Diagnosis, Management, and Treatment of Vernal Keratoconjunctivitis in Asia: Recommendations From the Management of Vernal Keratoconjunctivitis in Asia Expert Working Group
Issued Date
2022-08-01
Resource Type
eISSN
2296858X
Scopus ID
2-s2.0-85136196106
Journal Title
Frontiers in Medicine
Volume
9
Rights Holder(s)
SCOPUS
Bibliographic Citation
Frontiers in Medicine Vol.9 (2022)
Suggested Citation
Mehta J.S., Chen W.L., Cheng A.C.K., Cung L.X., Dualan I.J., Kekunnaya R., Khaliddin N., Kim T.I., Lam D.K., Leo S.W., Manurung F., Tesavibul N., Bremond-Gignac D. Diagnosis, Management, and Treatment of Vernal Keratoconjunctivitis in Asia: Recommendations From the Management of Vernal Keratoconjunctivitis in Asia Expert Working Group. Frontiers in Medicine Vol.9 (2022). doi:10.3389/fmed.2022.882240 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/87265
Title
Diagnosis, Management, and Treatment of Vernal Keratoconjunctivitis in Asia: Recommendations From the Management of Vernal Keratoconjunctivitis in Asia Expert Working Group
Author's Affiliation
Siriraj Hospital
Université Paris Cité
National Taiwan University Hospital
University of the Philippines Diliman
Universiti Malaya
Hôpital Necker Enfants Malades
L.V. Prasad Eye Institute India
Yonsei University College of Medicine
Mount Elizabeth Medical Centre
Singapore National Eye Centre
Hong Kong Sanatorium and Hospital
Hong Kong Ophthalmic Associates
Jakarta Eye Center
Vietnam National Eye Hospital
Université Paris Cité
National Taiwan University Hospital
University of the Philippines Diliman
Universiti Malaya
Hôpital Necker Enfants Malades
L.V. Prasad Eye Institute India
Yonsei University College of Medicine
Mount Elizabeth Medical Centre
Singapore National Eye Centre
Hong Kong Sanatorium and Hospital
Hong Kong Ophthalmic Associates
Jakarta Eye Center
Vietnam National Eye Hospital
Other Contributor(s)
Abstract
Vernal keratoconjunctivitis (VKC) is an underdiagnosed and underrecognized ocular surface disease with limited epidemiological data in Asia. It is more prevalent in warm, dry, and windy climates, and often has a substantial impact on a patient’s quality of life. In rare cases, VKC can be associated with vision loss, either through corticosteroid overuse or inadequate treatment of persistent inflammation. As a potentially severe and complex disease, there is variability with how VKC is managed across Asia and among the various allergic eye diseases. Diagnosis and treatment of patients with VKC is a challenge for many ophthalmologists, since no precise diagnostic criteria have been established, the pathogenesis of the disease is unclear, and anti-allergic treatments are often ineffective in patients with moderate or severe disease. In addition, the choice of treatment and management strategies used for patients varies greatly from country to country and physician to physician. This may be because of a lack of well-defined, standardized guidelines. In response, the Management of Vernal Keratoconjunctivitis in Asia (MOVIA) Expert Working Group (13 experts) completed a consensus program to evaluate, review, and develop best-practice recommendations for the assessment, diagnosis, and management of VKC in Asia. The expert-led recommendations are summarized in this article and based on the currently available evidence alongside the clinical expertise of ophthalmologists from across Asia with specialism and interest in the ocular surface, VKC, and pediatric ophthalmology.