New Finding in Vernal Keratoconjunctivitis: Splendore-Hoeppli Phenomenon

Cornea. 2016 Jun;35(6):892-3. doi: 10.1097/ICO.0000000000000793.

Abstract

Purpose: To report 2 cases of Splendore-Hoeppli phenomenon, a rare histopathologic observation, as a late clinical finding in vernal keratoconjunctivitis (VKC).

Methods: We report the cases of 2 young women with subconjunctival nodules as a manifestation of Splendore-Hoeppli phenomenon with a history of severe VKC.

Results: After eliminating other conditions causing such a reaction, both patients were treated using frequent topical corticosteroid, plus topical cyclosporine 2% in one of patient. Complete resolution was observed in both patients.

Conclusions: The Splendore-Hoeppli phenomenon could be a part of VKC manifestations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Betamethasone / therapeutic use
  • Conjunctivitis, Allergic / diagnosis*
  • Conjunctivitis, Allergic / drug therapy
  • Cyclosporine / therapeutic use
  • Cytoplasmic Granules / pathology
  • Eosinophilic Granuloma / diagnosis*
  • Eosinophilic Granuloma / drug therapy
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Immunosuppressive Agents / therapeutic use

Substances

  • Glucocorticoids
  • Immunosuppressive Agents
  • Cyclosporine
  • Betamethasone