Wednesday, May 9, 2012

ATOPIC KERATOCONJUNCTIVITIS


Atopic KeratoConjunctivitis is a rare bilateral and symmetrical disease that typically develops in young men following a long history of severe atopic dermatitis.  


KERATOCONJUNCTIVITIS,ATOPIC  KERATOCONJUNCTIVITIS


Diagnosis :
       > Symptoms are similar to Vernal keratoConjunctivitis but often more severe and unremitting.
       > Eyelids
              - Red, thickened, macerated and fissured lids with chronic staphylococcal blepharitis and madarosis.
              - Tightening of the facial skin may cause lower lip ectropion and epiphora.
              - Micropapillary conjunctivitis
              - Giant papillae
              - Scarring and infiltration
              - Cicatricial conjunctivitis
              - Symblepharon
       > Keratopathy
              - Punctate epithelial erosions
              - Persistent epithelial defect
              - Predisposing to keratoconus

Treatment :
              Topical :
                        > Mast cell stabilizers
                        > Ketorolac
                        > Antihistamines
                        > Steroids
                        > Acetylcysteine
                        > Cicolosporin
                        > Antibiotics
                        > Supratarsal steroid injection
               Systemic :
                         > Antihistamines
                         > Antibiotics
                         > Cicolosporin



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