EXPOSURE KERATITIS

 Exposure keratitis is a condition where the cornea, the clear front surface of the eye, becomes irritated and inflamed due to prolonged lack of protection from the eyelid. This can lead to vision loss if left untreated.

Causes: -Failure of the eyelid to close properly, due to conditions such as facial nerve paralysis, Bell's palsy, or ocular trauma. -Prolonged use of contact lenses -Prolonged use of certain medications, such as antihistamines or decongestants, which can dry out the eyes and inhibit normal blinking -Conditions that affect the production or quality of tears, such as dry eye syndrome or Sjogren's syndrome.

Symptoms: -Redness and pain in the affected eye -Sensitivity to light -Blurred vision -Feeling of foreign body sensation -Excessive tearing -Eyelid spasms, or frequent blinking

Diagnosis: -An eye examination, including a thorough eye history, visual acuity test and a examination of the front of the eye with a slit lamp. -Additional tests like Schirmer test, rose bengal test, tear break-up time, fluorescein staining of cornea.

Treatment: -Moistening drops or ointment to lubricate the eye and protect the cornea -Taping the eyelid closed at night to prevent exposure -The use of a shield or goggles to protect the eye during the day -Eyelid surgery to correct any underlying eyelid malposition -Artificial tears and lubricants to help keep the eyes moist.

Prognosis: -Prognosis depends on the underlying cause, severity of the keratitis and the time of treatment initiation. -The earlier the condition is diagnosed and treated, the better the chances are of preventing vision loss. -Regular follow-up with an ophthalmologist is important to monitor the progress of the condition and to ensure that any necessary adjustments to treatment are made.

In summary, Exposure keratitis is a condition that occurs due to prolonged corneal exposure caused by eyelid malposition, dry eyes or medication. It is characterized by symptoms such as redness, pain, light sensitivity, and blurred vision. Early diagnosis and treatment can prevent vision loss and it is crucial for patients to receive regular follow-up care. Treatment typically includes lubrication and protection of the cornea, which can be accomplished with lubricating drops, ointments, taping the eyelids closed at night, and the use of shields or goggles. In cases where there is an underlying eyelid malposition, eyelid surgery may be necessary to correct the problem.

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