What Is the Treatment of Severe Vernal Keratoconjunctivitis When Topical Therapy Has Not Worked?

This protocol addresses severe, sight-threatening vernal keratoconjunctivitis in patients whose condition has not responded adequately to topical therapy.

When vernal keratoconjunctivitis is severe, poses a risk to vision, and has not responded to topical treatment, a corticosteroid-based intervention may be considered. The full protocol specifies exactly how and when it is applied.