Friday, October 29, 2004

Conjunctivitis and Rosacea

The most common complication of the eye associated with rosacea is an intermittent inflammatory conjunctivitis, with or without blepharitis.

Prominent symptoms include eyes that are itchy, burning, or dry; a gritty or foreign body sensation; and erythema and swelling of the eyelid.

The ocular changes can become chronic. Corneal neovascularization and keratitis can occur, leading to corneal scarring and perforation.

The conjunctiva is a thin, translucent, relatively elastic tissue layer in the eye with both bulbar and palpebral portions. The bulbar portion of the conjunctiva lines the outer aspect of the globe, while the palpebral portion covers the inside of the eyelids. Underneath the conjunctiva lie the episclera, the sclera and the uveal tissue layers.

The clinical term "red eye" is applied to a variety of distinct infectious or inflammatory ocular disease processes that involve one or more tissue layers of the eye. Red eye is the most common ocular problem seen by primary care physicians.

The term "conjunctivitis" encompasses a broad group of conditions presenting as inflammation of the conjunctiva. The inflammation can be hyperacute, acute or chronic in presentation and infectious or noninfectious in origin.

Conjunctivitis is the most common cause of red eye.

Most frequently, conjunctivitis (and thus red eye) is caused by a bacterial or viral infection.

Sexually transmitted diseases such as chlamydial infection and gonorrhea are less common causes of conjunctivitis. However, these infections are becoming more prevalent and are important to recognize because of their significant associated systemic, ocular and social implications.

Ocular allergy in its many forms is one of the major causes of chronic conjunctivitis. Blepharitis (inflammation of the eyelid margin), dry eye and the prolonged use of ophthalmic medications, contact lenses and ophthalmic solutions are also relatively frequent causes of chronic conjunctival inflammation.

Monday, October 25, 2004

CHALAZION

Chalazion or bumps on eyelids may also be a problem with ocular rosacea. Chalazion is an inflammation of a gland in the upper or lower lid of the eyes. Often the affected area can become swollen, painful and inflamed until a cyst forms. There may be blurring of vision caused by pressure from the cyst distorting the eye.

In some cases, it may settle with conservative treatment, which involves hot compresses and antibiotic ointment applied to the affected area.

In persistent cases the chalazion is cut and drained under local anaesthetic, followed by the use of an antibiotic ointment for one week.

Recurrent episodes of chalazion are frequently associated with chronic infection of the lid. The infected area should be treated with antibiotic ointment daily for a month or more and cleaning of the eyelid with a cotton bud dipped in warm after and a little baby shampoo.

Thursday, October 14, 2004

IRITIS

Iritis, a form of Anterior Uveitis is a term for an inflammatory disorder of the colored part of the eye (iris). In the majority of cases there is no specific cause. Occasionally, iritis is just one symptom of a disease that affects other organ systems. These are called connective tissue diseases and include: rheumatoid arthritis , sarcoid , lupus , scleroderma , Behcet's disease , anklylosing spondylitis, Reiter's disease, Crohn's disease, ulcerative colitis, and B-27 disease. Sometimes, it is necessary to establish whether iritis/uveitis is a manifestation of one of these or some other underlying systemic disease.

Your eye care provider may ask a detailed medical history, and may order a battery of tests including several possible blood tests, a chest x-ray, x-rays of the lower back, and a skin test for tuberculosis.

The symptoms of iritis include light sensitivity, red eye, blurred vision, tearing, pain, and sometimes floaters. The pupil may appear small in the affected eye when compared to the normal pupil. Frequently iritis is a recurrent problem; after a few episodes patients become very astute at early diagnosis.

The secrets to the successful treatment of iritis is early detection and proper choice of medicines. Therapy consists of anti-inflammatory and dilating drops. These medicines decrease the inflammation and reduce the scarring that can occur. Persistent cases may require more intensive treatment. Successful treatment of iritis depends on careful and consistent compliance by the patient.

Friday, October 08, 2004

BLEPHARITIS

Blepharitis is defined by The International Rosacea Foundation as an inflammation of the lash follicles at the eyelid margins due to excess growth in lash follicles of bacteria normally present on the skin.

Blepharitis affects the eyelids resulting in burning,redness, itching and eyelid irritation.