Rehany U, Rumelt S
Department of Ophthalmology, Western Galilee-Nahariya Medical Center, Israel.
Ophthalmology. 1995 Dec;102(12):2046-9. doi: 10.1016/s0161-6420(95)30755-5.
The onset of keratoconus usually coincides with adolescence, and may be associated with vernal conjunctivitis or other atopic conditions. In patients with vernal conjunctivitis, acute hydrops may be the presenting sign of keratoconus in preadolescence.
Review of ophthalmic clinical manifestations of three children with presenting symptoms and signs of acute corneal hydrops associated with vernal conjunctivitis.
Three children, 5 to 11 years of age, presented with corneal hydrops associated with mild vernal conjunctivitis. In two of these children, vernal conjunctivitis was asymptomatic, and in one child the signs of vernal conjunctivitis appeared after the occurrence of hydrops. No other factors, including mechanical factors such as eye rubbing, were found to be related.
The association of vernal conjunctivitis with keratoconus may contribute to the early occurrence of hydrops. Corneal hydrops in children may, therefore, indicate coexisting vernal conjunctivitis.
圆锥角膜通常在青春期发病，可能与春季角结膜炎或其他特应性疾病有关。在春季角结膜炎患者中，急性角膜水肿可能是青春期前圆锥角膜的首发症状。
回顾3例有与春季角结膜炎相关的急性角膜水肿症状和体征的儿童的眼科临床表现。
3例5至11岁儿童出现与轻度春季角结膜炎相关的角膜水肿。其中2例儿童的春季角结膜炎无症状，1例儿童的春季角结膜炎体征在角膜水肿发生后出现。未发现其他相关因素，包括揉眼等机械因素。
春季角结膜炎与圆锥角膜的关联可能导致角膜水肿的早期发生。因此，儿童的角膜水肿可能提示存在春季角结膜炎。
