Kubicka-Trzaska Agnieszka, Romanowska-Dixon Bozena
Katedra Okulistyki, Klinika Okulistyki i Onkologii Okulistycznej, Uniwersytet Jagielloński Collegium Medicum, Kraków.
Przegl Lek. 2009;66(11):967-71.
Recently, allergic conjunctivitis and dry eye syndrome have been thought to be the epidemics of XXI century. Allergic conjunctivitis is the commonest form of allergy worldwide. Clinical symptoms of dry eye are the most common cause of patients complains in out-patient ophthalmological clinics. Both, allergic conjunctivitis and dry eye syndrome, may be associated with some systemic diseases. Thus, it is crucial to perform complete allergic tests in patients suspected of allergic conjunctivitis. The assessment of IgE in tears is a very sensitive test in these cases because physiologically this immunoglobulin is not detectable in tear film. In cases of dry eye syndrome the measurement of tear osmolarity has been is thought to be the most specific and sensitive test, recently.
最近,过敏性结膜炎和干眼症被认为是21世纪的流行病。过敏性结膜炎是全球最常见的过敏形式。干眼症的临床症状是眼科门诊患者抱怨的最常见原因。过敏性结膜炎和干眼症都可能与一些全身性疾病有关。因此,对疑似过敏性结膜炎的患者进行全面的过敏测试至关重要。在这些病例中,检测泪液中的IgE是一项非常敏感的测试,因为在生理状态下,泪膜中无法检测到这种免疫球蛋白。最近,在干眼症病例中,泪液渗透压的测量被认为是最具特异性和敏感性的测试。