Il sole negli occhi

The paper reports the case of a six-and-a-half-year-old boy with severe, uncontrolled vernal keratoconjunctivitis complicated by a corneal ulcer in his left eye. Inadequate “as-needed” corticosteroid management and the failure of a 1% compounded cyclosporine formulation, which caused severe burning due to ethanol excipient, led to disease progression. A revised specialist regimen utilising commercial cyclosporine, loteprednolol and a lubricating gel achieved complete symptom resolution within weeks. The case underscores the need for strict ophthalmic follow-up and highlights the critical impact of formulation tolerability on patient compliance in severe ocular allergies.