Difference between revisions of "Allergic conjunctivitis"

(Background)
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==Background==
 
==Background==
 +
*Conjunctivitis due to exposure to an allergen
 
*Chronic allergic conjunctivitis is also called vernal conjunctivitis
 
*Chronic allergic conjunctivitis is also called vernal conjunctivitis
  
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==Management==
 
==Management==
*Mild: avoid triggers, cool compresses x 15 minutes QID
+
*'''Mild''': avoid triggers, cool compresses for 15 minutes QID
*Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
+
*'''Moderate''': Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
*Severe: referral to ophthalmology for possible [[Steroids|steroid]] therapy
+
*'''Severe''': refer to ophthalmology for possible [[Steroids|steroid]] therapy
  
 
==Disposition==
 
==Disposition==
*Outpatient ophthalmology follow-up
+
*Discharge with ophthalmology follow-up
  
 
==See Also==
 
==See Also==
 
*[[Conjunctivitis]]
 
*[[Conjunctivitis]]
*[[Eye Algorithm (Main)]]
+
*[[Eye Algorithms (Main)]]
  
 
==References==
 
==References==
*Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26
+
<references/>
  
 
[[Category:Ophthalmology]]
 
[[Category:Ophthalmology]]

Revision as of 00:52, 16 May 2017

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

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

See Also

References