Allergic conjunctivitis: Difference between revisions
No edit summary |
ClaireLewis (talk | contribs) No edit summary |
||
Line 6: | Line 6: | ||
*Itching | *Itching | ||
*Watery discharge | *Watery discharge | ||
*Injected and edematous conjunctiva | *Injected and [[red eye|edematous conjunctiva]] | ||
*Papillae on inferior conjunctival fornix | *Papillae on inferior conjunctival fornix | ||
*Red, swollen eyelids | *Red, swollen eyelids |
Revision as of 15:27, 5 October 2019
Background
- Conjunctivitis due to exposure to an allergen
- Chronic allergic conjunctivitis is also called vernal conjunctivitis
Clinical Features
- Itching
- Watery discharge
- Injected and edematous conjunctiva
- Papillae on inferior conjunctival fornix
- Red, swollen eyelids
Differential Diagnosis
Conjunctivitis Types
Evaluation
Clinical diagnosis of conjunctivitis
Bacterial | Viral | Allergic | |
---|---|---|---|
Bilateral | 50% | 25% | Mostly |
Discharge | Mucopurulent | Clear, Watery | Cobblestoning, none |
Redness | Yes | Yes | Yes |
Pruritis | Rarely | Rarely | Yes |
Additional | Treatment: Antibiotics | Treatment: Hygiene | Seasonal |
Management
- Mild: avoid triggers, cool compresses for 15 minutes QID
- Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
- Severe: refer to ophthalmology for possible steroid therapy
Disposition
- Discharge with ophthalmology follow-up