Keratoconjunctivitis: Difference between revisions
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==Background== | ==Background== | ||
*Defined as concurrent inflammation of both the cornea and conjunctiva. | |||
*Multiple etiologies: | |||
**Atopic keratoconjunctivitis: common in patients with atopy(ie: eczema, allergies, asthma, rhinitis) | |||
**Epidemic keratoconjunctivitis: highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge | |||
**Keratoconjunctivitis photoelectrica(subtype of [[UV Keratitis]]) | |||
**Keratoconjunctivitis sicca: associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma | |||
==Clinical Features== | |||
* | *intense itching | ||
* | *excessive tearing | ||
* | *burning sensation | ||
* | *clear mucus discharge | ||
*conjunctival erythema/hyperemia | |||
*blurred vision | |||
*photophobia | |||
*foreign body sensation | |||
*Thickened, scaly, indurated eyelids are characteristic of Atopic Keratoconjunctivitis | |||
*Chronic inflammation may eventually lead to vision loss | |||
==Differential Diagnosis== | |||
== | ==Evaluation== | ||
*Generally clinical | |||
==Management== | ==Management== | ||
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* Keratoconjunctivitis photoelectrica: eye rest and proper eye protection | * Keratoconjunctivitis photoelectrica: eye rest and proper eye protection | ||
* Keratoconjunctivitis sicca: chronic management should be determined by Ophthalmologist | * Keratoconjunctivitis sicca: chronic management should be determined by Ophthalmologist | ||
==Disposition== | |||
==See Also== | |||
==External Links== | |||
==References== | |||
<references/> | |||
[[Category:Ophthalmology]] | |||
Revision as of 23:48, 28 September 2017
Background
- Defined as concurrent inflammation of both the cornea and conjunctiva.
- Multiple etiologies:
- Atopic keratoconjunctivitis: common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
- Epidemic keratoconjunctivitis: highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
- Keratoconjunctivitis photoelectrica(subtype of UV Keratitis)
- Keratoconjunctivitis sicca: associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma
Clinical Features
- intense itching
- excessive tearing
- burning sensation
- clear mucus discharge
- conjunctival erythema/hyperemia
- blurred vision
- photophobia
- foreign body sensation
- Thickened, scaly, indurated eyelids are characteristic of Atopic Keratoconjunctivitis
- Chronic inflammation may eventually lead to vision loss
Differential Diagnosis
Evaluation
- Generally clinical
Management
Based on likely etiology and severity:
Severity:
- Mild: basic eye care(resist itching, cold compress, artificial tears), antihistamines, mast cell stabilizers
- Moderate/Severe: should be referred to Ophthalmologist
Etiology:
- Atopic keratoconjunctivitis: chronic management should be determined by Ophthalmologist
- Epidemic keratoconjunctivitis: usually self-resolving
- Keratoconjunctivitis photoelectrica: eye rest and proper eye protection
- Keratoconjunctivitis sicca: chronic management should be determined by Ophthalmologist