Kopaei M. A double blind clinical trial on the efficacy of honey drop in vernal keratoconjunctivitis. Evid Based Complement Alternat Med. 2014;2014:287540.
Pattnaik L, Acharya L. A comprehensive review on vernal keratoconjunctivitis with emphasis on proteomics. Life Sci. 2015;128:47-54.