An algorithm for the management of allergic conjunctivitis.
Leonard Bielory1, Eli O Meltzer, Kelly K Nichols
1Department of Medicine, Rutgers University, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA. bielory@Rutgers.edu
Allergy and Asthma Proceedings
|September 4, 2013
Summary
Allergic conjunctivitis is increasing, impacting quality of life. This review details best practices for diagnosing and treating ocular allergy, offering a treatment algorithm for better patient outcomes.
Area of Science:
- Ophthalmology
- Allergology
- Clinical Medicine
Background:
- Allergic conjunctivitis prevalence is rising in the US, affecting patient quality of life and productivity.
- Nasal and ocular symptoms are often equally bothersome for patients with allergic conjunctivitis.
- Ocular allergy remains underdiagnosed and undertreated despite available therapies.
Purpose of the Study:
- To outline current best practices for diagnosing allergic conjunctivitis.
- To detail treatment strategies for allergic conjunctivitis, including step recommendations.
- To provide criteria for referring patients to specialists.
Main Methods:
- Review of current literature on allergic conjunctivitis diagnosis and management.
- Development of a stepwise treatment algorithm.
- Identification of referral criteria for complex cases.
Main Results:
- Current best practices for diagnosis and treatment are outlined.
- A treatment algorithm is provided, incorporating antihistamines, mast cell stabilizers, corticosteroids, NSAIDs, and immunotherapy.
- Criteria for specialist referral are suggested.
Conclusions:
- Effective diagnosis and treatment of allergic conjunctivitis are crucial for improving patient outcomes.
- A structured approach to management, including pharmacotherapy and immunotherapy, can address the growing burden of ocular allergy.
- Timely referral is important for patients with refractory or complex allergic conjunctivitis.
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