Which of the following is part of the treatment for Atopic Keratoconjunctivitis?

• A. Frequent PFATs
• B. Latanoprost eye drops
• C. Oral antibiotics
• D. Contact lens wear

Answer: (A)

Atopic keratoconjunctivitis is driven by allergic inflammation of the ocular surface, so treatment focuses on protecting the surface and reducing inflammation. Regular lubrication with preservative-free artificial tears provides continuous moisture, washes away allergens, and reduces friction from blinking, which helps soothe the inflamed surface and supports the healing process. Using preservative-free drops is important because preservatives can irritate an already sensitive eye.

Latanoprost eye drops are designed for lowering intraocular pressure in glaucoma and can cause conjunctival irritation or redness, not a targeted approach for AKC. Oral antibiotics don’t address the allergic inflammation unless a bacterial infection is present. Wearing contact lenses during active AKC can trap allergens and irritants, worsening symptoms, so they’re typically avoided.