By Nicholas Robert Galloway MD, FRCS, FRCOphth, Winfried Mawutor Kwaku Amoaku FRCS, FRCOphth, PhD (auth.)
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Alcohol abuse ranks one of the commonest and in addition the main serious environmental dangers to human wellbeing and fitness. Its importance is heightened via the opportunity of prevention by means of removal of the behavior, although, hardly ever exerted. The prevalence of deleterious results on human wellbeing and fitness has relentlessly risen some time past years for numerous elements.
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Haemangioma When seen as red "strawberry mark" at or shortly after birth, may regress completely during first few years of life. 13 shows a gross example of the rare cavernous haemangioma, which may be Molluscum Contagiosum This is a viral infection usually seen in children. The lesions on the eyelids are discrete, slightly raised and umbilicated and usually multiple. There are also likely to be lesions elsewhere on the body, especially the hands; and siblings may have the same problem. It is rare for the eye itself to be involved.
The recurrent itch and irritation (in the absence of infection) is relieved by applying local st eroid drops, but in view of the long-term nature of the condition, these should be avoided if possible because of their side-effects. tends to develop severely watering and itchy eyes m the early spring, which may interfere with schooling. Eversion of the upper lid reveals the raised papillae, which have been likened to cobblestones. 4). Occasionally the cornea is also involved initially by punctate keratitis but sometimes it may become vascularised.
The condition is termed "myokymia", True blepharospasm is rare. It may be unilateral or bilateral and may cause great inconvenience and worry to the patient. It tends slowly to become more marked over many years. A small proportion of patients eventually develops Parkinsonism. Cases of recent onset need to be investigated because they may be due to an intracranial space-taking lesion. In most cases though no underlying cause can be found . Patients with this type of blepharospasm (essential blepharospasm) can often be treated quite effectively by injecting small doses of botulinum toxin into the eyelids, but these need to be repeated every few months.
Common Eye Diseases and their Management by Nicholas Robert Galloway MD, FRCS, FRCOphth, Winfried Mawutor Kwaku Amoaku FRCS, FRCOphth, PhD (auth.)