Ligneous Conjunctivitis

Year 2015, , 140 - 146, 15.07.2015

Sibel İnan

https://doi.org/10.18229/ktd.37368

Abstract

Ligneous conjunctivitis is one of the very rarely
seen conjunctivitis and a clinical picture that is
difficult to manage for both patient and physician. Ligneous conjunctivitis, often bilateral, is
characterized by pseudomembran formation
with ligneous-like appearance. It is seen as fibrin-rich and firm material covering the all area
of the palpebral conjunctiva with overlying yellow mucoid discharge when lids are inverted.
Lesions have a tendency of recurrence even if
treated suitably. Association of ligneous conjunctivitis with systemic plasminogen deficiency has been shown. Lesions may also develop
in the other mucosal structures of the body.
Concurrent or accompanied systemic pathologies together with its presentation have been
reported. New treatment modalities have been
tried to apply for management of ligneous conjunctivitis in individual case reports in recent
years. It is important to early and correct diagnosis of this type of conjunctivitis as well as suitable management. Update information about
presentation, history, etiopatogenesis and management of ligneous conjunctivitis has been
given in this review article

Keywords

Ligneous, Conjunctivitis, Etiopathogenesis, Clinic Presentation, Management

Lignöz Konjonktivit

Abstract

Lignöz konjonktivit oldukça nadir görülen konjonktivitlerden olup hem hasta hem de hekim için üstesinden gelmesi zorluk oluşturan bir tablodur. Sıklıkla iki gözü de tutan lignöz konkonktivit odunumsu görünümümde yalancı membran oluşumu ile karakterizedir. Göz kapakları ters çevrildiğinde tüm konjonktivayı kaplamış olarak görülen lezyon, fibrinden zengin olup sarımsı mukoid bir akıntı ile örtülmüş olabilir. Lezyon tedavi edilse bile tekrarlama eğilimindedir. Lignöz konjonktivitin plazminojen defekti ile ilişkili olduğu gösterilmiştir. Lezyonlar konjonktiva dışında vücuttaki diğer mukozalarda da ortaya çıkabilir. Lignöz konjonktivite eşlik eden diğer sistemik patolojiler de bildirilmiştir. Son yıllarda tedavisinde yeni yöntemler uygulanmaya çalışılmaktadır. Az rastlanan bu konjonktivit türünün zamanında ve doğru teşhis edilip tedavisinin doğru yönetilmesi önem arz etmektedir. Makalede lignöz konjonktivitin klinik, tarihçe, patogenez ve güncel tedavileri ile ilgili bilgiler verilmiştir.

Keywords

Lignöz, Konjoktivit, Etiyopatogenez, Klinik, Tedavi

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