Bindehautveränderungen

Bindehautveränderungen refer to any alteration in the conjunctiva, the transparent membrane that lines the inner surface of the eyelids and covers the white part of the eyeball. These changes can manifest in various ways and are often indicative of underlying conditions.

Common bindehautveränderungen include inflammation, known as conjunctivitis, which can be caused by viral, bacterial, or allergic factors. Symptoms of conjunctivitis typically involve redness, itching, a gritty sensation, and discharge from the eye. Another form of change is dryness, or xerophthalmia, which can result from insufficient tear production or impaired tear film stability, leading to discomfort and potential vision impairment.

More significant alterations can include the formation of pterygia, a wing-shaped fleshy growth that extends from the conjunctiva onto the cornea, often associated with prolonged exposure to sunlight and wind. Pingueculae are yellowish, slightly raised deposits that appear on the conjunctiva, usually in the interpalpebral fissure, and are also linked to environmental irritants.

Neoplastic changes, such as conjunctival tumors, can also occur, though they are less common. These can range from benign growths like papillomas to malignant melanomas. Diagnostic evaluation typically involves a thorough eye examination, potentially including slit-lamp microscopy and sometimes biopsy, to determine the specific nature of the bindehautveränderung and guide appropriate treatment. Treatment strategies vary widely depending on the cause and severity, from simple lubrication and avoidance of irritants to topical medications, surgical intervention, or systemic therapy.