Ophthalmology Book

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Allergic Conjunctivitis

Aka: Allergic Conjunctivitis, Hay fever Conjunctivitis, Irritant Conjunctivitis
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  1. See Also
    1. Medication induced Conjunctivitis
    2. Vernal Conjunctivitis
  2. Causes
    1. Related to seasons or environmental change
      1. Recent exposure to pollen, grass
    2. Irritants
      1. Smog
      2. Chlorine
      3. Dust
      4. Cigarette smoke
    3. Iatrogenic: Topical Antibiotics
      1. Gentamicin and other Aminoglycoside eye preparations
      2. Sulfonamide eye preparations
      3. Neomycin eye preparations
  3. Symptoms
    1. Typically bilateral involvement
    2. Eye itching
      1. Pathognomonic for Allergic Conjunctivitis
    3. Eye tearing with stringy discharge
    4. Eye Fullness sensation
  4. Signs
    1. Marked Conjunctival Hyperemia
    2. Marked Chemosis
    3. Red hypertrophic papillae on lid Conjunctival lining
      1. Best seen with Fluorescein
      2. Appears as cobblestoning
    4. Conjunctival edema
      1. Eye may appear to sink into Conjunctiva
  5. Management
    1. Discontinue offending agents or medications
    2. Cold compress to eyes
    3. Ocular Mast Cell Stabilizers (preferred)
      1. Cromolyn sodium (Crolom) 1 drop 4-6x/day
      2. Olopatadine 0.1% (Patanol) 1-2 drops each eye twice daily
      3. Lodoxamide 0.1% (Alomide) 1-2 drops each eye four times daily
      4. Ketotifen 0.025% (Alaway OTC, Zaditor) 1-2 drops each eye twice daily
        1. Less expensive and over-the-counter
    4. Ocular Antihistamines
      1. Naphazoline (Vasocon, Naphcon) 1 drop bid-qid prn
      2. Epinastine (Elestat) 0.05% 1 drop each eye twice daily
      3. Bepotastine (Bepreve) 1.5% 1 drop each eye twice daily
    5. Ocular NSAIDs
      1. Ketorolac 0.5% (Acular) 1 drop qid x7d
      2. Diclofenac 0.1% (Voltaren) 1 drop qid
    6. Oral Antihistamine
      1. Mild to moderate: Non-Sedating Antihistamine
      2. Severe: Diphenhydramine (Benadryl)
    7. Consider Intranasal Steroid
    8. Consider short course of oral Corticosteroids (3-5 days)
      1. Indicated for severe, refractory cases
  6. Resources: Patient Education
    1. Information from your Family Doctor
      1. http://www.familydoctor.org/handouts/678.html

Allergic Conjunctivitis (C0009766)

Definition (MSH) Conjunctivitis due to hypersensitivity to various allergens.
Concepts Disease or Syndrome (T047)
MSH D003233
SnomedCT 155168003, 231854006, 193868008, 20212001
English Allergic Conjunctivitides, Atopic Conjunctivitides, Conjunctivitides, Allergic, Conjunctivitides, Atopic, Conjunctivitis, Allergic, Conjunctivitis, Atopic, CONJUNCTIVITIS, ALLERGIC, ALLERGIC CONJUNCTIVITIS, Conjunctivitis allergic, CONJUNCTIVITIS ALLERGIC, Conjunctivitis, Allergic [Disease/Finding], Conjunctivitis;allergic, allergic conjunctivities, atopic conjunctivitis, Atopic conjunctivitis, Allergic conjunctivitis, Atopic conjunctivitis (disorder), atopic; conjunctivitis, conjunctivitis; allergic, conjunctivitis; atopic, allergic; conjunctivitis, Allergic Conjunctivitis, Atopic Conjunctivitis, allergic conjunctivitis
French CONJONCTIVITE ALLERGIQUE, Conjonctivite allergique
German allergische Konjunktivitis, ALLERGISCHE KONJUNKTIVITIS, Konjunktivitis allergisch, Allergische Konjunktivitis, Konjunktivitis, allergische, Konjunktivitis, atopische, Allergische Bindehautentzündung, Bindehautentzündung, allergische
Swedish Bindhinneinflammation, allergisk, ALLERGISK KONJUNKTIVIT
Japanese ｱﾚﾙｷﾞｰｾｲｹﾂﾏｸｴﾝ, 巨大乳頭状結膜炎, 結膜炎-アトピー性, 春季結膜炎, アトピー性結膜炎, 結膜炎-巨大乳頭状, 角結膜炎-春季, アレルギー性結膜炎, 結膜炎-春季, 春期結膜炎, アレルギー結膜炎, 春季角結膜炎, 結膜炎-アレルギー性, アトピー結膜炎
Czech konjunktivitida alergická, Alergická konjunktivitida
Spanish Allergic conjunctivitis, Atopic conjunctivitis, Conjuntivitis alergica, conjuntivitis alérgica, conjuntivitis atópica (trastorno), conjuntivitis atópica, Conjuntivitis alérgica, Conjuntivitis Alérgica, Conjuntivitis Atópica, Conjuntivitis Alergica, Conjuntivitis Atopica
Finnish Allerginen sidekalvotulehdus, ALLERGINEN SIDEKALVONTULEHDUS /KONJUNKTIVIITTI
Russian KON"IUNKTIVIT VESENNII SO SVETOBOIAZN'IU I ZUDOM, KON"IUNKTIVIT ALLERGICHESKII, ALLERGICHESKII KON"IUNKTIVIT, KERATOKON"IUNKTIVIT VESENNII, KON"IUNKTIVIT ATOPICHESKII, KON"IUNKTIVIT VESENNII, АЛЛЕРГИЧЕСКИЙ КОНЪЮНКТИВИТ, КЕРАТОКОНЪЮНКТИВИТ ВЕСЕННИЙ, КОНЪЮНКТИВИТ АЛЛЕРГИЧЕСКИЙ, КОНЪЮНКТИВИТ АТОПИЧЕСКИЙ, КОНЪЮНКТИВИТ ВЕСЕННИЙ, КОНЪЮНКТИВИТ ВЕСЕННИЙ СО СВЕТОБОЯЗНЬЮ И ЗУДОМ
Norwegian ALLERGISK KONJUNKTIVITT
Danish Allergisk konjunktivit
Portuguese CONJUTIVITE ALERGICA, Conjuntivite alergica, Conjuntivite alérgica, Conjuntivite Alérgica, Conjuntivite Atópica
Hungarian allergias conjunctivitis, Allergiás conjunctivitis
Italian Congiuntivite atopica, Congiuntivite allergica
Croatian KONJUNKTIVITIS, ALERGIJSKI
Basque KONJUNTIBITIS ALERGIKOA
Hebrew daleket laxmiot alergit
Polish Zapalenie spojówek alergiczne
Dutch allergisch; conjunctivitis, atopisch; conjunctivitis, conjunctivitis; allergisch, conjunctivitis; atopisch, conjunctivitis allergisch, Allergische conjunctivitis, Conjunctivitis, allergische, Conjunctivitis, atopische, Voorjaarsconjunctivitis, allergische conjunctivitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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