Presentation
Assuming a UK population of 63 million and that this new disease presentation is similarly represented through the UK, extrapolation suggests that up to 13,000 patients may have presented with this condition within the UK in 2014. [bmcophthalmol.biomedcentral.com]
However, rarely a diffuse clinical presentation is encountered, and this may mimic chronic conjunctivitis of other etiologies. Case Report: A 60-year-old man was referred to our clinic with bilateral conjunctival masses in May 2005. [karger.com]
Our patient was also previously diagnosed and treated as a case of chronic conjunctivitis prior to his presentation at our hospital. present two cases of molluscum contagiosum, a cause of unilateral chronic conjunctivitis. 25% of cases had chronic conjunctivitis [medical-dictionary.thefreedictionary.com]
(a) Superior palpebral conjunctiva on presentation showing a diffuse, fine papillary reaction. (b) Slit-lamp photograph of the right eye showing corneal neovascularization and associated lipid deposition. [tandfonline.com]
[…] steroids, therapy for primary dx Posterior Uveitis • Choroiditis • Etiology: Toxoplasmosis, histoplasmosis, Toxocara canis • Presentation: No signs of erythema, decreased vision • Tx: specific therapy for pathogen 26. [slideshare.net]
Entire Body System
- Pathologist
Hematolymphoreticular Study Group of the Korean Society of Pathologists. Revised European-American lymphoma. Cancer. 1998 Aug 15. 83(4):806-12. [Medline]. Seregard S, Sahlin S. Panorama of orbital space-occupying lesions. [medscape.com]
These results were presented at the British Association of Ophthalmic Pathologists in November 2015. [bmcophthalmol.biomedcentral.com]
- Vietnamese
Show only providers accepting new patients Choose gender Female Male Search health plans accepted Please contact the practice directly to confirm your health plan is accepted Choose preferred language Any language Chinese - Mandarin English Spanish Vietnamese [swedish.org]
- Noncompliance
"Red flags" that might indicate the possibility of factitious conjunctivitis include an unrealistic history; noncompliance with medication regimens; a seeming indifference to the severity of the disease; failure to respond to what should be effective [aao.org]
- Sulfur Granules
The latter are found in more than 90% of patients with concretions ("sulfur granules"). In some cases, complete expression followed by irrigation with penicillin or another antibiotic solution can be curative. [aao.org]
- Fishing
A variant of factitious conjunctivitis has been termed the mucus fishing syndrome. [aao.org]
Skin
- Skin Patch
The suitability of skin patch-testing for diagnosing contact dermatitis in mucous membranes is contentious. [bmcophthalmol.biomedcentral.com]
Neurologic
- Paresthesia
Neurological manifestations with paresthesias and weakness in the extremities, dementia and optic neuropathy may develop in patients with untreated vitamin B12 deficiency ( Lessell 1998 ). [onlinelibrary.wiley.com]
Treatment
(b) Slit-lamp photograph 6 months after treatment of trachoma showing a marked inprovement in pannus and lipid deposition. [tandfonline.com]
Treatment is directed at the underlying condition, with the admonition to avoid manipulation of the eye. [aao.org]
A thorough marsupialization of the crypts and short-term treatment with antibiotic eye drops can prevent recurrence. [ncbi.nlm.nih.gov]
Treatments available The treatment Dr. de Luise recommends in cases of chlamydial inclusion conjunctivitis is oral doxycycline 100 mg po twice daily for 4–6 weeks. [eyeworld.org]
The investigation and treatment of ocular cicatricial pemphigoid is discussed. [dovepress.com]
Prognosis
Prognosis The visual prognosis is moderate. Corneal involvement may lead to blindness due to scarring, vascularisation, keratomalacia and perforation. The documents contained in this web site are presented for information purposes only. [orpha.net]
[…] herpes simplex virus (HSV), varicella-zoster virus ( VZV ), picornavirus, molluscum contagiosum, HIV (highly contagious) Clinical features See “Clinical features” above Epidemic keratoconjunctivitis Herpes simplex conjunctivitis Diagnosis Treatment Prognosis [amboss.com]
Prognosis of viral conjunctivitis Viral conjunctivitis is extremely contagious and remains so for 14 days, which also is often how long the symptoms remain. The prognosis is very good for viral conjunctivitis. [intechopen.com]
Etiology
[…] steroids, therapy for primary dx Posterior Uveitis • Choroiditis • Etiology: Toxoplasmosis, histoplasmosis, Toxocara canis • Presentation: No signs of erythema, decreased vision • Tx: specific therapy for pathogen 26. [slideshare.net]
DISCUSSION There is a high incidence of chronic allergic conjunctivitis in the general population and there can be numerous challenges in management, including when to undertake further testing for infectious etiology. [tandfonline.com]
References: [1] [2] [3] [4] [5] [6] [7] [8] [9] Bacterial conjunctivitis General Etiology : Staphylococc us aureus (most common in adults), Streptococcal pneumoniae, Haemophilus influenzae, Pseudomonas, Haemophilus, and Moraxella catarrhalis Clinical [amboss.com]
Symptoms are conjunctival hyperemia and ocular discharge and, depending on the etiology, discomfort and itching. Diagnosis is clinical; sometimes cultures are indicated. [msdmanuals.com]
Pathophysiology Conjunctivitis that persists for 4+ weeks Etiology Unilateral: Due to keratitis, nasolacrimal duct obstruction, occult foreign body, neoplasm, tuberculosis, phthiriasis palpebrarum (due to lice, Int Ophthalmol 2012;32:467 ) Bilateral: [pathologyoutlines.com]
Epidemiology
Further epidemiological studies are recommended Citation (2002). Prevalence of trachoma in chronic conjunctivitis, Birjand, Islamic Republic of Iran. [apps.who.int]
References: [18] [19] Non-infectious conjunctivitis Epidemiology : common in young adults Pathophysiology : : IgE -mediated hypersensitivity (type I) against specific allergens (e.g., cat dander) Subtypes and key features Clinical features General signs [amboss.com]
[Malignant tumours of the eye: Epidemiology, diagnostic methods and radiotherapy]. Cancer Radiother. 2015 Oct 21. [Medline]. Ohtsuka K, Hashimoto M, Suzuki Y. High incidence of orbital malignant lymphoma in Japanese patients. [medscape.com]
Summary Epidemiology Prevalence in the general population is unknown but estimates range between 0.13% and 0.42% in healthy subjects with heteterozygous hypoplasminogenemia. More than 200 cases have been reported so far. [orpha.net]
Keywords: clinical (human) or epidemiologic studies: natural history • ocular irritants © 2008, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. [iovs.arvojournals.org]
Pathophysiology
Pathophysiology Conjunctivitis that persists for 4+ weeks Etiology Unilateral: Due to keratitis, nasolacrimal duct obstruction, occult foreign body, neoplasm, tuberculosis, phthiriasis palpebrarum (due to lice, Int Ophthalmol 2012;32:467 ) Bilateral: [pathologyoutlines.com]
References: [18] [19] Non-infectious conjunctivitis Epidemiology : common in young adults Pathophysiology : : IgE -mediated hypersensitivity (type I) against specific allergens (e.g., cat dander) Subtypes and key features Clinical features General signs [amboss.com]
Vernal and atopic disease need to be aggressively managed to prevent complications such as corneal scarring and consequent vision loss. 3 Pathophysiology All ocular allergies represent a localized type 1 hypersensitivity reaction, wherein an antigen binds [reviewofoptometry.com]
Allergic conjunctivitis: update on pathophysiology and prospects for future treatment. J Allergy Clin Immunol. 2005;115:118-122. 8. Horton JC. Disorders of the eye. In: Fauci AS, Braunwald E, Kasper DL, et al, eds. [uspharmacist.com]
Prevention
Treatment may include: Antihistamine or anti-inflammatory drops that are placed into the eye Eye drops that prevent a type of white blood cell called mast cells from releasing histamine (may help prevent future attacks) Mild steroids that are applied [medlineplus.gov]
Keeping the windows and doors closed during seasons with high pollen counts can prevent allergens from entering your home. Try not to let dust gather at home, and treat any mold. [nyulangone.org]
Prevention You can greatly reduce the risk of getting conjunctivitis or spreading it to someone else by following some simple good-hygiene steps, such as: Wash your hands often with soap and warm water. [health.hawaii.gov]
disinfect hands and instruments, avoid sharing towels, shaking hands, or touching eyes Patient education regarding proper hygiene is essential to prevent an outbreak! [amboss.com]
The Centers for Disease Control and Prevention (CDC) recommend that people with symptoms either avoid close contact with others at school or work, or stay at home until the symptoms clear. [medicalnewstoday.com]