A 41-year-old patient has a history of bilateral recurrent inflammation of the superior limbus and conjunctiva. Involvement of the superior tarsal and bulbar conjunctiva is noted. The probable diagnosis is:
Thygeson’s superficial punctate keratopathy.
superior limbic keratoconjunctivitis (Theodore).
Terrien’s marginal degeneration.
Answer: C. superior limbic keratoconjunctivitis
Explanation: Superior limbic keratoconjunctivitis (SLK) is a bilateral, recurrent inflammation of the superior limbus, tarsal and bulbar conjunctiva. It is seen more commonly in women 30-55 years of age. SLK is associated with thyroid and collagen vascular diseases. Silver nitrate (0.5%) solution has been used in the past. Resection or recession of the abnormal conjunctiva is very successful. Cryotherapy and thermotherapy have also been used. Bandage contact lenses, and pressure patching may be helpful in temporarily relieving symptoms.