SPRING KATAR

SPRING KATAR (syn: spring conjunctivitis) is a chronic disease of the conjunctiva of the eyes. Its name received in connection with a certain periodicity of the process - exacerbation of it in spring and summer, fading in autumn and winter. It is observed in childhood, more often in boys; During puberty usually passes. In the northern regions, the disease is less common than in the southern regions.

Subjectivity is noted photophobia , lacrimation and severe itching in the eyes. Characteristic of the formation of large solid, flattened milky-pink color sprouting on the conjunctiva of the upper eyelid, which gives it a look reminiscent of cobblestone pavement. In this case, the conjunctiva becomes unclear and, as it were, covered with a thin whitish film. Similar proliferation can also appear on the cornea. The process is usually two-sided. When there are signs of spring catarrh, the patient should be referred to an ophthalmologist.

Treatment is symptomatic. To eliminate the itching prescribe instillation in the eyes of solutions of dicaine, adrenaline, weak astringent solutions. Pathogenetic therapy includes the use of stabilizers of membranes of mast cells, blocking the release of mediators of allergy and other biologically active substances. For this purpose, use the salt of cromoglycic acid (kromogeksol, optikrom, hi-krom) 1 drop of 2% solution in each eye 4 times a day. In severe forms of the disease, it is advisable to use eye films with dexamethasone (under the eyelid once for 10 days). In addition, every 4-6 hours, 1-2 drops of 0.1% dexamethasone solution or 1 to 3 drops of 0.3% solution of prednisolone are instilled in the eyes every 1-2 hours. Also carried out therapy with antihistamines. Diet therapy is shown. It is recommended to wear light-protective sunglasses.