Authors: Zuzana Cyžová 1,2; Miroslava Malušková 1,2; Petr Mlčák 1,2; Petra Hübnerová 1,2; Marta Karhanová 1,2 Authors‘ workplace: Oční klinika, Fakultní nemocnice Olomouc 1; Oční klinika, Lékařská fakulta Univerzity Palackého v Olomouci 2 Published in: Čes. a slov. Oftal., 82, 2026, No. Ahead of Print, p. 1-6 Category: Case Report doi: https://doi.org/10.31348/2026/9
Purpose: Presentation of a case report demonstrating the complexity of care for a patient with atopic keratoconjunctivitis (AKC), including the management of complications such as corneal ulceration, development of keratoconus, corticosteroid-induced intraocular pressure elevation, and cataract formation.
Material and Methods: We describe a case of a 52-year-old male with a marginal corneal ulcer within the context of atopic blepharokeratoconjunctivitis, focusing on complications and the need for intensive local and systemic therapy to stabilize the disease.
Results: Intensive therapy led to a gradual improvement of the disease. Corneal cross-linking stabilized keratoconus, intraocular pressure elevation was successfully managed with anti-glaucoma medication, and cataract surgery resulted in a significant improvement of visual function.
Conclusion: This case report highlights the importance of early diagnosis and the need for long-term, multidisciplinary care in patients with AKC. Regular follow-up examinations, patient education, and a combination of local, systemic, and surgical therapy are essential in order to prevent complications and stabilize the disease.
atopic dermatitis – keratoconus – atopic keratoconjunctivitis – corneal ulcer – corneal cross-linking
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