Ophthalmologic Manifestations of Atopic Dermatitis Follow-up

Updated: Sep 07, 2016
  • Author: R Scott Lowery, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Prophylaxis against scratching should be taken.

Scratching the lesions can worsen them and lead to the lichenification process characteristic of long-standing disease.

Corneal abrasions and further eye irritation also may occur. Antihistamines, mast-cell stabilizers, and corticosteroids will aid in reducing the itching but may require some time to take effect.

Nails should be kept clean and trimmed.

In pediatric patients, mittens may be used at night or even daily, when possible, if itching and scratching are severe.

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Deterrence/Prevention

Stress control, avoidance of allergens (most commonly dust mites, peanuts, egg, milk, fish, rice, soy, and wheat), and irritants (particularly chemicals, soaps, heat, humidity, wool, and acrylic) may help control the disease.

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Complications

The use of corticosteroids is fraught with potential ocular and systemic complications. In particular, cataract formation, glaucoma development, and potential corneal thinning must all be considered when deciding to use steroids for this disease. Long-term use should be avoided if at all possible.

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Prognosis

The prognosis is good if the inflammation can be kept under control with therapy. Patients need to understand that atopic disease cannot be cured, but rather controlled. However, some patients have such severe disease that treatment will not prevent vision loss and other potential complications.

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Patient Education

For excellent patient education resources, visit eMedicineHealth's Skin Conditions and Beauty Center. Also, see eMedicineHealth's patient education article Eczema.

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