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Types
- acute
- seasonal (e.g., hay fever)
- perennial (= year-round)
Symptoms
- Itching, tearing, chemosis, redness, watery discharge
Treatment
- General measures:
- Avoidance of the allergen
- Cold compresses
- Wash clothes more often, wash hair before sleeping
- Topical medication:
- Mast cell stabilizers, e.g., Cromoglicic acid: Allergo Comod 2% gtt 4x/day
- H1 receptor antagonists, e.g., Emadine SE gtt 4x/day
- Combination preparations, e.g., Zaditen gtt SDU 2x/day or Opatanol gtt 2x/day
- Consider systemic antihistamines
- Consider desensitisation
Differential Diagnoses
Sources
- EyeWiki Allergic conjunctivitis
- The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
- Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)