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Allergic Conjunctivitis
Allergic Conjunctivitis
Author: Kantatasamsara
Allergic conjunctivitis:
Allergic conjunctivitis may be classified into the followings :
1. Simple Allergic conjunctivitis
2. Vernal conjunctivitis
3. Atopic conjunctivitis
4. Phlyctenular conjunctivitis
5. Giant papillary conjunctivitis
Allergic rhino conjunctivitis /Simple Allergic conjunctivitis:
1.Acute allergic rhinoconjunctivitis
2.seasonal allergic conjunctivitis ( hay fever), with onset during
the spring and summer .
3.perennial allergic conjunctivitis causes symptoms through out
the year with exacerbation in the autumn .
Diagnosis:
Presentation
Symtomps
Treatment:
Steroids
Vernal
Keratoconjunctivitis is a bilateral, recurrent, disorder in which IGE and cell mediated
immune mechanisms plays important roles.It primarily affects boys and usually
presents in the first decade of life. 95% of cases remit by the late teens and the
remainder develops atopic keratoconjunctivitis.Classification:
o
Diagnosis:
Macropapillae(1mm)(cobblestones)
Giant papillae
Limbal disease
Keratopathy
Epithelial macroerosions
Pseudogenerontoxon
Treatment:
o
o
Topical
Mast cell stabilizers
Antihistamines
Steroids
Acetylcysteine
Ciclosporin
Systemic
Immunosupressive agent
Oral antihistamines
Surgery
Superficial keratectomy
Symptomps are similar to VKC but often more severe and unremitting.
Eyelids
Tightening of the facial skin may cause lower lid ectropion and epiphora.
Conjunctiva
Micropapillary conjunctivitis
Giant papillae
Cicatricial conjunctivitis
Symblepharon
Keratopathy:
Prediposing to keratoconus
Treatment:
Topical
Ketorolac
Antihistamines
Steroids
Acetylcysteine
Ciclosporin
Antibiotics
Systemic antihistamines
Antibiotics
Ciclosporin
Phlyctenular conjunctivitis:
Aetiology:
Tuberculo-protien
Clinical types:
Phyctenular conjunctivitis
Phlyctenular kerato-conjunctivitis.
Phlyctenular keratitis.
Symptoms:
Signs:
No conjunctival discharge.
Secondary infection.
Complications:
Phlyctenular keratitis
Fascicular ulcer
Ring ulcer.
Investigations:
To detect tuberculosis:
X-ray chest.
Mantoux test.
Treatment:
Treatement of tuberculosis