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ALLERGIC DISORDERS OF THE EYEWISTIANI
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Approximately 20% population suffers from allergic condition with
environmental
allergens
Allergic conjunctivitis: an allergic reaction that affects the conjuncti
Characteristics: itchy eyes, watery, red, and/or swollen eyes
2 types: seasonal and perennial allergic conjunctivitis !AC, "AC#
$n $ndonesia: "AC mostly caused y indoor allergens#
INTRODUCTION
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ANATOMY OF THE EYE
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SIGNS & SYMPTOMS
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SAC: experience symptoms in spring, summer or fall pollen,
plantsthe air
$tching, redness, urning, clear or watery discharge
Allergic shinner
"uffy eyelids, eyes discomfort causes y lights
PAC: year round symptoms
!igns milder than "AC
exp
Caused y rx to dust mites, mold, pet dander,
household
allergens
SEASONAL & PERENNIAL ALLERGIC CONJUNCTIVI
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$t can occur year&round, symptoms may worsen seasonally
'ay accompanied y atopic dermatitis
!ymptoms: itching, tearing and production of thic( mucus, foreign od
sensation, photophoia
Can impair vision
VERNAL KERATOCONJUNCTIVITIS
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Affects older patients male# with history of allergic dermatitis
!ymptoms similar with vernal (eratoconjunctivitis
$f untreated may cause scarring of the cornea and its delicatememrane
"eriorital: )ennie&'organ folds, *ertoghe sign
+yelids:thic(ening tylosis, crusting, edema, fissures, ptosis,
lepharitis
-enses: post or ant sucapsular shield&shaped cataracts+valuation for degenerative vitreous changes and retinal
detachment
Conjunctiva: small&or
medium&si.ed papillae,
hyperemia, edema,escessive mucin, and limal
rantas dots clusters of
necrotic eosinophils,
neutrophis, and epithelial
cells#
ATOPIC KERATOCONJUNCTIVITIS
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Can result from irritation y contact lenses or y the proteins from t
ind
to the surface of the lens
!ymptoms include: redness, itching, mucus discharge, lens discomfort
ody
sensation
CONTACT ALLERGIC CONJUNCTIVITIS
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$s severe form of contact allergic cinjunctivitis in which individual flu
sacs, or
papules, form in the upper lining of the inner eyelid
!ymptoms are: itching, puffiness, tearing, mucus discharge, lurred v
poor
tolerance for wearing contact lenses
GIANT PAPILLARY CONJUNCTIVITIS
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$n coordination with opthalmologist: slit lamp dilated lood vessels,
conjunctivalswelling, eyelid swelling signs of allergic reaction#
!crapping conjunctiva: eosinophils
Allergist: identification of environmental allergens avoidance
DIAGNOSIS
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Antihistamine eyedrops: reduce itching, redness, and swelling associated with eye allergy
'ast cell staili.er and antihistamine eyedrops: to treat prevention wice/day, 1uic( long
relief of itching, redness, tearing, and urning
!A$) eyedrops: to relieve itchig
Corticosteroid eyedrops: to treat chronic, severe eye allergy symptoms 3eware chronic us
MEDICAMENTOSA
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)ust mite: decrease amient humidity, wash sheets in hot water onc
allergen impermeale covers for mattresses and pillows, minimi.e carp
linens,
stuffed animals, etc
"ets: (eep pets out of the edroom at all times, use *+"A filters, ath
at least once wee(ly, eliminate water lea(s and standing water that encmold growth
'old: decrease humidity, eliminate water lea(s
4utdoor polles li(e tress, grasses and weeds: use AC, (eep windows
closed
ENVIRONMENTAL CONTROL
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*A5 647