Lesion of eyes with chicken pox, measles, rubella

The eye can also be involved in the process with other common viral diseases; in particular chicken pox, measles, and rubella.

The virus of chickenpox belongs to the group of herpes: viruses, being, as mentioned above, an analogue of the causative agent of herpes zoster. Infection occurs from a sick person through the respiratory tract with the localization of the virus in the skin and mucous membranes. Against the background of a sharp rise in body temperature, there is a spotty-vesicular rash, particularly on the face and eyelids. This is accompanied by photophobia, lacrimation, hyperemia of the conjunctiva, on which bubbles can also arise. Detachable from the conjunctival cavity with this mucous, subsequently with elements of pus. The resulting keratitis often has a superficial point character, the infiltrates are stained with fluorescein. The process as a whole is benign. Treatment is reduced to the appointment of gamma globulin in injections, lubrication of the elements of the rash with brilliant green, washing the eyes with tea, subsequent instillation of interferon, 20% solution of sulfacyl sodium, pouring 1% of erythromycin ointment or tetracycline overnight.

Coronary conjunctivitis is caused by an agent related to paramyxoviruses, which are airborne transmitted through the lymphoid tissue of the nasopharyngeal ring, and then localized in the organs. On the background of catarrh of the upper respiratory tract, an increase in body temperature on the mucous membrane of the cheeks, conjunctiva of the eyelids may appear as white spots surrounded by a red rim, areas of deenergia and necrosis of the epithelium - the spots of Velsky-Filatov-Koplik, which are a harbinger of a small-scaby rash on the skin. The clinical picture of conjunctivitis, sometimes with sharp photophobia, blepharospasm and eyelid edema, is supplemented by epithelial keratitis with the presence of corneal erosions. With a weakening of the body's defenses, a banal infection can join, as indicated by a purulent discharge from the conjunctival cavity. Against the backdrop of proper treatment (gamma globulin in injections and drops, interferon and other virustotics, vitamin, desensitizing drugs), the general and local processes end favorably. Otherwise, deep keratitis, ulceration of the cornea, iridocyclitis can occur with the outcome of coarse opacity of the cornea with reduced vision.

Rubella, caused by togavirus, refers to acute infectious diseases, mainly children, transmitted by airborne droplets. Clinical manifestations are made up of the catarrh of the upper respiratory tract and, very typically, the generalized reaction of the lymph nodes (swollen and painful occipital, zaneshnevye and other lymph glands). This is accompanied by a slight rise in the temperature of the tola, the appearance of a small rash in the form of pale pink spots, which disappear after a few days.

Simultaneously with general clinical manifestations of the disease there are catarrhal conjunctivitis and superficial keratitis, requiring the use of only symptomatic treatment and interferon. Despite the favorable outcome of the disease, it can lead to infection of the fetus with the development of congenital rubella, which is a very common cause of malformations and the congenital pathology of the organ of vision (microphthalmus, coloboma, cataract, glaucoma) in the first months of pregnancy.

Paratrahoma. It refers to borderline viral infections of the conjunctiva, the pathogens occupying the middle position between typical viruses and rickettsia. The disease is an urogenital infection affecting the population aged 17-35 years and falling on the conjunctiva through the hands, water while swimming in the pool from patients with nonspecific urethritis. Most often, women suffering from cervical erosion, cervicitis of chronic course. From such pregnant women paratrahoma in the process of childbirth can catch a child. From what has been said, it becomes clear why paratrahoma or conjunctivitis with inclusions is identified with bath conjunctivitis. Blind newborns with inclusions.

Conjunctivitis is more often bilateral, accompanied by mucous, and then purulent discharge, edema of the eyelids, hyperemia and infiltration of conjunctival tissue, the formation of follicles on the lower transitional fold, hypertrophied papillae on conjunctiva cartilage. The process is accompanied by adenopathy, which occurs on the 7th day of the disease. Often develops surface avascular keratitis. The disease lasts 2-3 weeks. The diagnosis is confirmed by the presence of cytoplasmic inclusions, lymphoplasmatic cellular elements in the scrapie from the conjunctiva.

Proper diagnosis is facilitated by a urologist and gynecologist. The general treatment is reduced to the appointment within 7 days of sulfadimezin or tetracycline, with topical application of 1% erythromycin ointment or tetracycline.

[1], [2], [3], [4], [5], [6]