What is the follow-up interval for steroid taper in Vernal Keratoconjunctivitis?

• A. 1 week
• B. 2-3 weeks
• C. 4-6 weeks
• D. 8-12 weeks

Answer: (B)

In VKC, once inflammation improves on topical steroids, tapering should be done gradually to prevent rebound while limiting steroid exposure. The typical pace is about every 2–3 weeks. This interval lets you verify that symptoms stay controlled as you reduce the dose or potency, and it gives you a window to catch any return of inflammation early, before it worsens. It also provides time to monitor for steroid-related side effects such as increased intraocular pressure or cataract formation.

Practically, you reduce the steroid step by step at each 2–3 week visit and adjust based on control. If symptoms flare, you pause or slow the taper or revert to the previous step. Shorter intervals, like 1 week, can be unnecessarily aggressive, while longer intervals risk rebound and prolonged inflammation.