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Dry keratoconjunctivitis (filamentous keratitis)
Last reviewed: 23.04.2024
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Filamentous keratitis (dry keratoconjunctivitis) refers to corneal diseases of unexplained etiology and is one of the symptoms of a common body disease called Sjögren's syndrome. Dry keratoconjunctivitis is expressed in the dryness of all mucous membranes, decrease or absence of secretion of lacrimal and salivary glands.
[Symptoms of dry keratoconjunctivitis
Dry keratoconjunctivitis is manifested by burning, dryness in the eye. In the conjunctiva cavity - a sticky secret. The cornea of the ibex is small erosion, more in the lower parts. On the cornea - thin threads (7-8), which are attached at one end, and the other - hangs. They consist of degenerate corneal epithelial cells. There are rezi in the morning when the eyes are opened by tearing the thread from the cornea
There are two forms of dry keratoconjunctivitis:
- typical dry keratoconjunctivitis (idiopathic);
- atypical dry keratoconjunctivitis (postoperative).
Filamentous idiopathic dry keratoconjunctivitis - often bilateral. Characteristic are the absence of tears in crying, dry mouth, nasopharynx, hoarseness, difficulty swallowing. There may be joints death, violation of salivation, dry arthritis of the wrist joints, fingers.
Atypical filamentous dry keratoconjunctivitis develops if there was a loss of vitreous body. It is a manifestation of corneal dystrophy, the endothelium is sloughing.
What do need to examine?
Treatment of dry keratoconjunctivitis
Treatment of dry keratoconjunctivitis symptomatic - sterile vaseline oil, vitamin preparations (oil forms), artificial tear, drops of lacrisis.
If there are a lot of threads, they can be removed. The attachment site is extinguished with a solution of (alcohol) diamond greens, a 2% solution of silver nitrate, a 5% solution of zinc sulphate.