Anterior Segment Diseases (Instant Clinical Diagnosis in by Arturo Perez Arteaga, Ashok Sharma

By Arturo Perez Arteaga, Ashok Sharma

The newest directions for diagnosing and treating corneal illnesses This well-illustrated full-color reference offers the newest directions for diagnosing and treating corneal ailments. positive aspects: Full-color presentation with a number of illustrations presents entire up to date details on every kind of anterior phase illnesses With in-depth concentration, the authors be aware of very important components of the skin abnormalities, together with pathology of tear movie, disorder of conjunctiva, eyelids, and tumors provides up-to-date instructions to set up speedy and proper medical prognosis for correct and well timed remedy of corneal ailments

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Kera toconus may be seen in chronic cases, which may be associated with chronic eye rubbing. Differential Diagnosis Bacterial conjunctivitis, giant papillary conjunctivitis, viral conjw1ctivitis, atopic kera toconjunctivitis, superior limbic keratoconjunctivitis, keratoconus. Treatment Mast cell stabilizers are perhaps the mainstay of treatment and are safe for long-term use. However, topical corticosteroids generally become necessary for most patients with significant symptoms. Because of their potential adverse effects, topical steroids should be prescribed at the lowest effective concentration and for the shortest duration possible.

54 Conjunctiva l Disorders Fig. 15: Atopic conju nctivitis 55 Anterior Segment Diseases Prognosis Prognosis is favorable. This condition generally clears up readily but may reoccur; the goal should be controlling the environment and avoiding allergens. OCULAR CICATRICIAL PEMPHIGOID Introduction Ocular cicatricial pemphigoid (OCP) is one of the chapters of mucous membrane pemphigoid , a gro up of systemic autoimmune diseases characterized by T-lymphocyte deregulation, the production of circulating auto antibodies directed against a variety of adh esion molecules in the hemidesmosomeepithelial membrane complex, and the production of proin£lammatory cytokines and immune system activation markers.

Extreme caution should be taken when using corticosteroids, as they may worsen an underlying infection . Complications include the following: punctate keratitis with subepithelial infiltrates, bacterial superinfection, corneal ulceration w ith keratoconjunctivitis, and chronic infection, in particular in patients with impaired immune system. Prognosis Most cases of viral conjunctivitis are acute, benign, and self-limited. The infection usually resolves spontaneously within 2-4 weeks. Subepithelial infiltrates may last for several months, and, if in the visual axis, they may cause decreased vision or glare.

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Anterior Segment Diseases (Instant Clinical Diagnosis in by Arturo Perez Arteaga, Ashok Sharma
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