Presentation
The location of OSSN is typically in the interpalpebral fissure, [8] and the superior bulbar conjunctival location of our patient's lesion is an atypical presentation. Such a presentation is more commonly associated with SLK. [meajo.org]
A 48-year-old woman presented with a 2-year history of irritation and foreign body sensation in both eyes that began immediately after bilateral upper eyelid blepharoplasty. [ncbi.nlm.nih.gov]
Corneal hypoesthesia: Corneal hypoesthesia is also sometimes present. Keratoconjunctivitis sicca: Keratoconjunctivitis sicca may be present in about half the cases of SLK. [nhp.gov.in]
Entire Body System
- Recurrent Inflammation
From Wikidata Jump to navigation Jump to search ocular disease characterized by episodes of recurrent inflammation of the superior cornea and limbus, as well as of the superior tarsal and bulbar conjunctiva Theodore's superior limbic keratoconjunctivitis [wikidata.org]
Superior limbic keratoconjunctivitis is an ocular disease characterized by episodes of recurrent inflammation of the superior cornea and limbus, as well as of the superior tarsal and bulbar conjunctiva.Even though the pathophysiology remains unclear, [en.wikipedia.org]
Superior limbic keratoconjunctivitis Definition from Encyclopedia Dictionaries & Glossaries English Wikipedia - The Free Encyclopedia Superior limbic keratoconjunctivitis is an ocular surface disease characterized by episodes of recurrent inflammation [dictionary.babylon-software.com]
Superior limbic keratoconjunctivitis is an ocular surface disease characterized by episodes of recurrent inflammation of the superior cornea and limbus, as well as of the superior tarsal and bulbar conjunctiva. [ipfs.io]
Superior limbic keratoconjunctivitis A condition characterised by episodes of recurrent inflammation of the superior cornea, the junction between the cornea and the sclera (the limbus), and the conjunctiva lining the superior sclera and inner surface [ue.termwiki.com]
- Malaise
It presents with generalised malaise and a unilateral conjunctivitis. It responds to treatment of the underlying cause. [patient.info]
Gastrointestinal
- Abdominal Pain
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
- Hematochezia
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Musculoskeletal
- Arthritis
Some people have proposed autoimmune theory as it is associated with thyroid disease, rheumatoid arthritis and Sogjren’s disease. [tandurust.com]
This disease has been associated with thyroid dysfunction, keratoconjunctivitis sicca and rheumatoid arthritis. Multiple treatment modalitites have been described but there is not a gold standard. [eyewiki.aao.org]
Of these, more than three million are women and more than 1.5 million are men. 1,2 These numbers increase in the presence of systemic illnesses like Sjögren’s syndrome and rheumatoid arthritis, the use of certain medications and a history LASIK or other [reviewofcontactlenses.com]
Skin
- Ulcer
OSSN has been reported to present as corneal ulcer, [1] chronic blepharoconjunctivitis, [2] pterygium, [3] necrotizing scleritis [4] and sclerokeratitis. [5] This is the first reported case of OSSN masquerading as SLK. [meajo.org]
No: Anything causing a deposit anywhere on the cornea is termed an opacity - most due to a specific injury such as a foreign body or ulcer of the cornea after healing. [healthtap.com]
الصفحة 218 - The relative risk of ulcerative keratitis among users of daily-wear and extended-wear soft contact lenses. الصفحة 22 - Schermer A, Galvin S, Sun TT. [books.google.com]
(Eightfold excess risk of ulcerative keratitis with overnight contact lens wear and threefold excess risk with disposable lenses.) [books.google.es]
Ulcerative, vesicular, and bullous lesions. In: Greenberg MSGM, Ship JA, eds. Burket’s Oral Medicine: Diagnosis and Treatment. 11. Hamilton: B.C. Decker Inc; 2008. [reviewofcontactlenses.com]
- Erythema
Thickening of the conjunctiva accompanies dilated blood vessels and erythema of the conjunctiva. Both Rose Bengal and fluorescein stain in this region. [missionforvisionusa.org]
Erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis : these conditions are acute vasculitides that may be different forms of the same disease. They are thought to result from a type III hypersensitivity response. [patient.info]
[…] keratoconjunctivitis, atopic keratoconjunctivitis (AKC) and giant papillary conjunctivitis (GPC) are less common and associated with a larger amount of T-cells. 6 Characteristic ocular findings associated with allergic conjunctivitis include conjunctival swelling and erythema [reviewofcontactlenses.com]
Eyes
- Lacrimation
All 11 patients (22 eyes) responded favorably to lacrimal punctal occlusion. [ncbi.nlm.nih.gov]
[…] occlusion therapy for the treatment of superior limbic keratoconjunctivitis. ( 9798210 ) Kabat A.G. 1998 32 Lacrimal punctal occlusion for the treatment of superior limbic keratoconjunctivitis. ( 9222236 ) Yang H.Y....Tsubota K. 1997 33 Cytokeratin and [malacards.org]
Treatment AgNOз 0.5-1% in superior & bulbar conjunctiva Topical- lubricants, vitamin A, steroids, Autologus serum, cyclosporine Mast cell stabilizer(ketotifen,lodoxomide) Lacrimal punctal occlusion Bandage contact lens 8. [slideshare.net]
Autologous serum eye drops can also act as an alternative or an adjunct to lacrimal punctal occlusion as both regimens aim to increase tear supply in the eye. [webeye.ophth.uiowa.edu]
- Conjunctival Injection
Another factor in missing the diagnosis of SLK, is the fact that the superior bulbar conjunctival injection may be subtle. [clinicalgate.com]
RESULTS: After the surgery was performed, all the patients had mild to moderate superior conjunctival injection and swelling at the operating area. [ncbi.nlm.nih.gov]
Conjunctival injection: Conjunctival injection is best examined with un-aided eye. The classical finding associated with SLK is superior bulbar conjunctival injection. [nhp.gov.in]
Prednisolone acetate 1% eyedrops three-times daily was added and, 1 month later, she reported resolution of her symptoms and had decreased superior conjunctival injection. [meajo.org]
- Blepharitis
The upper lid zone includes the OSDs SLK, conjunctivochalasis and blepharitis, while the lower eyelid zone includes dry eyes, conjunctivochalasis and blepharitis (both anterior and posterior). [ophthalmologymanagement.com]
Often, the irritation is mild in the morning but worsens throughout the day. 2 The symptoms can be vague and intermittent and often are mistaken for other ocular surface disease, such as dry eye and blepharitis. [clinicalgate.com]
Chronic and severe anterior blepharitis : the reduction in the tear film associated with blepharitis can cause chronic irritation and scarring. Drugs : may cause mild-to-severe irritation. [patient.info]
The symptoms can be vague and intermittent and often are mistaken for other ocular surface disease, such as dry eye or blepharitis. [nhp.gov.in]
"Patients come in with burning, blepharitis, and/or dry eye with a secondary irritation, and it's common to lump the people with CCh and SLK into those two categories and not specifically look for either disorder." [eyeworld.org]
- Ciliary Injection
Physical examination The ophthalmological examination is characterized by micro-papillary reaction in the upper tarsal conjunctiva, redundancy and laxity of the upper bulbar conjunctiva, sectorial conjunctival hyperemia and ciliary injection. [eyewiki.aao.org]
Psychiatrical
- Suggestibility
In addition, deposition of TN and suprabasal expression of integrin beta1 suggested that chronic minor injury contributed to the pathogenesis of SLK. [ncbi.nlm.nih.gov]
Abstract PURPOSE To introduce a new surgical procedure for treating superior limbic keratoconjunctivitis (SLK) and to suggest the association of SLK with conjunctivochalasis. DESIGN Interventional case series. [unboundmedicine.com]
Neurologic
- Burning Sensation
Symptoms of Superior Limbic Keratoconjunctivitis Patients suffering from superior limbic keratoconjunctivitis usually complain about irritation of the eyes and burning sensation. Affected eyes may be erythematous. [ic.steadyhealth.com]
Itching and burning sensation in eyes. Pain in eyes. Redness and inflammation of the upper eyelid. Gritty sensation as if sensation of sand in the eye. Watering from eyes. Sensitivity to light. Frequent remission and recurrence of the symptoms. [tandurust.com]
A ) in 20-50% of patients. 2. 10. 12 Clinical Aspects Ocular symptoms are poorly specific, generally consisting of discomfort, a foreign-body or burning sensation, and photophobia. The eye is red and there is mucus discharge. [entokey.com]
Three months later she returned still complaining of persistent severe discomfort, photophobia, and a burning sensation in both eyes. The ocular examination was unchanged. [bjo.bmj.com]
In a case series of 45 patients, most frequent symptoms reported were: foreign body sensation (71.1%), burning sensation (68.9%), pruritus (46.6%) and dry eye sensation (31.1%), among others [2]. [eyewiki.aao.org]
Workup
20mm Left: 15mm Differential Diagnosis Superior limbic keratoconjunctivitis Superior conjunctivochalasis Keratoconjunctivitis Sicca Allergic conjunctivitis Dry Eye Syndrome Episcleritis Viral conjunctivitis Trachoma Ocular Surface Neoplasia Further workup [webeye.ophth.uiowa.edu]
Treatment
F. 2002 26 Ketotifen fumarate treatment of superior limbic keratoconjunctivitis. ( 12410035 ) Udell I.J....Madani-Becker J. 2002 27 Treatment of superior limbic keratoconjunctivitis by application of autologous serum. ( 11685056 ) Goto E....Tsubota K [malacards.org]
TY - JOUR T1 - New surgical treatment for superior limbic keratoconjunctivitis and its association with conjunctivochalasis. [unboundmedicine.com]
New surgical treatment for SLK and its associationwith conjunctivochalasis. [slideshare.net]
Of the positive responders, 63% (5 patients) had been considered silver nitrate treatment failures. Keratitis sicca was additionally noted in 55% of the patients studied. [ncbi.nlm.nih.gov]
Prognosis
In general, the prognosis for superior limbic keratoconjunctivitis is excellent, with remission as the natural history and eventual total resolution, although symptoms may last for years. [thehealthscience.com]
Prognosis of SLK is good after proper treatment. Causes Of Superior Limbic Keratoconjunctivitis The exact etiopathogenesis of superior limbic keratoconjunctivitis is not known. [tandurust.com]
Prognosis In general, the prognosis of superior limbic keratoconjunctivitis is excellent, with remission as the natural history and eventual total resolution, although symptoms may last for years. Thygeson P, Kimura SJ. Chronic conjunctivitis. [emedicine.medscape.com]
Prognosis: In general, prognosis for superior limbic keratoconjunctivitis is excellent. With increasing age, exacerbations tend to diminish in frequency with eventual total resolution, though symptoms may last for years. [nhp.gov.in]
Etiology
Although the etiology of SLK is unknown, these patients support the theory of a mechanical cause for SLK. [ncbi.nlm.nih.gov]
Epidemiology
Beginning with basic science, examination techniques and epidemiology, the following chapters discuss the diagnosis and the medical and surgical treatment of numerous different conditions and diseases that may affect the cornea. [books.google.com]
Epidemiology: Most common in adult women 20-70 years old. Clinical: A bilateral and localized process confined to the superior limbal area and tarsus from the 10-2 o'clock position. [missionforvisionusa.org]
The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. Trans Am Ophthalmol Soc 1994;92:477-588. [ PUBMED ] [ FULLTEXT ] [Figure 1], [Figure 2], [Figure 3] [meajo.org]
It is a chronic recurrent disease affecting the superior bulbar and pal-pebral conjunctiva and the adjacent cornea, in the form of epithelial punctate keratitis that can be filamentary. 6 – 9 Epidemiology Superior limbic keratoconjunctivitis affects all [entokey.com]
Epidemiology Women > men (3:1) 20-60 years of age No predilection for a specific race Associated with thyroid dysfunction and keratoconjunctivitis sicca Good prognosis: eventually clears Signs/Symptoms Gritty foreign body sensation Hyperemia Irritation [webeye.ophth.uiowa.edu]
Pathophysiology
PURPOSE: To determine the pathophysiological etiology of superior limbic keratoconjunctivitis (SLK), we compared the superior limbic conjunctivae of SLK patients and normal controls. [ncbi.nlm.nih.gov]
Superior limbic keratoconjunctivitis is an ocular disease characterized by episodes of recurrent inflammation of the superior cornea and limbus, as well as of the superior tarsal and bulbar conjunctiva.Even though the pathophysiology remains unclear, [en.wikipedia.org]
Even though the pathophysiology remains unclear, it is thought that mechanical trauma from tight upper lids or loose redundant conjunctiva could lead to the disruption of normal epithelium. [ipfs.io]
Conjunctivitis Atopic Keratoconjunctivitis Bacterial Conjunctivitis Emergent Treatment of Acute Conjunctivitis Epidemic Keratoconjunctivitis Giant Papillary Conjunctivitis Keratoconjunctivitis Sicca Neonatal Conjunctivitis Viral Conjunctivitis Etiology and Pathophysiology [thehealthscience.com]
Pathophysiology SLK is believed to be present secondary to superior bulbar conjunctiva laxity, which induces inflammatory changes from mechanical soft tissue microtrauma4 In settings where the physiological tolerance of mechanical forces on the delicate [odlarmed.com]
Prevention
Therapeutic soft contact lenses were used after pressure patching in the other six patients to prevent recurrences of SLK. [ncbi.nlm.nih.gov]
Superior Limbic Keratoconjunctivitis is an eye disorder of unknown cause, and hence it cannot be prevented However, certain steps can be taken to preserve the eye condition: Always maintain hygiene, wash hands regularly, and prevent aggravation of the [dovemed.com]