ALLERGIC

CONJUNCTIVITIS

Unit Kornea, Infeksi & Imunologi

Rumah Sakit Mata Cicendo
Fakultas Kedokteran
Universitas Padjadjaran Bandung
 Allergic Conjunctivitis

 Allergic rhinoconjunctivitis
 Vernal Keratokonjunctivitis
 Keratokonjungtivitis atopik
 1 Allergic Rhinoconjunctivitis

Seasonal allergic Perennial allergic

Allergic rhinoconjunctivitis
• Hypersensitivity reaction to specific airborn antigens
• Frequently associated nasal symptoms
• May be seasonal or perennial

Transient eyelid
oedema
Transient conjunctival oedema
1. Supportive
◦ Cold compresses
◦ Artificial tears
2. Topical
◦ Topical antihistamines and mast-cell stabilizers
◦ Topical NSAID
◦ Selective use of topical corticosteroid
◦ Topical vasocontrictors
3. Systemics
◦ Systemic antihistamines

Treatment
2. Vernal keratoconjunctivitis
Frequently associated with atopy: asthma, hay fever and dermatitis

• Recurrent, bilateral
• Affects children and young
adults
• More common in males
and in warm climates
• Itching, mucoid discharge
and lacrimation
Types
• Palpebral
• Limbal
• Mixed
 Progression of vernal conjunctivitis

Formation of cobblestone papillae Rupture of septae - giant papillae

Limbal vernal

Mucoid nodule Trantas dots

Progression of vernal keratopathy

Punctate epitheliopathy Epithelial macroerosions

Plaque formation (shield ulcer) Subepithelial scarring

 1. Climatotherapy
2. Topical antihistamine
3. Topical mast-cell stabilizer
4. Topical corticosteroid
5. Suptratarsal injection of
corticosteroid

Treatment
 3. Atopic keratoconjunctivitis

Typically affects young patients with Eyelids are red, thickened, macerated
atopic dermatitis and fissured
 Progression of atopic conjunctivitis
Infiltration of tarsal conjunctiva causing featureless appearance

Inferior forniceal papillae

Mild symblepharon formation
 Progression of atopic keratopathy

Punctate epitheliopathy Persistent epithelial defects

Subepithelial scarring Peripheral vascularization

1. Allergen avoidance
2. Cold compresses
3. Topical antihistamine
4. Topical mast-cell stabilizer
5. Topical corticosteroid

Treatment