Allergic Conjunctivitis Questions & Answers

Updated: Oct 08, 2019
  • Author: Mark Ventocilla, OD, FAAO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Questions & Answers

Overview

What is allergic conjunctivitis?

How is allergic conjunctivitis diagnosed?

Where can more information be found on allergic conjunctivitis?

What are type I hypersensitivity reactions in allergic conjunctivitis?

What are type III hypersensitivity reactions in allergic conjunctivitis?

What are type IV hypersensitivity reactions in allergic conjunctivitis?

What are the subcategories of allergic conjunctivitis?

How are complications of allergic conjunctivitis prevented?

What is the prognosis of allergic conjunctivitis?

What is included in the patient education information for allergic conjunctivitis?

Which antigens may trigger allergic conjunctivitis?

What are the symptoms of seasonal allergic conjunctivitis (SAC)?

What are the symptoms of perennial allergic conjunctivitis (PAC)?

What is the pathogenesis of vernal keratoconjunctivitis (VKC)?

What is the pathogenesis of atopic keratoconjunctivitis (AKC)?

What is the pathogenesis of giant papillary conjunctivitis (GPC)?

What is the prevalence of allergic conjunctivitis?

How does the prevalence of allergic conjunctivitis vary by sex?

What is the prognosis of allergic conjunctivitis?

Presentation

How is allergic conjunctivitis diagnosed?

What are the signs and symptoms of vernal keratoconjunctivitis (VKC)?

What are the signs and symptoms of atopic keratoconjunctivitis (AKC)?

What are the signs and symptoms of giant papillary conjunctivitis (GPC)?

What are the classic physical findings of allergic conjunctivitis?

What are the physical findings characteristic of vernal keratoconjunctivitis (VKC)?

What are the physical findings characteristic of the limbal form of vernal keratoconjunctivitis (VKC)?

Which physical findings of the cornea are characteristic of vernal keratoconjunctivitis (VKC)?

What is vernal pseudogerontoxon in allergic conjunctivitis?

Which physical findings are characteristic of atopic keratoconjunctivitis (AKC)?

Which physical findings are characteristic of giant papillary conjunctivitis (GPC)?

DDX

How is allergic conjunctivitis differentiated from viral and bacterial conjunctivitis?

How are the subtypes of allergic conjunctivitis differentiated?

What are the differential diagnoses for Allergic Conjunctivitis?

Workup

What is the role of conjunctival scrapings in the diagnosis of allergic conjunctivitis?

What does the absence of eosinophils in superficial conjunctival scrapings suggest in the workup of allergic conjunctivitis?

What is the importance of tear level measurement in the diagnosis of allergic conjunctivitis?

How are conjunctival scrapings used to differentiate subtypes of allergic conjunctivitis?

What is the role of advanced point-of-service testing in the diagnosis of allergic conjunctivitis?

Which histologic findings are characteristic of vernal keratoconjunctivitis (VKC)?

Which histologic findings are characteristic of atopic keratoconjunctivitis (AKC)?

Which histologic findings are characteristic of giant papillary conjunctivitis (GPC)?

Treatment

What is the primary behavioral modification used in the treatment of all types of allergic conjunctivitis?

Which medications are used in the treatment of allergic conjunctivitis?

Where can more information be found regarding the treatment approaches for allergic conjunctivitis?

What is the role of medications in the treatment of allergic conjunctivitis?

What is the role of artificial tears in the treatment of allergic conjunctivitis?

What is the role of antihistamines in the treatment of allergic conjunctivitis?

What is the role of vasoconstrictors in the treatment of allergic conjunctivitis?

What is the role of mast cell stabilizers used in the treatment of allergic conjunctivitis?

What is the role of NSAIDs in the treatment of allergic conjunctivitis?

What is the role of corticosteroids in the treatment of allergic conjunctivitis?

What are the possible adverse effects of corticosteroids in the treatment of allergic conjunctivitis?

What are the different forms of corticosteroids used in the treatment of allergic conjunctivitis?

What is the role of loteprednol etabonate in the treatment of allergic conjunctivitis?

What is the role of immunotherapy in the treatment of allergic conjunctivitis?

Which medications are used in the treatment of vernal keratoconjunctivitis (VKC)?

What are the treatment options for vernal keratoconjunctivitis (VKC)?

When is a pulsed-therapy steroid regimen indicated in the treatment of allergic conjunctivitis?

What is the role of topical cyclosporine in the treatment of allergic conjunctivitis?

Which steroid-sparing regimens are used in the treatment of allergic conjunctivitis?

When is surgery indicated in the treatment of allergic conjunctivitis?

What are the treatment options for atopic keratoconjunctivitis (AKC)?

Which medications are used in the treatment of atopic keratoconjunctivitis (AKC)?

What is the role of systemic cyclosporine in the treatment of atopic keratoconjunctivitis (AKC)?

How is herpes simplex virus (HSV) infection managed in patients with atopic keratoconjunctivitis (AKC)?

What is the role of penetrating keratoplasty in the treatment of atopic keratoconjunctivitis (AKC)?

What are treatment goals for giant papillary conjunctivitis (GPC)?

What is the role of contact lens care in the management of giant papillary conjunctivitis (GPC)?

What is the role of rigid gas-permeable lenses in the treatment of giant papillary conjunctivitis (GPC)?

Which medications are used in the treatment of giant papillary conjunctivitis (GPC)?

How is allergic conjunctivitis prevented?

What is the first-line of treatment for allergic conjunctivitis?

Which environmental modifications are used in the prevention of allergic conjunctivitis?

Which precautions should be taken against eye rubbing for the prevention of allergic conjunctivitis?

Medications

Which medications are used in the treatment of allergic conjunctivitis?

Which medications in the drug class Ophthalmic Lubricants are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Decongestants, Ophthalmic are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Monoclonal Antibodies are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Corticosteroids are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Mast Cell Stabilizers are used in the treatment of Allergic Conjunctivitis?

Which medications in the drug class Antihistamines, Ophthalmic are used in the treatment of Allergic Conjunctivitis?