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Published on: July 5, 2017
[Allergic conjunctivitis in children]
Benjamín Zepeda Ortega1, Miguel Angel Rosas Vargas, Fernando Mitsutoshi Ito Tsuchiya
1Hospital Infantil de México Federico Gómez.
Insights
Allergic conjunctivitis, common in children, involves ocular surface inflammation due to type 1 hypersensitivity. This review details its symptoms, classification, pathophysiology, and treatments for allergic eye disease.
Area of Science:
- Ophthalmology
- Allergology
- Immunology
Context:
- Allergic conjunctivitis encompasses diverse ocular surface diseases, frequently occurring in childhood.
- It is intrinsically linked to type 1 hypersensitivity reactions and other allergic conditions.
- The condition presents with acute (seasonal, perennial) and chronic (vernal, atopic, giant papillary) forms.
Purpose:
- To offer a comprehensive overview of allergic conjunctivitis.
- To elucidate the symptoms, classification, and physiopathology of this prevalent allergic disease.
- To discuss recent advancements in the treatment of allergic conjunctivitis.
Summary:
- Ocular surface inflammation in allergic conjunctivitis triggers symptoms like itching, tearing, edema, redness, and photophobia.
- Chronic forms, particularly vernal keratoconjunctivitis, can lead to corneal lesions and visual impairment.
- The late-phase response involves eosinophilia and neutrophilia, with potential for ocular surface tissue remodeling.
Impact:
- Enhances understanding of allergic conjunctivitis for clinicians and researchers.
- Provides a foundation for improved diagnostic and therapeutic strategies.
- Contributes to better management of allergic eye disease, especially in pediatric populations.
Abstract:
Allergic conjunctivitis is a group of diseases that are frequent in childhood, associated to several allergic diseases affecting the ocular surface. It is related to type 1 hypersensitivity reactions. Two acute disorders: seasonal allergic conjunctivitis and perennial allergic conjunctivitis, exist, as do three chronic diseases: vernal keratoconjunctivitis, atopic keratoconjunctivitis and giant papillary conjunctivitis. The ocular surface inflammation causes itching, tearing, lid and conjunctival edema-redness, and photophobia during the acute phase and can lead to a classic late-phase response (associated to eosinophilia and neutrophilia) in a subset of individuals. As in the case of several chronic allergic diseases, it can remodel the ocular surface tissue. This allergic disease is very frequent. Vernal keratoconjunctivitis could produce corneal lesions and visual illness; however, atopic keratoconjunctivitis does not permanently affect the vision. The aim of this review is to provide a current overview for a better understanding of the symptoms associated to this disease, to describe its classification, recent advances in its physiopathology and its treatment.
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