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First Author: L.Ortíz-León SPAIN
Co Author(s): E. Tomás-Verduras
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Atopic dermatitis is a chronic skin disease that produces skin swelling in patients with history of atopy. It is characterized by a malfunction of the immune system so the levels of cytokines become abnormal.
Universidad Europea de Madrid Centro Adscrito de Valencia
Contact lens fitting (CL) in patients with atopic dermatitis: At ocular level we can find: Blepharitis, posterior subcapsular cataract, symblepharon, superficial keratitis and Dennie-Morgan fold. When fitting a CL in these patients, it is important to use flourescein previously in order to see: dotting that stains, pannus and thickened corneal nerves.
In case these signs appear, the patient must be sent to the specialist so to treat the outbreak of atopic dermatitis, and we recommend the fitting of the RGP CL once the mentioned signs have disappeared.
Even though allergens are still present in the tear (where the eosinophils can be found and which are responsible of the swelling these patients have), the option to fit these lenses is because the RGP lenses are smaller, therefore the contact surface is minor and they require less amount of tear so they have less trend to the formation of deposits.