Superficial punctate keratitis
| Classification according to ICD-10 | |
|---|---|
| H16.1 | Other superficial keratitis without conjunctivitis |
| ICD-10 online (WHO version 2019) | |
Keratitis superficialis punctata ( Greek: keras horn, keratoeides chitōn cornea; Latin: super and facies surface, punctatus punctiform), also called corneal stippling , is a non-specific diagnosis from ophthalmology and describes punctiform defects in the upper corneal layer , the cornea - epithelium . It can lead to pain, burning and itching, redness of the eyes and increased tearing . A superficial punctate keratitis usually occurs in combination with other inflammatory and can, among other things caused by:
- UV light (sun exposure), welding work without a protective screen
- bacterial, allergic or virus-related conjunctivitis
- mechanical stimuli, for example contact lenses , eyelashes or other foreign bodies
- Dehydration, for example with incomplete eyelid closure ( lagophthalmos ), in dry eye syndrome ( keratoconjunctivitis sicca )
- other infections of the anterior eye segments
The coloring and thus the presentation of the cloudy gray corneal lesions succeeds better with the administration of rose bengal than with fluorescein . The therapy depends on the causal inflammation. For example, cortisone preparations or antibiotics, possibly the use of soft contact lenses, are possible. The course also differs depending on the nature of the underlying causes.
Thygesonic Keratitis
Thygeson's keratitis is an independent clinical picture, the symptoms of which are usually only superficial punctate keratitis without involvement of other areas of the eye .
literature
- Albert J. Augustin: Ophthalmology. 3rd, completely revised and expanded edition. Springer, Berlin et al. 2007, ISBN 978-3-540-30454-8 , p. 253.
- Theodor Axenfeld (founder), Hans Pau (ed.): Textbook and atlas of ophthalmology. 12th, completely revised edition. With the collaboration of Rudolf Sachsenweger and others Gustav Fischer, Stuttgart and others 1980, ISBN 3-437-00255-4 , p. 229.
