10 years old might loose vision, need help

Please find the reports on attachments. Kolkata AIIMS doctor recommended to Delhi AIIMS.

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THIS IS A 10 YEARS OLD CHILD HAVING BILATRAL VERNAL KERTACONJUCTIVITIS V K C IS A VERY COMMON DISORDER ALSO KNOWN AS SPRING CATARH IT IS OF 3 TYPES PALPEBRAL BULBAR MIXED IN PALPEBRAL WE HAVE TYPICAL COBLY STONE APPEARANCE OF UMP CONJUCTIVA IN BULBAR WE HAVE ANNULAR CONJUCTIVAL LESION S PT OF V K C HAS SEVERE ITCHING REDNESS PHTOPHOBIA BUNING SENSATIONS THRIR IS ALSO CORNEAL INVOLVEMENT WHICH IS A TYPE OF DYSTROPHY IN MODT OF CASES THEIR IS SEASONAL REMESSION THAT IS IT STARTS IN SPRING WITH ONSET OF POLLANS THAT'S WHY CALLED AS SPRING CATARH MOST OF THE OPHTHALMOLOGISTS STSRT WITH PREDENESOLONE OR DEXAMETHADINE EYE DROPS AND THEY SRE MAGICAL IN RELEIVING TGE DIGNS AND SYMPTOMS NOW THE PROBLEM IS WHEN IN THE NEXT SPRING DESEASE RECURS PTNGETS STERIOD DROOD FROM THE COUNTER AND I HAVE SEEN SOME OF THESE PATIENTS WHO ARE STERIOD SENSITIVE GET DTRIOD INFUCED GLAUCOMA IF THE STERIODS ARE PRESCRIBED PATIENTS OF V K C HAVE TO BE UNDER THE FOLLOW UP OF OPHTHALMOLOHIST TO MONITER IOP AND FUNDUS BEST AND SAFE TRESTMENT OF V K C IS FOLLIWING OLOPAPTADINE EYE DROPS IT IS ANTICHOLINERGIC AND SNTI AKKERGIC 2 NON STERIODAL ANTIINFLAMMATORY EYE DROPS 3 F M L EYE DROPS 4 ARTIFICIAL TERAS EYE DROPS 5 MAST CELL INHIBITORS 6 COLD EYE COMPRESSES 7NSUN GLASSES COMING TO THIS 22 YEARS OLD CHIKD WITH V K C VA 6/12 FUNDII PICTURE IS SUGGESTIVE OF GLAUCOMA SUSPECT VESSELS ARE DIPPING ST SUPERIOR DISC MSRHINS NASAL SHIFTING PHYSIOLOGICAL VIO IS PROMINENT MERGING WITH MARGINS OF DISC THIS IS GLAUCOMA SUSPECT STERIOD INDUCED MONITER IOP OF CHILD WE FO NOT CALL IT AS AMBLYOPIA CHILD SHOULD NEVER USE STERIOD DROOS

CORNEAL PATHOLOGY IS DUE TO DYSTROPHIC MANIFESTATIONS OF V K C IT IS KNOWN THAT CORNEAL MANIFEDTATIONS IN V K C IS INDEPENDANT AND NOT RELATED TO CONJUCTIVAL INVOLEMENT CORNEAL MANIFESTATIONS IN V K C. ARE S P K CORNEAL EROSIONS VASCULARISATION OF CORNEA BOTH SUPERFICIAL AND DEEP SUPERIOR LIMBALNTRANTAS DOTS DYSTROPHIC MANIFESTSTION ARE IMMEDIATE DELAYED IMMEDIATE IS IN THE FORM OF@ PDUEDOSEMBROTOXON WHICH MIMICS TRUEVSRCUS SENALES DELAYED PRODUCES MARKED CHANGES IN CURVATURE OF CORNEA PRODUCING MARKED MYOPIA ASTIGMATISM EVEN UP TO DEGREE OF KERSTACONUS OR KERATAGLIBUS
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Diagnosed with ambylopia He may lose vision Diagnosed cause & treat Patch in normal eyes or strabismus treat Treat at early age My rt operated for traumatic cataract glasses rt vision not improved But I am lucky 6/6 vision in rt i was worried of ambylopia because full life studied with left eye

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Consequale of VKC is keratoconus So,RP centre AIMS is the correct refference place to management of these type of complicated case. For amblyopia patch therapy may be useful before 12yrs of child age.

Thank you doctor
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Better to refer this case to higher centre

He has keratoconus..should be followed with corneal surgeon.. Regular follow ups with examination.. refraction and pentacam scans..may be needed and control of vkc

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BCVA 6/12 with VKC treat with colored glasses olopetadine e/d lubricant drops cold sponges avoid going out in mid day Sun light

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I think patient transfer to A EYE SPECIALIST OR EYE SURGEON for better treatment and management.

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Saptamruloh1tds tab almonds 5tds ghee1tsftds ghee2drops at nose night

? LAZY EYE.. NEED'S .. CORNEAL SURGEONS OPINION..

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Consult to a Spl Corneal Surgeon's opinion.

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