Allergic conjunctivitis: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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*Mild: avoid triggers, cool compresses x 15 minutes QID | *Mild: avoid triggers, cool compresses x 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 | *Severe: referral to ophthalmology for possible [[Steroids|steroid]] therapy | ||
==Disposition== | ==Disposition== | ||
Revision as of 23:21, 21 November 2016
Background
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
| 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 x 15 minutes QID
- Moderate: Histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
- Severe: referral to ophthalmology 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