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Spring conjunctivitis in children
Medical expert of the article
Last reviewed: 23.04.2024
[Symptoms of spring conjunctivitis:
- redness of the eye;
- itching;
- lacrimation;
- swelling of the eyelids;
- slimy discharge.
Spring inflammation of the eyelid conjunctiva
- Injection of the eyeball and eyelid conjunctiva, single follicles.
- Large "juicy" papillae on the conjunctiva of the cartilage of the eyelids.
Giant papilla with severe spring conjunctivitis
When involved in the pathological process of the cornea, point epithelial opacities are localized in its upper third, showing a tendency to merge and form erosion. Subsequently, subepithelial scarring occurs. Erosions of the epithelium can merge, become covered with mucus, fibrin and cellular elements. So-called spring "plaques" are formed.
Lumbar form of spring conjunctivitis
- Edema and turbidity of the limb with whitish precipitation (Trantas patches along the entire circumference of the limb.
- Vascular injection and arched lipid deposition in the limb zone.
Lumbar spring conjunctivitis. Tratas spots are visible
What do need to examine?
How to examine?
Treatment of spring conjunctivitis
Acute illness with severe symptoms. Assign solutions of steroid preparations (for example, prednisolone, fluoromethanol) in the form of drops and ointments. The drugs are used no more than 1 month and during this period, carefully observe the state of the eye, conducting periodic tonometry. Assign chromoglycate disodium or lodoxamid in the form of drops (3-5 times a day) or ointment at night. The effect of the therapy is usually manifested in a few days.
Anti-edemas and antihistamines play a role. Sometimes, under the cover of appropriate drug treatment, the spring "plaques" are removed. Giant papillae with an appropriately selected therapy usually regress. For the purpose of relief of acute symptoms, cold compresses are prescribed.
In the chronic course of spring conjunctivitis, the use of steroid drugs is not shown.