Allergic conjunctivitis: Difference between revisions

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==Clinical Features==
=Clinical Features=
#Itching, watery discharge
#Itching
#Injected and edematous conjunctiva with papillae on inf conjunctival fornix
#Watery discharge
#Erythematous, swollen eyelids
#Injected and edematous conjunctiva
#Papillae on inferior conjunctival fornix
#Red, swollen eyelids


==Treatment==
==Treatment==
#Mild
#Mild: avoid triggers, cool compresses x 15 minutes QID
##Avoidance of triggers
#Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
##Cool compresses x15min QID
#Severe: referral to opthalmology for possible steroid therapy
#Moderate
###Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
#Severe
##Ophto referral to decide if pt requires topical steroids


==Disposition==
=Disposition=
*Outpatient ophtho
*Outpatient ophthalmology follow-up


==See Also==
==See Also==

Revision as of 01:55, 28 August 2013

Clinical Features

  1. Itching
  2. Watery discharge
  3. Injected and edematous conjunctiva
  4. Papillae on inferior conjunctival fornix
  5. Red, swollen eyelids

Treatment

  1. Mild: avoid triggers, cool compresses x 15 minutes QID
  2. Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
  3. Severe: referral to opthalmology for possible steroid therapy

Disposition

  • Outpatient ophthalmology follow-up

See Also

Source

  • Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26
  • Tintinalli