Occular Allergies

Question 1

percent of patients worldwide that experience

ocular allergy

Answer 1

15-25%

Question 2

Pathogenesis of hay fever

Answer 2

IgE mediated

Question 3

Clinical presentation of hay fever

Answer 3

Palpebral papillary hypertrophy, develop rapidly, short lived episodic,

Question 4

severe seasonal inflammation of the
superior tarsal conjunctiva thought to be due
to an allergic reaction

Answer 4

Vernal Keratoconjunctivitis

Question 5

Pathogenesis of Vernal Keratoconjunctivitis

Answer 5

Type I and IV hypersensitivity reactions

Question 6

Clinical presentation of Vernal Keratoconjunctivitis

Answer 6

Chronic, recurring, Itchiness, Photophobia, Palpebral papillary hypertrophy, Horner-Trantas Dots

Question 7

Chalky mounds of conjunctiva around the limbus,
which are actually collections of degenerated
epithelial cells and eosinophils

Answer 7

Horner-Trantas Dots

Question 8

Pathogenesis of Atopic Keratoconjunctivitis (AKC)

Answer 8

Primarily type IV

Question 9

Clinical Presentation of AKC

Answer 9

Year-round disease, Older patients, whitish cornea,

Question 10

Pathogenesis of Contact Lens-induced Conjunctivitis

Answer 10

residues/debris left on the contact lens

Question 11

Hallmark of contact lens-induced conjunctivitis

Answer 11

Superior tarsal papillary hypertrophy

Question 12

Clinical presentation of Giant Papillary Conjunctivitis

Answer 12

Large papillae (>0.3mm) on superior tarsus

Question 13

Pathogenesis of Contact Dermatopblepharitis

Answer 13

Topical application of medication, cosmetics, etc.

Question 14

Clinical Presentation of acute Contact Dermatopblepharitis

Answer 14

Itching, eyelid erythema and swelling,

conjunctival redness, chemosis

Question 15

Clinical Presentation of chronic Contact Dermatopblepharitis

Answer 15

Eyelid erythema, leathery thickening, scaling

Question 16

Pathogenesis of Atopic Dermatits

Answer 16

Increased IgE hypersensitivity, Increased mast cell release of histamines, Impaired cell-mediated immunity

Question 17

Clinical Presentation of AD

Answer 17

Pruritus, Periorbital darkening, chronic conjunctivitis

Question 18

Topical antihistamine for ocular allergies

Answer 18

Olopatadine or ketotifen

Question 19

Mast cell stabilizer examples

Answer 19

Sodium cromoglycate, Olopatidine

Question 20

Three general treatment steps

Answer 20

Identify, remove, avoid