Allergic Conjunctivitis

Abstract

Abstract

Allergic conjonktivitis is one of the most common allergic conditions worldwide. Ocular itching is the pathognomonic symptom  important for differential diagnosis from other ocular conditions. Seasonal and perennial allergic conjonktivitis arethe most common forms. It is usually seen together with systemic allergic disorders, especially allergic rihinitis with %50-75. Alergic konjonktivitis is differentiated into a spectrum from the benign seasonaland perennial allergic konjonktivitis and giant papillary conjunctivitis to the chronic, morbid, and potentially sight-threatening vernal keratoconjunctivitis, atopic keratoconjunctivitis  and contact blepharoconjunctivitis. Specific IgE levels and skin prick tests can be used for elevating allergen sensitivity in allergic conjonktivitis. Many sistemic and topical agents were used for treatment of allergic conjonktivitis. Topical antihistamines are more effective and reliable for ocular allergies. Vernal keratoconjunctivitis, atopic keratoconjunctivitis and contact blepharoconjunctivitis are more severe forms and immunomodulators suchas cyclosporin A can be used for treatment

Keywords

• Allergy,allergic conjonktivitis,keratoconjonktivitis,seasonal,perennial

Alerjik Konjonktivit

Öz

Öz

Alerjik konjonktivit, dünya genelinde en yaygın alerjik durumlardan biridir. Patognomonik bulgusu, oküler kaşıntı olup diğer oküler durumlardan ayrımda önemlidir. Mevsimsel ve perennial alerjik konjonktivit en yaygın formlarıdır. Diğer sistemik alerjik hastalıklarla sıklıkla birlikte bulunur, bunların başında alerjik rinit gelmekte  olup birlikteliği %50-75’tir. Alerjik konjonktivit benign mevsimsel veya perennial alerjik konjonktivit, devpapiller konjonktivitten, kronik, morbit, görmeyi tehdit eden vernal keratokonjonktivit, atopik keratokonjonktivit, kontakt blefarokonjonktivite uzanan değişken bir spektruma sahiptir. Alerjik konjonktivitte duyarlı olunan alerjenin belirlenmesi amacıyla deri pricktesti uygulanabilir veya spesifik IgE düzeylerine bakılabilir. Alerjik konjonktivit tedavisinde sistemik, topikal birçok ajan kullanılmıştır. Oküler alerji tedavisinde topikal antihistaminikler daha güvenli ve etkindir. Vernal keratokonjonktivit, atopikkeratokonjonktivit,  kontakt blefarokonjonktivit daha ağır formlar olup kortikosteroidler, siklosporin A gibi immünomodülatör ilaçlar kullanmak gerekebilir.

Anahtar Kelimeler

• Alerji,alerjik konjonktivit,keratokonjonktivit,mevsimsel,perennial

References

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