Tear film disappears

Introduction The disappearance of tear film is one of the clinical manifestations of sjogren syndrome. Autoimmune conjunctivitis can cause ocular surface epithelial damage, decreased tear film stability, leading to ocular surface tear disease, which seriously affects vision. There are mainly diseases such as sjogren syndrome (SS), conjunctival pemphigus, Stevens-Johnson syndrome. It is a disease involving multiple systems of the whole body. The syndrome includes dry eye, dry mouth, and connective tissue damage (arthritis). Two of the three symptoms can be diagnosed, and menopausal women have multiple occurrences.

Cause

It is a disease involving multiple systems of the whole body. The syndrome includes dry eye, dry mouth, and connective tissue damage (arthritis). Two of the three symptoms can be diagnosed. More menopausal women. The lacrimal gland is infiltrated by lymphocytes and plasma cells, causing lacrimal gland hyperplasia and structural damage. Note whether it is caused by sputum swelling, sputum granuloma is a cyst tissue formed after the meibomian gland duct blockage, local ocular subcutaneous can touch the lumps, can be further examined in the hospital ophthalmology, corresponding to take treatment.

an examination

Related inspection

Ophthalmoscopy

Clinical manifestation

SS causes dry eye symptoms. Conjunctival congestion and irritation in the cleft palate, mild conjunctival inflammation and sticky filamentous secretions, corneal epithelial punctate defects, more common in the lower cornea, filamentous keratitis is not uncommon, pain has the characteristics of light and heavy. The tear film disappeared, the tear secretion test was abnormal, and the conjunctival and corneal tiger red staining and positive staining of lissamine green contributed to clinical diagnosis.

diagnosis

Salivary gland biopsy has lymphocyte and plasma cell infiltration, which can be diagnosed in combination with clinical symptoms.

Differential diagnosis

Differential diagnosis of tear film disappearance:

Lacrimal gland is not developed: no tears due to innate lacrimal gland undeveloped, or due to acquired autoimmune system disorders, disrupting the secretion of lacrimal glands, leading to tears and tears. No tears, an eye disease that cannot be cured, patients can only rely on medicated ointment to improve symptoms, or use special moisturizing glasses to avoid evaporation of water.

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