Allergic conjunctivitis: an update on diagnosis and management

作者：O' Brien Terrence P

来源：Current Opinion in Allergy and Clinical Immunology, 2013, 13(5): 543-549.

DOI：10.1097/ACI.0b013e328364ec3a

• allergic conjunctivitis
• ocular allergy
• perennial allergic conjunctivitis
• seasonal allergic conjunctivitis

Purpose of reviewThe focus of this review is to provide a logical paradigm for the diagnosis and treatment of ocular allergies, with a focus on seasonal allergic conjunctivitis (SAC) and perennial allergic conjunctivitis (PAC).Recent findingsSeveral classes of topical medications are currently available for the management of ocular allergies, including: lubricating agents, vasoconstrictors, antihistamines, mast cell stabilizers, and topical corticosteroids.SummarySAC and PAC make up the vast majority of ocular allergy cases. A proactive approach to these diseases, anticipating the regional spring and fall allergen spikes, is needed for optimally managing these disorders. A multifaceted treatment regimen comprising patient education, lifestyle modification, and topical medications (such as antihistamines and/or mast cell stabilizers and corticosteroids) may be required in order to manage ocular allergies effectively. The appropriate treatment paradigm is based on the severity of the patients%26apos; signs and symptoms. For moderate-to-severe cases, especially chronic vernal keratoconjunctivitis, atopic keratoconjunctivitis, and giant papillary conjunctivitis, comanagement with an ophthalmologist is recommended.

• 出版日期2013-10