[Ocular involvement in atopic dermatitis : Clinical aspects and therapy]

Area of Science:

• Ophthalmology
• Dermatology
• Allergology

Background:

• Atopic dermatitis commonly presents with ocular symptoms.
• Periocular skin involvement can lead to chronic atopic blepharokeratoconjunctivitis.

Purpose of the Study:

• To highlight characteristic ophthalmological alterations in atopic dermatitis patients.
• To emphasize the importance of early diagnosis and stage-adapted treatment for ocular complications.

Main Methods:

• Review of common ophthalmological manifestations in atopic dermatitis.
• Discussion of treatment strategies including lid hygiene, anti-inflammatory therapy, and surgical interventions.

Main Results:

• Characteristic alterations include blepharitis, allergic conjunctivitis, dry eye, conjunctival scarring, corneal changes (filiform keratitis, plaques, epithelial defects, ulcers), and keratoconus.
• Prompt and appropriate treatment can prevent long-term ocular surface damage.

Conclusions:

• Ocular complications in atopic dermatitis require timely diagnosis and management.
• Integrated treatment approaches are essential to preserve visual function and prevent severe visual impairment.