Phlyctenular Keratoconjunctivitis (PKC) is nodular irritation secondary to an allergy, hypersensitivity response to a international antigen on the cornea and conjunctiva.

Antigens of Staphylococcus aureus and Mycobacterium tuberculosis are mostly related.

They’re extra generally seen in females than males.

In our follow, we usually see PKC affected person’s come together with blepharitis. So verify for any lid irritation.

Eradication of Mycobacterium tuberculosis (TB), makes the present situation to be uncommon conjunctivitis.

Medical Image

Phlyctenules can happen anyplace on the conjunctiva however are extra widespread within the interpalpebral fissure and are steadily famous alongside the limbal area, with a marked injection of the encompassing conjunctival vessels.

The lesions might present some extent of ulceration and marking postive with fluorescein as they progress.

Conjunctival lesions might trigger solely gentle to reasonable irritation of the attention, whereas corneal involvement usually might have extra extreme ache and photophobia.

Recurrent PKC can result in ulceration, scarring and gentle to reasonable imaginative and prescient loss.

Corneal phlyctenules start alongside the limbal area and steadily degenerate to corneal ulceration and neovascularization.

How We Handle?

The primary line of remedy for PKC is to lower the inflammatory response.

PKC is mostly aware of topical steroids. So we put them underneath Fluorometholone (FML)

In circumstances with corneal ulceration or pretreatment, It’s all the time higher to make use of of antibiotics together with corticosteroids. I personally choose gatifloxacin.

In circumstances with a number of recurrences, or these which turn into steroid dependent, topical cyclosporine A is an efficient remedy possibility.

And at last, sharing is caring. Should you’ve discovered this text helpful, please do think about telling your folks about it. All it’s important to do is ship this text on WhatsApp and ask them to subscribe. Please 🙂