Diagnosis:

Symptoms are similar to Vernal keratoConjunctivitis but often more severe and unremitting.
Eyelids
- Red, thickened, macerated and fissured lids with chronic staphylococcal blepharitis and madarosis.
- Tightening of the facial skin may cause lower lip ectropion and epiphora.
- Micropapillary conjunctivitis
- Giant papillae
- Scarring and infiltration
- Cicatricial conjunctivitis
- Symblepharon
Keratopathy
- Punctate epithelial erosions
- Persistent epithelial defect
- Predisposing to keratoconus

Treatment:

Topical :
> Mast cell stabilizers
> Ketorolac
> Antihistamines
> Steroids
> Acetylcysteine
> Cicolosporin
> Antibiotics
> Supratarsal steroid injection
Systemic :
> Antihistamines
> Antibiotics
> Cicolosporin


Images:


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Atopic KeratoConjunctivitis (diagnosis treatment) photos Atopic_Keratoconjunctivitis-3.gif