Superior limbic keratoconjunctivitis: Difference between revisions

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Patients present with a [[red eye]], burning, tearing, foreign body sensation, mild [[photophobia]].   
Patients present with a [[red eye]], burning, tearing, foreign body sensation, mild [[photophobia]].   


==Physical examination]]
==Physical examination==
Inflammation and thickening of the conjunctiva is observed, espedially at the limbus.
Inflammation and thickening of the conjunctiva is observed, espedially at the limbus.



Revision as of 17:56, 25 January 2009

Superior limbic keratoconjunctivitis

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Superior limbic keratoconjunctivitis is an ocular surface disease characterized by episodes of recurrent inflammation of the superior cornea and limbus as well as of the superior tarsal and bulbar conjunctiva.

Pathophysiology

Even though the pathophysiology remains unclear, it is thought that mechanical trauma from tight upper lids or loose redundant conjunctiva could lead to the disruption of normal epithelium. This mechanical hypothesis is supported by the increased lid apposition of exophthalmic thyroid patients, who are known to have an increased incidence of superior limbic keratoconjunctivitis.

Signs and symptoms

Patients present with a red eye, burning, tearing, foreign body sensation, mild photophobia.

Physical examination

Inflammation and thickening of the conjunctiva is observed, espedially at the limbus.

Treatment

Lubrication is an effective treatment.

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