(766885416) Allergic Disorders of the Eye

8/20/2019 (766885416) Allergic Disorders of the Eye

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ALLERGIC DISORDERS OF THE EYEWISTIANI


2/19

Approximately 20% population suffers from allergic condition with

environmental

allergens

Allergic conjunctivitis: an allergic reaction that affects the conjuncti

Characteristics: itchy eyes, watery, red, and/or swollen eyes

2 types: seasonal and perennial allergic conjunctivitis !AC, "AC#

$n $ndonesia: "AC mostly caused y indoor allergens#

INTRODUCTION


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ANATOMY OF THE EYE


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SIGNS & SYMPTOMS


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SAC: experience symptoms in spring, summer or fall pollen,

plantsthe air

$tching, redness, urning, clear or watery discharge

Allergic shinner

"uffy eyelids, eyes discomfort causes y lights

PAC: year round symptoms

!igns milder than "AC

exp

Caused y rx to dust mites, mold, pet dander,

household

allergens

SEASONAL & PERENNIAL ALLERGIC CONJUNCTIVI


10/19

$t can occur year&round, symptoms may worsen seasonally

'ay accompanied y atopic dermatitis

!ymptoms: itching, tearing and production of thic( mucus, foreign od

sensation, photophoia

Can impair vision

VERNAL KERATOCONJUNCTIVITIS


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12/19

Affects older patients male# with history of allergic dermatitis

!ymptoms similar with vernal (eratoconjunctivitis

$f untreated may cause scarring of the cornea and its delicatememrane

"eriorital: )ennie&'organ folds, *ertoghe sign

+yelids:thic(ening tylosis, crusting, edema, fissures, ptosis,

lepharitis

-enses: post or ant sucapsular shield&shaped cataracts+valuation for degenerative vitreous changes and retinal

detachment

Conjunctiva: small&or

medium&si.ed papillae,

hyperemia, edema,escessive mucin, and limal

rantas dots clusters of

necrotic eosinophils,

neutrophis, and epithelial

cells#

ATOPIC KERATOCONJUNCTIVITIS


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Can result from irritation y contact lenses or y the proteins from t

ind

to the surface of the lens

!ymptoms include: redness, itching, mucus discharge, lens discomfort

ody

sensation

CONTACT ALLERGIC CONJUNCTIVITIS


15/19

$s severe form of contact allergic cinjunctivitis in which individual flu

sacs, or

papules, form in the upper lining of the inner eyelid

!ymptoms are: itching, puffiness, tearing, mucus discharge, lurred v

poor

tolerance for wearing contact lenses

GIANT PAPILLARY CONJUNCTIVITIS


16/19

$n coordination with opthalmologist: slit lamp dilated lood vessels,

conjunctivalswelling, eyelid swelling signs of allergic reaction#

!crapping conjunctiva: eosinophils

Allergist: identification of environmental allergens avoidance

DIAGNOSIS


17/19

Antihistamine eyedrops: reduce itching, redness, and swelling associated with eye allergy

'ast cell staili.er and antihistamine eyedrops: to treat prevention wice/day, 1uic( long

relief of itching, redness, tearing, and urning

!A$) eyedrops: to relieve itchig

Corticosteroid eyedrops: to treat chronic, severe eye allergy symptoms 3eware chronic us

MEDICAMENTOSA


18/19

)ust mite: decrease amient humidity, wash sheets in hot water onc

allergen impermeale covers for mattresses and pillows, minimi.e carp

linens,

stuffed animals, etc

"ets: (eep pets out of the edroom at all times, use *+"A filters, ath

at least once wee(ly, eliminate water lea(s and standing water that encmold growth

'old: decrease humidity, eliminate water lea(s

4utdoor polles li(e tress, grasses and weeds: use AC, (eep windows

closed

ENVIRONMENTAL CONTROL


19/19

*A5 647

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(766885416) Allergic Disorders of the Eye