University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland; Foundation for Ophthalmology, Institute for Research in Ophthalmology, Poznan, Poland.
Clin Dermatol. 2023 Jul-Aug;41(4):509-514. doi: 10.1016/j.clindermatol.2023.08.004. Epub 2023 Aug 11.
Chronic eyelid and ocular itch affect many patients seeking dermatologic or ophthalmologic care and have a high burden on patient quality of life. Clinicians should consider the broad range of possible diagnoses when approaching the patient with itch of the eyes or eyelids lasting more than 6 weeks. Allergic conjunctivitis and allergic contact dermatitis are the most common causes of chronic itch of the eyes and eyelids, respectively. Other diagnoses to consider include atopic dermatitis, xerosis, neurogenic itch, dry eye syndrome, seborrheic dermatitis, blepharitis, rosacea, lichen simplex chronicus, and papulosquamous disorders. If no organic cause can be elucidated, diagnoses of psychogenic pruritus or chronic pruritus of unknown origin may be considered. Herein, we discuss the possible etiologies of chronic eyelid and ocular itch inclusive of clinical presentation, diagnostic considerations, and current therapies.
慢性眼睑和眼部瘙痒影响许多寻求皮肤科或眼科治疗的患者，对患者的生活质量造成了很大的负担。当患者出现持续超过 6 周的眼部或眼睑瘙痒时，临床医生应考虑广泛的可能诊断。过敏性结膜炎和过敏性接触性皮炎分别是引起慢性眼部和眼睑瘙痒的最常见原因。其他需要考虑的诊断包括特应性皮炎、干燥症、神经源性瘙痒、干眼症综合征、脂溢性皮炎、睑缘炎、酒渣鼻、单纯性慢性苔藓和丘疹鳞屑性疾病。如果不能明确病因，则可能考虑诊断为精神性瘙痒或不明原因的慢性瘙痒。在此，我们讨论了慢性眼睑和眼部瘙痒的可能病因，包括临床表现、诊断注意事项和当前的治疗方法。
