Ocular surface inflammation and Allergy Flashcards
1
Q
Papillae vs follicules
A
Papillae - chronic inflammation
- allergy
- cobblestones
Follicules - Acute inflammation
-viral, chalmydial, pale lesions
2
Q
Vernal keratoconjunctivitis
child
A
- Boys>girls
- itching, mucus, photophobia
- often other atopy
- papillae
- Shield ulcer (persistant epithelial defect - physical trauma from papillae rubbing)
3
Q
Atopic keratoconjunctittis
A
After 10 years of vernal, gets better
- associated with atopy
- similar signs and symptoms
4
Q
Pathophysiology
A
Mast cell degranulatin in response to
- allergens and igE
- physical trauma
- UV exposure
5
Q
Theraputic management
A
- avoid allergies and rubbing
- cold compress
- topical and systemic antihistamines
- mast cell stabilisers
- topical NSAIDs
6
Q
Vision threatening manaegmenet
A
- Topical corticosteroids
- topical cyclosporine
- systemic immunosupression
- Surgery
7
Q
Side effects of eye steroids
A
-Cataract
-Increased IOP –> glucoma
-optic nerve cupping
0infection
-corneal melt and perforation
8
Q
Shielf ulcer
A
-corticosteroids and surgery
