Wednesday, August 10, 2005
Ocular Eczema
Eye complications tend to be most common in cases of severe atopic dermatitis. When these complications occur, the associated eyelid itching can be almost unbearable. Some eye complications can lead to permanent eye damage and loss of vision.
Signs and symptoms of eye complications include:
Inflammation of the eyelid (blepharitis) and the lining of the eyelids (conjunctivitis), with symptoms of extreme itching, burning, watering of the eyes, and mucous discharge.
Inflammation of the inner lining of the eyelids that causes a cobblestone pattern to develop under the eyelids. Symptoms include extreme itching and eye watering.
Cornea becomes deformed, probably due to constant hard rubbing of the eyes caused by excruciating eyelid itching.
These signs and symptoms should be reported to a dermatologist immediately, so that the condition can be diagnosed and treated. Sometimes complications affecting the eye require the help of an ophthalmologist.
Rosacea can also cause a persistent burning and feeling of grittiness in the eyes or inflamed and swollen eyelids with small inflamed bumps, eyelashes sometimes fall out, compounded by bloodshot eyes. (Dr. Thiboutot). The ocular signs of rosacea are exceedingly variable, including blepharitis, conjunctivitis, iritis, iridocyclitis, hypopyoniritis, and even keratitis. The term ocular rosacea covers all these signs. The ocular complications are independent of the severity of facial rosacea. Rosacea keratitis has an unfavorable prognosis, and in extreme cases can lead to corneal opacity with blindness. The most frequent sign of ocular rosacea, which may never progress, is chronically inflamed margins of the eyelids with scales and crusts, quite similar to seborrheic dermatitis, with which it is often confused. Pain and photophobia may be present. It is instructive to ask rosacea patients how their eyes react to bright sunlight. (Drs. Gerd Plewig & Albert M. Kligman).
Signs and symptoms of eye complications include:
Inflammation of the eyelid (blepharitis) and the lining of the eyelids (conjunctivitis), with symptoms of extreme itching, burning, watering of the eyes, and mucous discharge.
Inflammation of the inner lining of the eyelids that causes a cobblestone pattern to develop under the eyelids. Symptoms include extreme itching and eye watering.
Cornea becomes deformed, probably due to constant hard rubbing of the eyes caused by excruciating eyelid itching.
These signs and symptoms should be reported to a dermatologist immediately, so that the condition can be diagnosed and treated. Sometimes complications affecting the eye require the help of an ophthalmologist.
Rosacea can also cause a persistent burning and feeling of grittiness in the eyes or inflamed and swollen eyelids with small inflamed bumps, eyelashes sometimes fall out, compounded by bloodshot eyes. (Dr. Thiboutot). The ocular signs of rosacea are exceedingly variable, including blepharitis, conjunctivitis, iritis, iridocyclitis, hypopyoniritis, and even keratitis. The term ocular rosacea covers all these signs. The ocular complications are independent of the severity of facial rosacea. Rosacea keratitis has an unfavorable prognosis, and in extreme cases can lead to corneal opacity with blindness. The most frequent sign of ocular rosacea, which may never progress, is chronically inflamed margins of the eyelids with scales and crusts, quite similar to seborrheic dermatitis, with which it is often confused. Pain and photophobia may be present. It is instructive to ask rosacea patients how their eyes react to bright sunlight. (Drs. Gerd Plewig & Albert M. Kligman).
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