Allergic conjunctivitis: Difference between revisions

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==Diagnosis==
==Clinical Features==
#Itching, watery eyes, rhinnorrhea
#Itching, watery discharge
#Injected and edematous conjunctiva with papillae on inf conjunctival fornix
#Erythematous, swollen eyelids


==Treatment==
==Treatment==
#Avoidance of triggers
#Mild
#NSAIDs
##Avoidance of triggers
#oral antihistamines (e.g loratidine)
##Cool compresses x15min QID
#Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
#Moderate
#Outpt ophtho
###Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
#Severe
##Ophto referral to decide if pt requires topical steroids
 
==Disposition==
*Outpatient ophtho


==See Also==
==See Also==
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==Source==
==Source==
*Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.
*Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26
*Tintinalli


[[Category:Ophtho]]
[[Category:Ophtho]]

Revision as of 19:09, 25 October 2011

Clinical Features

  1. Itching, watery discharge
  2. Injected and edematous conjunctiva with papillae on inf conjunctival fornix
  3. Erythematous, swollen eyelids

Treatment

  1. Mild
    1. Avoidance of triggers
    2. Cool compresses x15min QID
  2. Moderate
      1. Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
  3. Severe
    1. Ophto referral to decide if pt requires topical steroids

Disposition

  • Outpatient ophtho

See Also

Source

  • Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26
  • Tintinalli