Author/Editor		Kraut, A
Title		Oko in alergija pri otroku
Translated title		Eye and allergy in children
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 7, št. 1
Publication year		2000
Volume		str. 18-21
Language		slo
Abstract		The term ocular allergy encompasses a group of diseases in which there is a high frequency of atopy, ocular itching, stringy discharge and a papillary conjunctival reaction. Ocular allergic diseases are frequently seen in paediatric practice. Clinically important ocular allergic diseases are: seasonal and perennial allergic conjunctivitis, and giant papillary conjunctivitis which are mild and do not threaten vision, and vernal and atopic keratoconjunctivitis, which may affect the cornea and are therefore potentially cause blindness. Mast cell and eosinophil mechanisms are important in all ocular allergies, but T cell inflammation is prominent only in vernal keratoconjunctivitis, atopic keratoconjunctivitis and giant papillary conjunctivitis: Therapy involves antigen avoidance (where possible), non-specific therapy (e:g. cold compresses, artificial tears), specific medical therapy (e:g. antihistamines; mast cell inhibitors, corticosteroids) and; in certain situations, immunotherapy (e.g. cyclosporin A) and surgery.
Summary		Pojem očesna alergija zaobjema skupino bolezni, pri katerih gre pogosto za atopijo, za srbeče oči, zdrizast izloček in papilarno reakcijo v veznici. Očesne alergijske bolezni so pogoste tudi v pediatrični praksi. Klinično pomembne očesne alergijske bolezni so: sezonski in kronični konjunktivitis ter papilarni konjunktivitis, ki so milejša oblika alergije in ne ogrožajo vida, ter vernalni in atopijski keratokonjunktivitis, ki prizadenejo roženico in zato ogrožajo vid. Pri vseh očesnih alergijah so pomembni mehanizmi mastocitov in eozinofilcev, T-celično vnetje je izraženo le pri vernalnem keratokonjunktivitisu, atopičnem keratokonjunktivitisu in papilarnem konjunktivitisu. Zdravljenje vključuje: izogniti se antigenu (če je možno), nespecifično zdravljenje (npr. hladne obkladke, umetne solze), specifično zdravljenje z zdravili (npr. antihistaminike, zaviralce mastocitov, kortikosteroide) in v posebnih primerih imunsko zdravljenje (npr. ciklosporin A) in kirurško zdravljenje.
Descriptors		EYE DISEASES HYPERSENSITIVITY CONJUNCTIVITIS, ALLERGIC CHILD CONTACT LENSES BLEPHARITIS