A 13‑year‑old boy presented to an ophthalmologist with redness, itching, marginal keratitis, increased corneal vascularization, and reduced vision in both the eyes for the last two years. History The patient had been previously diagnosed with allergic keratoconjunctivitis and treated with topical steroids and ciclosporin eye drops. However, the symptoms did not improve. The case was further misdiagnosed as viral keratitis, therefore the treatment given did not result in any improvements.
Thereafter, the patient continued to have episodes of ocular surface inflammation and topical steroids were given to manage this condition. Scleral contact lenses were also used to improve the vision. Due to the constant use of steroids, the patient developed steroid‑induced glaucoma, which was managed with antiglaucoma medication. Physical examination: Complete ocular examination revealed—…
