Allergic eye disease

Question 1

Features of seasonal allergic conjunctivitis (3)

Answer 1

most common allergic eye disease
symptoms occur seasonally
can involve cornea>allergic keratoconjunctivitis.

Question 2

Ex findings in seasonal allergic conjunctivitis

Answer 2

small papillae on tarsal conjunctiva

Question 3

Rx of seasonal allergic conjunctivitis

Answer 3

antihistamine drops: ketotifen, azelastine, epinastine.

Question 4

Features of perennial allergic conjunctivitis (2)

Answer 4

Symptoms can persist throughout the year

small papillae found on tarsal conjunctiva

Question 5

Rx of perennial allergic conjunctivitis (3)

Answer 5

prescription:
-olopatadine (antihistamine and mast cell stabiliser)
-Lodoxamine
OTC:
-sodium cromoglycate (inhibits mast cell degranulation)

Question 6

Symptoms of atopic keratoconjunctivitis (4)

Answer 6

pain
redness
reduced vision
conjunctival papillae>conjunctival scarring>corneal opacification>neovascularistation

Question 7

Features of atopic blepharoconjunctivitis

Answer 7

Sx of atopic keratoconjunctivitis (pain, redness, vision loss, conjunctival papillae>etc.) but w. assoc. blepharitis.

Question 8

Features of giant papillary conjunctivitis (2)

Answer 8

iatrogenic; assoc. w. foreign body

large papillae seen on tarsal conjunctiva.

Question 9

Rx of giant papillary conjunctivitis (2)

Answer 9

remove foreign body

topical mast cell stabiliser/steroid

Question 10

Features of contact dermatitis

Answer 10

erythema of skin surrounding eye

Question 11

Features of phlyctenular keratoconjunctivitis

Answer 11

ulceration and scarring of conjunctiva after bacterial infection.