RHUS DERMATITIS WITH OCULAR INVOLVEMENT

Jeffrey Johnson

Abstract

CW, a 42 year-old white female contact lens wearer, presented with a chief complaint of a red, irritated left eye of two day's duration. She complained of minor itching with occasional serous discharge and mild matting of the eyelashes upon awakening earlier that morning. No pain, photophobia or right eye involvement was noted by the patient. A systemic history revealed that CW was taking 10 mg prednisone qd and was also using topical triamcinolone 0.1% cream due to a poison oak (rhus toxicodendron)reaction she was currently experiencing on her left forearm and left cheek. Best corrected visual acuities were 20/20 OD, OS at distance. Biomicroscopic evaluation revealed 5 fluid filled vescicles located on the bulbar conjunctiva of the left eye with punctate hemorrhages surrounding these vescicles. The cornea was clear and the anterior chamber was deep and quiet. A diagnosis of Rhus dermatitis with ocular involvement was made and supportive treatment including cool compresses, artificial tears and Vasocon-A were pre- scribed due to the mild nature of the symptoms. The patient returned in one week and reported no improvement in the appearance of the left eye although the itching and discharge were improved. Fluorometholone 0.1% was prescribed qid with a tapering schedule indicated after seven days. At the three week follow up, three of the cysts and nearly all of the punctate hemorrhages were resolved and the patient was returned to contact lens wear. This poster will discuss the presentation, diagnosis and management of Rhus dermatitis with accompanying conjunctivitis and will include anterior segment photographs showing the conjuctival presentation, both initially and post-treatment.

Details

Year: 1997

Program Number: Poster 50

Resource Type: Scientific Program

Author Affiliation: UMSL

Co-Authors: Jennifer Geertz

Co-Author Affiliation: n/a

Room: Exhibit Hall