Spring Qatar

Spring catarrh (spring conjunctivitis) - a chronic inflammation of the conjunctiva of the eyelids and the eyeball, exacerbating in the spring-summer period. It is believed that in the origin of the disease the main role is played by allergic factors, endocrine disorders and ultraviolet radiation.

Symptoms, course. Photophobia, lacrimation, itching in the eyes. Distinguish between conjunctival, corneal and mixed forms of the disease. With conjunctival form, the connective membrane of the cartilage of the upper eyelid is milky in color and covered with large flattened pale pink papillary growths resembling "cobblestone pavement." On the conjunctiva of the transitional fold and lower eyelid, they are very rare. The corneal form of the disease is characterized by the appearance of grayish-pale vitreous thickenings of the limbus, where from time to time there are tender corneal opacities. The separable is insignificant or absent. The course is prolonged with periodic exacerbations, mainly in spring and summer. Disease, as a rule, occurs in adolescence and many years later ceases.

Treatment. Subjective relief brings instillations to the conjunctival sac of a weak solution of acetic acid (2-3 drops of diluted acetic acid per 10 ml of distilled water several times per day), 0.25% zinc sulfate solution with 10 drops of adrenaline solution 1: 1000, 0.25% Solution of dicaine 1-2 drops 3 times a day. Effective local application of weak solutions of corticosteroids in the form of eye drops: 0.5-1- 1.5-2.5% hydrocortisone solutions, 0.5% solution of prednisolone, 0.01-0.05-1% solution of dexamethasone 3-4 Once a day; Hydrocortisone ointment (without chloramphenicol!) At night. It is recommended to take inside 10% calcium chloride solution 1 tablespoon 3 times a day or calcium gluconate 0.5 g 3 times daily before meals, riboflavin 0,02 g 2-3 times a day, diphenhydramine 0,05 g 2 times a day, fenkarol to 0,025 g 2-3 times a day. For the purpose of general nonspecific desensitization of histoglobulin n / k 2 times a week (children 1 ml -6 injections per course, adults 2 ml-8 injections). In some cases, there is an improvement from X-ray therapy. Cauterization is contraindicated. It is advisable to wear sunglasses. Sometimes climate change is beneficial.