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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 28-29

Shield ulcer following corneal collagen cross-linking

1 All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
2 Department of Ophthalmology, Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Dr. Richa Agarwal
27-M, Kilkari Child Care, Cantt Chauraha, Daudpur, Gorakhpur - - 273 001, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_520_21

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A 10-year-old boy presented with right-eye (RE) hyperemia, tearing, photophobia, and diminution of vision. There was a history of right-eye corneal collagen cross-linking (CXL) done 1 month back for keratoconus. Slit-lamp examination showed a corneal ulcer in the right eye. The upper tarsal conjunctiva showed hyperemia and multiple papillae in both eyes. He was diagnosed to be a case of bilateral keratoconus with vernal keratoconjunctivitis (VKC) and shield ulcer in the right eye. He was treated with topical steroids and 2% cyclosporine but the shield ulcer remained unchanged. The patient was then undertaken for surgical removal of plaque, after which, the ulcer re-epithelialized completely in 2 weeks.

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