Delhi Journal of Ophthalmology

Perforated Shield Ulcer with Secondary Bacterial Superinfection in a Case of Severe Vernal Keratoconjunctivitis

Shashidhar Banigallapati, Akhil Bevara, Nadim Khatib, Sudhakar Potti
Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Shashidhar Banigallapati MBBS, MS
Sankara Eye Hospital,
Vijayawada - Guntur Expressway, Pedakakani,
Guntur, Andhra Pradesh, India
Email id:

Received: 21-JAN-2019 Accepted: 09-FEB-2019 Published Online: 05-MAY-2019

Secondary bacterial keratitis may rarely be associated with a shield ulcer in a case of Vernal Keratoconjunctivitis. A perforated ulcer in such a case should be promptly investigated and surgically treated immediately to prevent permanent vision loss and other complications. We report such a case of perforated shield ulcer with secondary Pseudomonas keratitis following a supratarsal injection of Triamcinolone acetonide in a case of Vernal Keratoconjunctivitis.

Keywords :Vernal keratoconjunctivitis, Shield ulcer, Bacterial superinfection, Pseudomonas, Therapeutic penetrating keratoplasty