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Ophthalmology

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Conjunctiva

Question
2 out of 29
 

In which of the following conditions, severe itching of the eye with ropy discharge in a 10 year old boy with symptoms aggravating in summer season is most likely present Q (LQ)



A Trachoma
B Vernal conjunctivitis

C Acute conjunctivitis
D Blepharitis

Ans. B (Vernal conjunctivitis) Q

1. Vernal conjunctivitis (spring catarrh, seasonal allergic conjunctivitis, vernal keratoconjunctivitis, perennial allergic conjunctivitis)

a. *It is recurrent bilateral conjunctivitis Q

b. type I hypersensitivity Q reaction to pollen and type IV Hypersensitivty

2. Symptoms – Intense stching-Typical symptoms white ropy secretion(Maxwell Lyon’s Sign)Q.

3. Clinical features

A. Palpebral form Q - Characterized by papillary hypertrophy

4. (Cobble Stone appearance) Q involving the upper tarsal conjunctive of both eyes associated with white ropy discharge

5. B. Bulbar or limbal form

a. Dusky red triangular congestion of bulbar conjunctiva in the palpebral

b. (ii) Formation of gelatinous tissue around the upper limbus (Pseudogerontoxon)

c. (iii) Presence of discrete white perilimbal spots (Horner-Trantas spots) Q

Treatmentq

1. Topical Q

a. Steroids eg Topical Fluorometholone, Loteprednol

b. Mast cell stabilizers –Nedocromil, Ketotifen, Epinastine, Olopatdine

c. Antihistamines-Levocabastine

d. Acetylcysteine 0.5%

e. Cyclosporin 0.5% in steroid resistant cases

2. Supratarsal steroid injection - in patients with severe disease unresponsive to conventional therapy

3. Surgical treatment - for severe shield ulcer resistant to medical therapy

4. (Debridement, superficial keratectomy, excimer laser phototherapeutic keratectomy as well as amniotic membrane transplantation to enhance re-epithelialization)

Conjunctiva Flashcard List

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