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J Am Acad Dermatol. 2014 Mar;70(3):569-75. doi: 10.1016/j.jaad.2013.10.036. Epub 2013 Dec 15.

Atopic keratoconjunctivitis: A review.

Author information

1
Department of Ophthalmology, Baylor College of Medicine, Houston, Texas.
2
Department of Dermatology, Baylor College of Medicine, Houston, Texas.
3
Department of Dermatology, Baylor College of Medicine, Houston, Texas. Electronic address: hisgrace@gmail.com.

Abstract

Atopic keratoconjunctivitis is a chronic noninfectious inflammatory condition and is one of the most severe ophthalmic complications associated with atopic dermatitis. It requires prompt and effective treatment to prevent permanent vision loss. Complications of atopic keratoconjunctivitis include cataracts, keratoconus, infectious keratitis, blepharitis, tear dysfunction, and steroid-induced glaucoma. All treatment for atopic keratoconjunctivitis should be managed in conjunction with an ophthalmologist, and immediate referral is indicated when there is moderate to severe irritation, increased redness, discharge, or any visual symptoms. Treatment options include a combination of mast cell inhibitors, antihistamines, corticosteroids, and calcineurin inhibitors.

KEYWORDS:

atopic dermatitis; atopic keratoconjunctivitis; conjunctiva; cornea; keratoconus; ocular; sight threatening

PMID:
24342754
DOI:
10.1016/j.jaad.2013.10.036
[Indexed for MEDLINE]

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