Clinical grading of vernal keratoconjunctivitis obtained from the classification tree analysis

Grade	Clinical findings	Treatment
0 quiescent	Absence of symptoms	No treatment
1 mild	Presence of symptoms, but no corneal involvement	Antiallergic eye drops occasionally
2 moderate	Presence of symptoms including photophobia, but no corneal involvement	Antiallergic eye drops daily
3 severe	Presence of symptoms including photophobia, plus mild to moderate SPK	Antiallergic eye drops daily and pulsed low-dose topical corticosteroid
4 very severe	Presence of symptoms including photophobia, plus diffuse SPK or corneal ulcer	Pulsed high-dose topical corticosteroid and eventual surgical removal of corneal plaque

SPK: superficial punctuate keratopathy.

Reproduced from: Sacchetti M, Lambiase A, Mantelli F, et al. Tailored approach to the treatment of vernal keratoconjunctivitis. Ophthalmology 2010; 117:1294. Table used with the permission of Elsevier, Inc. All rights reserved.

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Clinical grading of vernal keratoconjunctivitis obtained from the classification tree analysis