OCULAR MANIFESTATIONS OF ATOPIC DERMATITIS- AN OBSERVATIONAL STUDY IN A TERTIARY CARE CENTRE IN WESTERN ODISHA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 70
Abstract
BACKGROUND Atopic dermatitis (AD) also known as atopic eczema, is an allergic condition with hereditary predisposition. It mostly presents with intensely itchy skin, raised, splotchy lesions anywhere throughout the body. AD is most commonly seen in younger age group, the severity increases with increasing age. It is a chronic allergic condition, having both dermatologic as well as ocular manifestations. Ocular manifestations and its complications of AD are proven to be potentially morbid. The aim of this study was to evaluate the frequencies, prevalence and pattern of ocular manifestations in patients with Atopic Dermatitis in our Tertiary eye care center in Western Odisha, so that early diagnosis and treatment of symptoms can be effectively done to prevent complications. MATERIALS AND METHODS A Hospital based observational study of Ocular manifestations in 80 cases of Atopic Dermatitis was done over 12 months. To study the frequency of ocular symptoms and its complications, a study group comprising of 49 males and 31 females were examined thoroughly. Associated ocular signs, anterior segment of eye and fundus were examined. RESULTS Atopic keratoconjunctivitis (AKC) having the maximum contribution (38.8%) followed by severe blepharoconjunctivitis (20.3%) was found in our study. Lid involvement appeared as thickening, scaling and Dennie Morgan folds, while conjunctival changes were seen in form of severe follicular and moderate to severe papillary reactions with limbal thickening. Cobblestone appearance of papillae were typically found along with papillary hypertrophy. The ocular abnormalities were mostly found in the age group of 0-10 years with an average duration of suffering from AD of >1 year. The ocular manifestations in our case group were not significantly associated with visual impairment or any serious morbidity. CONCLUSION Atopic dermatitis is a chronic allergic condition which when presents as ocular manifestations presents mostly with rubbing of eyes which eventually presents as lid thickening and scaling along with red itchy raised lesions like any other part of the body involved due to AD. The inflammatory reactions due to hypersensitivity, raised immunoglobulins like IgE and interleukins and other inflammatory mediators leads to conjunctivitis which eventually involves cornea leading to keratitis also. Complications like keratoconus, uveitis, anterior and posterior sub capsular cataract etc. were not found in our study which can be found with following up the patients for quite a longer time. The severity of the ocular manifestation can be perpetually correlated with the duration of the disease suffered by the patient. This is a condition which is mostly found in younger age group, and our study also could correlate with previous results.
Authors and Affiliations
Swati Samikshya, Jagadish Prasad Rout, Sahoo Soni, Jayashree Dora, Kanhel Charan Tudu
Keywords
Related Articles
- EP ID EP277851
- DOI 10.18410/jebmh/2017/836
- Views 91
- Downloads 0
ASSESSMENT OF EFFECT OF MDR-TB/TB ON SOCIAL, FUNCTIONAL AND ECONOMIC WELL BEING OF PATIENTS – A CROSS SECTIONAL STUDY
CONTEXT: Tuberculosis is a contagious disease with social stigma attached to it. Various problems which are social and economic in nature are faced by TB patient. Therefore, it is essential to explore the overall effect...
CERVICAL CANCER SCREENING: KNOWLEDGE, ATTITUDE AND PRACTICES IN A PRIMARY HEALTH CENTRES IN RURAL INDIA
Cervical cancer is the most common preventable cancer noted in Indian women, having a major impact on their lives. Approximately, 70% of people reside in villages in India. Hence, the objectives of this study were to fin...
EFFECTIVENESS OF PROSTAGLANDIN E1 IN THE PAIN MANAGEMENT OF PATIENTS WITH CRITICAL LIMB ISCHAEMIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Critical Limb Ischaemia (CLI) was defined for the first time in 1982 by P. R. F. Bell as a manifestation of peripheral artery disease, which describes patient with typical chronic ischaemic rest pain or ischae...
THREE YEARS STUDY OF SCHWANNOMAS OF PERIPHERAL NERVES
BACKGROUND In this paper authors present three cases of schwannomas including a case of multiple schwannomas without the features of neurofibromatosis (NF). There was no family history of neurofibromatosis. All the patie...
A COMPARATIVE STUDY BETWEEN SKIN SUTURES AND SKIN STAPLES IN ABDOMINAL SURGICAL WOUND CLOSURE
BACKGROUND The skin stapling devices have revolutionized surgery for the purpose of rapid closure of abdominal wounds. However, staples have their own drawbacks. In view of this, this prospective study has been undertake...