By M.J. Elder, W. Bernauer, J.K.G. Dart, F. Bandello
Cicatrizing conjunctivitis is among the so much tough factors of ocular floor ailment this present day, and with no applicable intervention, corneal blindness or lack of sight from supervening an infection is usual. simply because a lot of those illnesses are infrequent, there's usually restricted administration adventure on hand and the assets for learn into therapy and pathogenesis might be scarce. this article summarizes current therapy recommendations and the medical and laboratory experiences validating those methods. themes mentioned contain an in-depth examine non-progressive factors together with trachoma, Stevens-Johnson syndrome and ligneous conjunctivitis. The textual content additionally examines continual innovative conjunctival cicatrization, the illnesses which reason it, their medical and laboratory evaluate, immunopathogenesis, sequelae and administration. it may relief the making plans of intervention and remedy of a bunch of illnesses formerly linked to negative diagnosis.
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Additional info for Cicatrising Conjunctivitis (Developments in Ophthalmology)
These include ocular cicatricial pemphigoid, and various conditions in which chronic inflammation has resulted from infection, as occurs in trachoma, as a result of allergies in several atopic individuals, or damage from chemicals or irradiation. Stevens-Johnson syndrome is usually differentiated from these conditions on the basis of the initial acute illness and perhaps exposure to a known trigger. Ocular cicatricial pemphigoid is the most common problem needing to be differentiated from the chronic phase of Stevens–Johnson syndrome.
Membrane and pseudomembrane can both be present at the same time. The distinction is therefore not as important from a clinical point of view as Membranous, Pseudomembranous and Ligneous Conjunctivitis 33 establishing the presence of the exudate. The causes of membranous and pseudomembranous conjunctivitis are listed in table 1. Infective Causes 2 Bacterial Streptococci are frequently isolated from patients with conjunctivitis although they are more significant for their association with keratitis and endophthalmitis .
This would suggest that the persistent inflammation characteristic of trachoma may be maintained by an antigenic substance released by either transient episodes of actual infection or by continuing low levels of infection, which are maintained by reinfection . It has been proposed that chlamydial hsp60 may break tolerance and induce auto-immune inflammatory damage or be the focus of cell-mediated immune damage during chronic infection and this immune response is at least partially determined by HLA type .
Cicatrising Conjunctivitis (Developments in Ophthalmology) by M.J. Elder, W. Bernauer, J.K.G. Dart, F. Bandello