ConjunctivitisThe conjunctiva is a thin tissue that lies over the white part (sclera) of the eye. The medical term which indicates inflammation that leaves the eye more red than white, called “pink eye” by many, actually is conjunctivitis. Other than cataracts and glaucoma, it is the most common of the acute and chronic eye diseases. About 750,000 cases of conjunctivitis are reported each year in the United States.The signs and symptoms of conjunctivitis are distinct. Congestion and redness of the eye membrane, tearing and discharge of fluid during the night, and burning or stinging sensations are present. The eye lids may stay stuck together upon awakening in the morning as a result of the discharge.Conjunctivitis comes from variable causes including infections, allergies, and physical agents such as too much sun, snow blindness, viewing electric welding arcs with the naked eye, and other physical irritants. Allergic conjunctivitis may develop from medications taken to offset hay fever. But most often it derives from bacterial or viral infection. In fact, the term “pink eye” is used in referring to a short-lasting but highly contagious conjunctivitis infection.A person with conjunctivitis may feel mild, intermittent discomfort or more severe pain and sensitivity to light, depending on the seriousness of the infection or other cause. Decreased tear secretion may be the mildest of causes with a drying out of the conjunctiva producing slight irritation. If the drying continues for any length of time, less resistance to infection is available to the eye.
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Patients with atopic eczema show some of the signs of essential fatty acid deficiency. But in fact their blood has been found to have above-average levels of linoleic acid and also of alpha-linolenic acid. So the problem is not that people with atopic eczema are eating too little of the foods containing the parent essential fatty acids. Rather, there seems to be some problem in using these fatty acids. They are not being metabolized properly.The blood of someone with atopic eczema is typically very low in the metabolites of linoleic acid and alpha-linolenic acid, which indicates that there is probably- an enzyme block stopping the conversion of these essential fatty acids.All the studies done so far agree that people with atopic eczema have below-normal levels of GLA, DGLA, AA, PGE1 and the metabolites of alpha-linolenic acid. The enzyme delta-6-desaturase is needed to get from linoleic acid to the next step and from alpha-linolenic acid to the next step.Evening primrose oil completely by-passes this enzyme block by starting at the next stage in the metabolic pathway of the linoleic acid family. (It has no effect on the alpha-linolenic family. Fish oils should also be taken to help correct the low level of metabolites of the alpha-linolenic acid family.)Various studies have been done to see what happens to the fatty acid profile of the blood after people with atopic eczema have been taking evening primrose oil. Overall, the results are that evening primrose oil can go some way to correcting this abnormal blood profile and make it more normal.No one knows exactly why the delta-6-desaturase enzyme may be defective. There are many possible reasons for this, including a minor abnormality in the protein structure of the enzyme or an abnormality of co-factors.

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