Systemic lupus erythematosus
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Valvular heart disease
The given image shows superior limbic keratoconjunctivitis (SLK), which is associated with thyroid function.
- Superior limbic keratoconjunctivitis (SLK) is a chronic and recurrent eye disease which affects the superior bulbar conjunctiva (the clear layer that covers the eyeball, over the sclera) and tarsal conjunctiva (the clear layer that lines the eyelids), as well as the superior limbic aspect of the cornea (the area above the cornea).
- It is commonly found in women 20-70 years of age.
- The signs and symptoms include burning, redness and irritation and tend to develop slowly over a period of 1 to 10 years.
- Vision usually remains intact. While the underlying cause of SLK remains unknown, it is believed that the condition is secondary to superior bulbar conjunctiva laxity.
- About 50% of patients with SLK have abnormal thyroid function (usually hyperthyroidism).
- Preservative-free lubricants
- Topical acetylcysteine 5% or 10%, four times daily to break down filaments
- Topical rebamipide