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Current concepts in ocular allergy.

M H Friedlaender1

  • 1Division of Ophthalmology, Scripps Clinic and Research Foundation, La Jolla, California.

Annals of Allergy
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

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Ocular allergy, characterized by itching, is diagnosed through patient history and eosinophil analysis. Treatment prioritizes allergen removal and mild therapies, with cautious use of topical steroids to prevent serious eye complications.

Area of Science:

  • Ophthalmology
  • Allergy Immunology

Background:

  • Ocular allergy is a frequent condition managed by allergists, general physicians, and ophthalmologists.
  • Diagnosis often relies on patient history, particularly itching and allergic predisposition.

Purpose of the Study:

  • To outline the diagnostic and therapeutic approaches for ocular allergy.
  • To emphasize conservative management strategies and the risks associated with topical steroid use.

Main Methods:

  • Clinical history taking.
  • Diagnostic confirmation via skin testing, in vitro testing, and conjunctival scrapings for eosinophils.
  • Assessment of treatment necessity and modality.

Main Results:

  • Diagnosis is typically achievable through history and supported by objective tests.

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  • Supportive care and allergen avoidance are primary treatment options.
  • Mild pharmacologic options like vasoconstrictor-antihistamine eyedrops or cromolyn sodium are preferred over topical steroids.

    • Conclusions:

    • Ocular allergy diagnosis is straightforward with careful history and confirmatory tests.
    • Conservative management is recommended, with topical steroids reserved for severe cases and requiring ophthalmologist supervision due to sight-threatening risks.