Allergic conjunctivitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Itching | |||
*Watery discharge | |||
*Injected and edematous conjunctiva | |||
*Papillae on inferior conjunctival fornix | |||
*Red, swollen eyelids | |||
==Diagnosis== | ==Diagnosis== | ||
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==Treatment== | ==Treatment== | ||
*Mild: avoid triggers, cool compresses x 15 minutes QID | |||
*Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen) | |||
*Severe: referral to opthalmology for possible steroid therapy | |||
==Disposition== | ==Disposition== | ||
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*[[Eye Algorithm (Main)]] | *[[Eye Algorithm (Main)]] | ||
== | ==References== | ||
*Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26 | *Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26 | ||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
Revision as of 06:01, 13 August 2015
Clinical Features
- Itching
- Watery discharge
- Injected and edematous conjunctiva
- Papillae on inferior conjunctival fornix
- Red, swollen eyelids
Diagnosis
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 |
Differential Diagnosis
Conjunctivitis Types
Treatment
- Mild: avoid triggers, cool compresses x 15 minutes QID
- Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
- Severe: referral to opthalmology for possible steroid therapy
Disposition
- Outpatient ophthalmology follow-up
See Also
References
- Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26