Which non-pharmacologic adjuncts are recommended for managing vernal keratoconjunctivitis?

• A. Frequent PFATs and cool compresses
• B. Patch testing
• C. Oral antihistamines
• D. Avoid eye protection

Answer: (A)

Non-pharmacologic relief for VKC focuses on soothing the surface and reducing allergen exposure. Using frequent preservative-free artificial tears helps dilute irritants and keep the ocular surface lubricated, while cool compresses reduce itching and vascular congestion. Patch testing is used to identify contact allergens, not to treat VKC. Oral antihistamines are systemic medications for symptom control, so they fall outside non-pharmacologic strategies. Avoiding eye protection isn’t a standard management approach—protective eyewear can help limit allergen exposure, whereas simply avoiding protection isn’t clinically beneficial.