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Anterior Segment Disease > Allergic Conjunctivitis > Flashcards

Allergic Conjunctivitis Flashcards

1
Q

Seasonal Allergic Conjunctivitis

A

from triggers- pollen, dust, dander

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2
Q

Symptoms of Allergic Conjunctivitis

A

itchy eyes

from histamine response

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3
Q

Signs of Allergic Conjunctivitis

A

tearing
chemosis
papillae

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4
Q

Managing Allergic Conjunctivitis

A 
avoid triggers
artificial tears
cold compress
antihistamines
mast cell stabilizers for prophylaxis
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5
Q

Vernal Keratoconjunctivitis

VKC

A

normally in kids (boys), eventually outgrow

recurrent with flare ups during spring/ summer

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6
Q

Symptoms of Vernal Keratoconjunctivitis

A

extreme itch, tearing, photophobia

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7
Q

Signs of Vernal Keratoconjunctivitis

A

papillary rxn- cobblestone
stringy mucous discharge
corneal erosions

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8
Q

Managing Vernal Keratoconjunctivitis

A

cool compress
mast cell stabilizers/ anti-histamines
NSAIDs
steroids

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9
Q

Atopic Keratoconjunctivitis

AKC

A

similar to VKC, but chronic and in adults (many had VKC as kids)

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10
Q

Symptoms of Atopic Keratoconjunctivitis

A

extreme itching, tearing, photophobia

more severe/ persistent than VKC

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11
Q

Managing Atopic Keratoconjunctivitis

A 
cool compress
mast cell stabilizers/ antihistamines
NSAIDs
immune modulators
surgery for corneal plaque removal
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12
Q

Giant Papillary Conjunctivitis

A

mechanically induced- contacts, prosthesis, exposed sutures

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13
Q

Symptoms of Giant Papillary Conjunctivitis

A

FB sensation
itching
CL intolerance

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14
Q

Signs of Giant Papillary Conjunctivitis

A

mucous discharge
CL displacement
upper tarsal papilla

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15
Q

Managing Giant Papillary Conjunctivitis

A

proper cleaning of CLs

anti-histamines/ mast cell stabilizers

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16
Q

Signs of Atopic Keratoconjunctivitis

A

corneal NV and erosion

conjunctival scarring

17
Q

Ocular Pemphigoid

A

chronic autoimmune causing mucus membrane formation

idiopathic

18
Q

Pathophysiology of Ocular Pemphigoid

A

trigger causes conjunctival inflammation w/ fibrosis- shortening of fornices- corneal changes- blindness

19
Q

Treating Ocular Pemphigoid

A

comanage with rheumatologist

systemic therapy- Dapsone

20
Q

Stephens-Johnson Syndrome

A

reaction to meds

painful rash that spreads and blisters

21
Q

Ocular Manifestation of Stephens-Johnson Syndrome

A

edema and crusting of eyelids
palpebral conjunctivitis with vesicles/ bullae
pseudomembranes
dry eye

22
Q

Tx of Stephens-Johnson Syndrome

A

remove meds
hydration
daily review- w/ corneal specialist

23
Q

Superior Limbic Keratoconjunctivitis

SLK

A

from lax conj causing mechanical irritation

often in women with abnormal throid function

24
Q

Signs of Superior Limbic Keratoconjunctivitis

A

upper tarsal and limbal papillary rxn
upper section conjunctival injection
SPK filaments

25
Q

Management of Superior Limbic Keratoconjunctivitis

A

thyroid tx
lubricants
anti-inflammatory

26
Q

Ligneous Conjunctivitis

A

abnormal healing of mucosal tissues

“wood like” pseudomembranes form

27
Q

Tx for Ligneous Conjunctivitis

A

remove lesions

28
Q

Pinguecula

A

degeneration of bulbar conj stroma
asymptomatic
yellowish
near limbus but does not cross

29
Q

Pterygium

A

triangular fibrovascular growth

crosses limbus on to cornea

30
Q

Tx of Pterygium

A

steroids/ lubricants for irritation

excision

31
Q

Conjunctival Concretions

A

subepithelial cysts containing debris/ keratin
tiny and yellow, but can enlarge and calcify
asymptomatic unless eroding through epithelium

32
Q

Mx of Conjunctival Concretions

A

removed with needle

Anterior Segment Disease (19 decks)

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