Differentiating conjunctivitis of diverse origins
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Lid wiper epitheliopathy
2016, Progress in Retinal and Eye ResearchCitation Excerpt :The term ‘lid wiper epitheliopathy’ implies that this is a unitary condition, but the discussion above of the different forms of clinical presentation and various possible aetiological factors contributing to this condition suggest that there may be many different forms of LWE. An analogy would be corneal staining – an over-arching descriptor of a range of conditions with different aetiologies, such as the following: solution-induced corneal staining, which is a phenomenon of uncertain aetiology related to the impact of contact lens solution preservatives on the cornea (Efron, 2013); 3 and 9 o'clock corneal staining, possibly caused by poor wetting or the nasal and temporal cornea due to the lid wiper in that region being physically separated from the cornea by a rigid contact lens (van der Worp et al., 2003); desiccation corneal staining, due to accelerated pervaporation through thin, high water content hydrogel contact lenses that draws water out of the cornea (Orsborn and Zantos, 1988); superior epithelial arcuate lesions, produced by mechanical chaffing at the peripheral cornea (Holden et al., 2001); and peroxide burn, a toxic reaction to non-neutralised hydrogel peroxide lens care solution entering the eye (Paugh et al., 1988). Although all of these conditions can be included under the over-arching descriptor ‘corneal staining’, they represent a wide range of clinical presentations, with different causes, that require different treatments.
Diagnosis of acute follicular conjunctivitis: A 5-year retrospective analysis in a referral center
2015, Archivos de la Sociedad Espanola de OftalmologiaNonsteroidal Anti-inflammatory Drugs in Ophthalmology
2010, Survey of OphthalmologyCitation Excerpt :Seasonal allergic rhinoconjunctivitis, the most common type of allergic conjunctivitis, is often referred to as hay fever conjunctivitis.34 Ocular pruritus is the hallmark of allergic conjunctivitis, which may be associated with conjunctival hyperemia, chemosis, papillary hypertrophy, and giant papillae.150 Although the pathogenesis of allergic conjunctivitis and its subdivisions is complicated, most agree that the mast cell with its chemical mediators is an important component.109
Eye Infections
2008, Pediatric Infectious Diseases E-Book: RequisitesDifferential diagnoses of conjunctivitis for clinical allergist- immunologists
2007, Annals of Allergy, Asthma and ImmunologyCitation Excerpt :Viral conjunctivitis is commonly associated with burning and the lack of itching. Common findings of viral conjunctivitis include a watery discharge, conjunctival injection, chemosis, and enlargement of the preauricular (pretragal) lymph nodes.39,41-43 Ocular pain associated with corneal involvement from viral infections may occur several days before the specific lesions appear, which requires a closer examination of the cornea with fluorescein staining and referral to an ophthalmologist.
Ocular Surface Disease and Anti-Glaucoma Medications: Various features, Diagnosis, and Management Guidelines
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