Contact conjunctivitis: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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Large capillary conjunctivitis
The disease is an inflammatory reaction of the conjunctiva of the upper cause, for a long period in contact with the foreign body. The emergence of large capillary conjunctivitis is possible under the following conditions: wearing contact lenses (hard and soft), the use of eye prostheses, the presence of sutures after extraction of cataracts or keratoplasty, tightening scleral seals.
Patients complain of itching and mucous discharge. In severe cases, ptosis may appear. Large papillae cluster along the entire surface of the conjunctiva of the upper eyelids.
Symptoms of large capillary conjunctivitis
Symptoms of large capillary conjunctivitis are very similar to manifestations of the conjunctival form of spring catarrh, but there are significant differences between them. First of all, large capillary conjunctivitis develops at any age and necessarily with the presence of remaining sutures or wearing contact lenses. Complaints about pruritus and discharge with large capillary conjunctivitis are less pronounced, limbus and cornea are usually not involved in the process. All the symptoms of large capillary conjunctivitis quickly disappear after removal of the foreign body. Patients with large capillary conjunctivitis do not necessarily have allergic diseases in the anamnesis and there are no seasonal exacerbations.
Treatment of large capillary conjunctivitis
In the treatment of large capillary conjunctivitis, removal of the foreign body is of primary importance. Until the complete disappearance of symptoms bury alomide or lekromin 2 times a day. Wearing new contact lenses is possible only after the complete disappearance of inflammatory phenomena.
For the prevention of large capillary conjunctivitis, systematic care of contact lenses and prostheses is necessary.
Allergic conjunctivitis with contact lenses
It is believed that most patients who wear contact lenses, someday necessarily have an allergic reaction of the conjunctiva: eye irritation, photophobia, discomfort when inserting the lens. When examined, you can find small follicles, small or large papillae on the conjunctiva of the upper eyelids, hyperemia of the mucous membrane, edema and point erosions of the cornea.
Treatment. It is necessary to refrain from wearing contact lenses. Assign instillation of eye drops of necroline or plomid 2 times a day. In acute reactions, allergic phthalin or spersallerg is used 2 times a day.
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