Allergic eye disease Pammal Ashwin Sunil Shah 2008, Birmingham UK A seminar for a group of eye professionals Pictures from the www.

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Presentation transcript:

Allergic eye disease Pammal Ashwin Sunil Shah 2008, Birmingham UK A seminar for a group of eye professionals Pictures from the www

We can be allergic to many things….

Types Simple allergic Seasonal allergic Vernal/Atopic Giant Papillary

SIMPLE ALLERGIC CONJUNCTIVITIS

Symptoms Itching Redness Chemosis Watering Runny nose

SEASONAL ALLERGIC CONJUNCTIVITIS

Features Symptoms of simple allergic conjunctivitis Seasonal (hay fever) Thin watery discharge No pre-auricular nodes No corneal involvement

Signs Mild hyperaemia Papillary reaction

VERNAL CONJUNCTIVITIS

Features Young boys Ropy discharge Intense itching Ptosis from lid swelling Runny nose

Palpebral Giant papillae Shield ulcers

Limbal Limbitis (Trantas dots)

ATOPIC CONJUNCTIVITIS

Features Males Atopic history (allergy, eczema, asthma) Red, thickened, macerated lids Infiltration of tarsal conjunctiva

Complications Persistent epithelial defects Superinfection Corneal neovascularisation Cicatrisation Keratoconus, RD, Cataract

GIANT PAPILLARY CONJUNCTIVITIS

Features Foreign material – palpebral conjunctiva SCL Prosthesis Sutures

Management options

General measures Allergen avoidance Cold compresses Stop contact lens wear Artificial tears

Anti-histamines Mast cell stabilisers Anti- histamines Combined – Olopatadine Systemic

Steroids Topical Oral Sub-tarsal injection

Ciclosporin

THANK YOU Questions