Which tests are described for Atopic Keratoconjunctivitis?

• A. NaFl staining with lid eversion
• B. Visual acuity only
• C. Intraocular pressure measurement only
• D. Amsler grid test

Answer: (A)

In atopic keratoconjunctivitis, evaluating the surface of the eye and the lid margin is essential because the disease often involves both the cornea and the palpebral conjunctiva. Fluorescein staining highlights corneal epithelial defects and surface irregularities, making it possible to see epithelial damage or subtle ulcers. When combined with lid eversion, you can examine the lid margin for inflammatory changes and giant papillae that are characteristic of AKC. This pairing directly demonstrates active surface involvement and lid disease, which is why it’s the most informative option.

Visual acuity alone may miss corneal or lid surface pathology, intraocular pressure measurement alone doesn’t assess the ocular surface or lid disease, and the Amsler grid is for detecting macular or central visual field issues, not AKC.