Abstract:

 Objective To analyze the clinical features, diagnosis and treatment of superior limbus keratoconjunctivitis (SLK). Design Retrospective case series. Participants Nine cases diagnosed as SLK between January 2013 and December 2015 in Beijing Tongren Hospital. Methods All cases were retrospectively analyzed, including clinical manifestation and treatment. Main Outcome Measures clinical manifestation and treatment outcome. Results 7/9 cases were females, and mean age was 40±12 years. All cases were bilateral. All cases had the similar presentation. Slit lamp examination showed palpebral conjunctival papilla, upper corneal limbus infiltration andfluorescein staining. 2 patients were accompaniedby hyperthyroidism, 1 case with ocular symptoms as the first. Topical treatment included artificial tears, low concentration of steriod drugs. Bandage lens were used for heavier infiltration patients. But SLK recurred in four cases, which were cured completely after re-treatment. Conclusion SLK is a chronic inflammation of the upper conjunctiva and corneal limbus, without obvious hyperemia of remaining parts of the bulbar conjunctiva. Most cases are bilateral. Local use of low concentration steroid eye drops combined with bandage lens is effective for it. The treatment of systemic diseases is essential. Clinicians should pay attention to recurrence of SLK. (Ophthalmol CHN, 2017, 26: 52-55)

Key words:  keratoconjunctivitis, hyperthyroidism