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May 1978, Vol 132, No. 5 >
Article | May 1978

Distichiasis Complicating Allergic Rhinoconjunctivitis FREE

Gilbert A. Friday, MD; David A. Hiles, MD
[+] Author Affiliations

Reprint requests to 3520 Fifth Ave, Pittsburgh, PA 15213 (Dr Friday).


Am J Dis Child. 1978;132(5):491-493. doi:10.1001/archpedi.1978.02120300051010.
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• Three patients had four lid distichiasis and signs and symptoms of allergic rhinoconjunctivitis. The findings consisted of ocular irritation with tearing, photophobia, periodic lid swelling, rhinorrhea, and boggy nasal mucosa. Treatment of the allergic rhinoconjunctivitis was unsuccessful until the distichiasis was relieved. Exacerbations of signs and symptoms recurred when lashes regrew. A neural reflex relationship exists to explain most of the symptom complex resulting from ocular irritation. In the evaluation of patients with rhinoconjunctivitis, trichiasis should be looked for, especially if there is noticeable photophobia present.

(Am J Dis Child 132:491-493, 1978)

REFERENCES

1 +
Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969;, pp 551-555.
2 +
Duke-Elder S: Normal and abnormal development: Congenital deformities: Part 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1963;, pp 873-876.
3 +
Pico G:  Congenital ectropion and distichiasis . Trans Am Ophthalmol Soc 55:663-700, 1957;.
4 +
Falls HF, Kertesz ED:  A new syndrome combining pterygium colli with developmental anomalies of the eyelids and lymphatics of the lower extremities . Trans Am Ophthalmol Soc 62:248-275, 1964;.
5 +
Scheie HG, Albert DM:  Distichiasis and trichiasis: Origin and management . Am J Ophthalmol 61:718-720, 1966;.
6 +
Fox SA:  Distichiasis . Am J Ophthalmol 53:14-18, 1962;.
7 +
Mustonen E:  Congenital distichiasis . Acta Ophthalmol 50:598-607, 1972;.
8 +
Deutsch AR:  Distichiasis and epicanthus . Am J Ophthalmol 3:168-173, 1971;.
9 +
Robinow M, Johnson GF, Verhagen AD:  Distichiasis: Lymphedema . Am J Dis Child 119:343-347, 1970;.
10 +
Chynn KY:  Congenital spinal extradural cyst in two siblings . Am J Roentgenol 101:204-215, 1967;.
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References

1 +
Walsh FB, Hoyt WF: Clinical Neuro-ophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969;, pp 551-555.
2 +
Duke-Elder S: Normal and abnormal development: Congenital deformities: Part 2, in System of Ophthalmology . St Louis, CV Mosby Co, 1963;, pp 873-876.
3 +
Pico G:  Congenital ectropion and distichiasis . Trans Am Ophthalmol Soc 55:663-700, 1957;.
4 +
Falls HF, Kertesz ED:  A new syndrome combining pterygium colli with developmental anomalies of the eyelids and lymphatics of the lower extremities . Trans Am Ophthalmol Soc 62:248-275, 1964;.
5 +
Scheie HG, Albert DM:  Distichiasis and trichiasis: Origin and management . Am J Ophthalmol 61:718-720, 1966;.
6 +
Fox SA:  Distichiasis . Am J Ophthalmol 53:14-18, 1962;.
7 +
Mustonen E:  Congenital distichiasis . Acta Ophthalmol 50:598-607, 1972;.
8 +
Deutsch AR:  Distichiasis and epicanthus . Am J Ophthalmol 3:168-173, 1971;.
9 +
Robinow M, Johnson GF, Verhagen AD:  Distichiasis: Lymphedema . Am J Dis Child 119:343-347, 1970;.
10 +
Chynn KY:  Congenital spinal extradural cyst in two siblings . Am J Roentgenol 101:204-215, 1967;.
Link to Article

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