Allergic conjunctivitis: Difference between revisions
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==Background== | |||
==Clinical Features== | ==Clinical Features== | ||
*Itching | *Itching | ||
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*Papillae on inferior conjunctival fornix | *Papillae on inferior conjunctival fornix | ||
*Red, swollen eyelids | *Red, swollen eyelids | ||
==Differential Diagnosis== | |||
{{Conjunctivitis DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
{{Clinical diagnosis of conjunctivitis}} | {{Clinical diagnosis of conjunctivitis}} | ||
==Treatment== | ==Treatment== | ||
Revision as of 08:01, 19 August 2015
Background
Clinical Features
- Itching
- Watery discharge
- Injected and edematous conjunctiva
- Papillae on inferior conjunctival fornix
- Red, swollen eyelids
Differential Diagnosis
Conjunctivitis Types
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 |
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