What indicates a poor prognosis in patients with atopic keratoconjunctivitis?

In the context of atopic keratoconjunctivitis, the presence of loss of eyelashes indicates a poor prognosis. This symptom suggests a more severe or chronic condition, potentially leading to increases in ocular surface disease and damage. In patients with this condition, the loss of eyelashes can also reflect ongoing inflammation and irritation, which can contribute to a deterioration of the ocular surface health and an increased risk for complications.

While other factors such as dry skin and a history of seasonal allergies may be associated with atopic conditions, they do not directly correlate with the prognosis of atopic keratoconjunctivitis in the same way that loss of eyelashes does. Severe ocular redness may indicate active disease or exacerbation but is not as definitive regarding long-term prognosis as the loss of eyelashes, which can signify ongoing and severe disease processes. Thus, any significant changes in the ocular surface, including the loss of eyelashes, should be closely monitored for their implications on overall eye health and treatment outcomes.