Allergic eye diseaseAllergic eye diseasePammal AshwinSunil Shah2008, Birmingham UK

A seminar for a group of eye professionalsPictures from the www

We can be allergic to many things….

TypesTypes

Simple allergic

Seasonal allergic

Vernal/Atopic

Giant Papillary

SIMPLE ALLERGIC SIMPLE ALLERGIC CONJUNCTIVITISCONJUNCTIVITIS

SymptomsSymptomsItchingRednessChemosisWateringRunny nose

SEASONAL ALLERGIC SEASONAL ALLERGIC CONJUNCTIVITISCONJUNCTIVITIS

FeaturesFeaturesSymptoms of simple allergic

conjunctivitisSeasonal (hay fever)Thin watery dischargeNo pre-auricular nodesNo corneal involvement

SignsSignsMild hyperaemiaPapillary reaction

VERNAL VERNAL CONJUNCTIVITISCONJUNCTIVITIS

FeaturesFeaturesYoung boysRopy dischargeIntense itchingPtosis from lid swellingRunny nose

PalpebralPalpebralGiant

papillaeShield ulcers

LimbalLimbalLimbitis (Trantas

dots)

ATOPIC ATOPIC CONJUNCTIVITISCONJUNCTIVITIS

FeaturesFeaturesMalesAtopic history (allergy, eczema,

asthma)Red, thickened, macerated lidsInfiltration of tarsal conjunctiva

ComplicationsComplicationsPersistent epithelial

defectsSuperinfectionCorneal neovascularisationCicatrisationKeratoconus, RD, Cataract

GIANT PAPILLARY GIANT PAPILLARY CONJUNCTIVITISCONJUNCTIVITIS

FeaturesFeatures

Foreign material – palpebral conjunctiva

SCLProsthesisSutures

Management options

General measuresGeneral measuresAllergen avoidanceCold compressesStop contact lens wearArtificial tears

Anti-histaminesAnti-histaminesMast cell stabilisersAnti- histaminesCombined –

OlopatadineSystemic

SteroidsSteroidsTopicalOralSub-tarsal injection

CiclosporinCiclosporin

THANK YOUTHANK YOU

Questions