Allergic Conjunctivitis

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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)