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Diagnosis and management of allergic conjunctivitis in pediatric patients

William E Berger, David B Granet, Alan G Kabat

    Allergy and Asthma Proceedings
    |January 6, 2017
    PubMed

    Insights

    Optimal diagnosis and management of allergic conjunctivitis (AC) in children are crucial. This review offers guidance for pediatric health professionals, addressing a gap in pediatric best practice recommendations for this common ocular disorder.

    Area of Science:

    • Ophthalmology
    • Pediatrics
    • Allergology

    Background:

    • Allergic conjunctivitis (AC) is a prevalent ocular condition in children.
    • It is often overlooked, misdiagnosed, or undertreated in pediatric populations.
    • Existing literature lacks specific pediatric best practice guidelines.

    Purpose of the Study:

    • To provide pediatric health care professionals with guidance for diagnosing and managing allergic conjunctivitis in children.
    • To address the identified gap in pediatric best practice recommendations.

    Main Methods:

    • A literature review was conducted for best practice guidelines on pediatric AC diagnosis and treatment (2004-2015).
    • Diagnosis and treatment algorithms, along with referral guidelines, were developed.
    • Guidance was informed by adult AC literature and clinical expertise.

    Main Results:

    • No specific pediatric best practice guidelines for AC were found in the literature search.
    • The review offers step-by-step guidance on recognizing clinical features, medical history, and physical examination for accurate diagnosis.
    • Discusses pharmacotherapy, immunotherapy (subcutaneous and sublingual) as alternative treatments.

    Conclusions:

    • The developed algorithms and guidelines aim to bridge the literature and educational gap in pediatric AC.
    • Implementation may improve the diagnosis and management of allergic conjunctivitis in children.
    • Provides a framework for optimal patient care and specialist referral when necessary.
    Abstract

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