Difference between revisions of "Keratoconjunctivitis"

(Created page with "==Background== Keratoconjunctivitis is concurrent inflammation of both the cornea and conjunctiva. Multiple etiologies: * Atopic keratoconjunctivitis: common in patients wit...")
 
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==Background==
 
==Background==
Keratoconjunctivitis is concurrent inflammation of both the cornea and conjunctiva.  
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*Defined as concurrent inflammation of both the cornea and conjunctiva.  
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*Multiple etiologies:
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**Atopic keratoconjunctivitis: common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
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**Epidemic keratoconjunctivitis: highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
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**Keratoconjunctivitis photoelectrica(subtype of [[UV Keratitis]])
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**Keratoconjunctivitis sicca: associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma
  
Multiple etiologies:
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==Clinical Features==
* Atopic keratoconjunctivitis: common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
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*intense itching
* Epidemic keratoconjunctivitis: highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
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*excessive tearing
* Keratoconjunctivitis photoelectrica(subtype of [[UV Keratitis]])
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*burning sensation
* Keratoconjunctivitis sicca: associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma
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*clear mucus discharge
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*conjunctival erythema/hyperemia 
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*blurred vision
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*photophobia
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*foreign body sensation
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*Thickened, scaly, indurated eyelids are characteristic of Atopic Keratoconjunctivitis
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*Chronic inflammation may eventually lead to vision loss
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==Differential Diagnosis==
  
==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
 
  
==Diagnosis==
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==Evaluation==
Diagnosis is usually achieved based on clinical history and presentation alone. 
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*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
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 +
==Disposition==
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 +
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==See Also==
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 +
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==External Links==
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 +
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==References==
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<references/>
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[[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

Disposition

See Also

External Links

References