Delhi Journal of Ophthalmology

Cryotherapy in Giant Papillary Conjunctivitis with Shield’s Ulcer

Namrata Kabra, Smriti Gupta
Department of Cornea, Shri Ganapati Netralaya, Jalna, Maharastra, India

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


Corresponding Author:

Namrata Kabra (MS)
Consultant and Head, Department of Cornea, 
Shri Ganapati Netralaya, Jalna, Maharastra, India
Email id: drnkabra@gmail.com


Received: 07-AUG-2019 Accepted: 10-OCT-2019 Published Online: 09-MAY-2020
DOI: https://dx.doi.org/10.7869/djo.533

Abstract
A 23 yr old male presented with itching, watering, redness, discharge and photophobia in right eye since 5 yrs, with exaggerated symptoms since 2 months. Slit lamp examination revealed shield’s ulcer in right eye. Topical and oral medications were started. Patient had recurrent giant papillary conjunctivitis and shield’s ulcer in spite of intense topical and oral medications. In December 2018, he underwent liquid nitrogen cryotherapy, performed in right eye first using double freeze thaw technique followed by left eye 2 months later. His symptoms resolved, giant papillae attenuated and corneal luster improved and he is doing well after 6 months follow up.

Keywords :Giant papillary conjunctivitis, vernal keratoconjunctivitis, shield’s ulcer, cryotherapy

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