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White dot syndromes are inflammatory diseases characterized by the presence of white dots on the fundus, the interior surface of the eye. [1] The majority of individuals affected with white dot syndromes are younger than fifty years of age. Some symptoms include blurred vision and visual field loss. [2]
Sweat glands and oil glands are contained in the caruncle of the eye (lacrimal caruncle in medial canthus). As with all oil glands, lacrimal caruncles can become clogged, causing a pimple, whitehead, or pustule beneath the skin. Clogged oil and sweat glands in the caruncle can affect tear ducts.
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Eye exam during the acute phase of the disease reveals multiple discrete white to orange spots at the level of the RPE or deep retina, typically in a perifoveal location (around the fovea). Optic disc oedema may also seen occasionally.
Conjunctival concretions are generally asymptomatic.Common symptoms include eye discomfort, eye irritation, and foreign body sensation. Sometimes, the larger, harder or multiple concretions make the rubbing off of the superficial layers of the conjunctiva or eyelids to cause conjunctival abrasion, especially prominent when blinking.
Episcleritis of a 40 year old female. Symptoms of episcleritis typically include painless redness of the eye (mild pain is possible but atypical), and watery eyes. [2] The pain of episcleritis is typically mild, less severe than in scleritis, [3] and may be tender to palpation.
Scleritis is a serious inflammatory disease that affects the white outer coating of the eye, known as the sclera.The disease is often contracted through association with other diseases of the body, such as granulomatosis with polyangiitis or rheumatoid arthritis.
Eyelid dermatitis is commonly related to atopic dermatitis or allergic contact dermatitis. [1] Volatile substances, tosylamide/formaldehyde resin, epoxy hardeners, insect repellent sprays, and lemon peel oil may be implicated, with many cases of eyelid contact dermatitis being caused by substances transferred by the hands to the eyelids.