Abstract: . . .  steroids. Complications include severe dry eye, restriction of ocular movement due to symblephara, cicatricial entropion and corneal scarring. Ocular cicatricial pemphigoid (OCP) This is an idiopathic condition with cicatrising con- junctivitis, oral ulcers and ulcerative dermatitis. It may present acutely or as a chronic conjunctivitis that fails to settle, most commonly in the elderly. The compli- cations are the same as in Stevens-Johnson syndrome. Diagnosis is confirmed by the presence of a charac- teristic band of immunofluorescence along the epithe- lial basement membrane of a conjunctival biopsy. Treatment involves systemic immunosuppression, topical lubricants, steroids and surgical correction of eyelid malposition. Summary Conjunctivitis is a common condition that is usually self-limiting and does not require treatment other than reassurance. It is important to be able to recog- . . .
. . .  www.allergyuk.org. Moorfields Eye Hospital, 162 City Road, London EC1V 2PD. Tel: 020 7253 3411; fax: 020 7253 4696; website: www.moorfields.org.uk. Websites Cochrane Eyes and Vision Group, Cochrane Collaboration, in association with the Cochrane Library. www.cochraneeyes.org. Medinfo.co.uk has a factsheet on conjunctivitis : www.medinfo.co.uk/conditions/ conjunctivitis .html. Patient UK provides information leaflets on allergic and infective conjunctivitis . www.patient.co.uk. Resources  . . .
. . .  inflammation causes redness, discharge and swelling of the con- junctiva (see Table 1). The type of discharge, pattern of swelling and associated symptoms assist in distin- guishing possible causes. Conjunctivitis is common, rarely serious and usu- ally self-limiting. Features of more serious disease include: 48 Prescriber 5 November 2005 www.escriber.com Drug review Conjunctivitis Conjunctivitis : diagnosis and recommended management S k y lin e I m a g in g L t d Martin Leyland BSc, MD, FRCOphth Page 2 contact lens wear very intense inflammation pain reduced acuity progressive disease chronicity. Differential diagnosis Acute glaucoma, iritis and keratitis are the three most important causes of red eye to consider in the dif- . . .
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