Ocular psoriatic conjunctivitis usually occurs in association with eyelid margin involvement of a psoriasis episode. Psoriatic plaques can extend from the lid onto the conjunctiva. Another area of ocular involvement with psoriasis is Uveitis. This type of inflammation generally results as a complication of psoriatic arthritis. This type of ocular psoriatic conjunctivitis usually occurs in association with eyelid margin involvement during a psoriasis breakout. Psoriatic plaques can extend from the lid onto the conjunctiva area of the eye. Common Skin Conditions Psoriasis early detection and treatment is of the utmost importance. It usually occurs as a secondary infection related to eyelid or conjunctival complications such as dryness trichiasis or exposure. This type of ocular psoriatic conjunctivitis usually occurs in association with eyelid margin involvement during a psoriasis breakout.
Psoriasis is a complex, chronic, multifactorial, inflammatory disease that involves hyperproliferation of the keratinocytes in the epidermis, with an increase in the epidermal cell turnover rate (see the image below). Ocular findings occur in approximately 10 of patients. The most common ocular symptoms are redness and tearing due to conjunctivitis or blepharitis. The nonocular symptoms are related to rash and psoriatic arthritis. Ectropion is characterized by the eversion of the eyelid margin and the consequent exposure of the conjunctiva and cornea. Due to the psoriasis, she presented a very dry skin, also in the periocular region, resulting in cicatricial ectropion. Cicatricial ectropion occurs when any factor shortens the anterior lamella of the lid. The association of psoriatic arthritis with eyelid diseases has been poorly described in the literature. Blepharitis refers to inflammation of the eyelid margin. 1 Blepharitis can be acute or chronic and can occur at all ages but the most commonly encountered variant is chronic adult disease. 2 Seborrhoeic dermatitis and rosacea both affect meibomian gland function, and therefore there is often an association between these conditions and blepharitis. Patients should be advised to avoid contact lens wear, particularly during acute inflammatory episodes.
KU Eye has been a leader in eye care and vision health for more than 100 years. Blepharitis: This is a common and ongoing condition where the eyelids become inflamed (swollen) with oily particles and bacteria coating the eyelid margin near the base of the eyelashes. Non-granulomatous anterior uveitis is the second most common ocular finding after conjunctivitis, and is often acute and unilateral. This as an inflammatory joint condition associated with skin psoriasis.15 Commonly, dermatologic changes are noted decades before arthritis, and nail pitting is frequently seen. 19 Although sarcoidosis usually affects the lungs, ocular involvement does occur in up to 50 of patients. JIA is the most common systemic association of pediatric uveitis.5,6 It is defined as arthritis of unknown etiology that begins before the age of 16 years and persists for at least 6 weeks. Blau syndrome, which can also present with joint and eye involvement. Juvenile psoriatic arthritis is defined as arthritis occurring with psoriasis, dactylitis, or nail pitting or a family history of psoriasis.