Correlation between Vernal Keratoconjunctivitis and Intestinal Parasitic Infestation in children from North-East India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Vernal keratoconjunctivitis (VKC) is a chronic recurrent bilateral allergic inflammation of the conjunctiva characterized by intermittent exacerbations, which are seasonal in timing during which keratitis may develop. It typically affects children in hot, humid regions, and with higher load of airborne allergens. It is a common ocular surface disorder in the Mediterranean region, central Africa, India, and South America. There are conflicting reports on the effect of parasitic intestinal load in the pathogenesis of atopy. Anti-parasitic treatment was reported to improve the course of VKC. In this case control study, 102 cases and 102 controls were examined who were below 18 years of age. Clinical diagnosis was established and stool examination for parasites was done. Children from 4 to 9 years of age were mainly affected and the prevalence of VKC was maximum among children with illiterate parents. We did not find any association of the presence of intestinal parasites and VKC as reported in some studies. A personal history of asthma and dust were recognized as risk factors. Intestinal parasitic infestation did not play a role in VKC, and we can conclude that treating intestinal parasites will probably not help in the better prognosis of VKC.
Authors and Affiliations
Dr. Abhisek Mondal, Dr. Gautam Paul, Dr. Ankita Narula
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