A rare case of vernal keratoconjunctivitis in a patient with atopic dermatitis treated with tralokinumab

A 23-year-old male presented with three months of worsening blepharoconjunctivitis and dermatitis on his eyelids with a background of at least five years of allergic conjunctivitis (Figure 1). The patient was taking tralokinumab for three years for severe atopic dermatitis (AD), low dose isotretinoin for acne vulgaris and had asthma and allergic rhinitis. The patient trialled over-the-counter ophthalmic lubricants, including preservative-free hypromellose, carmellose, hyaluronate, and autologous serum eye drops in addition to olopatidine but developed topical intolerance.