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Allergic ConjunctivitisAka: Hay fever Conjunctivitis, Irritant Conjunctivitis

See Also
1. Medication induced Conjunctivitis
2. Vernal Conjunctivitis
Causes
1. Related to seasons or environmental change
  1. Recent exposure to pollen, grass
2. Irritants
  1. Smog
  2. Chlorine
  3. Dust
  4. Cigarette smoke
3. Iatrogenic: Topical Antibiotics
  1. Gentamicin and other Aminoglycoside eye preparations
  2. Sulfonamide eye preparations
  3. Neomycin eye preparations
Symptoms
1. Eye itching
2. Eye tearing with stringy discharge
3. Eye Fullness sensation
Signs
1. Marked Conjunctival Hyperemia
2. Marked Chemosis
3. Red hypertrophic papillae on lid Conjunctival lining
4. Conjunctival edema
  1. Eye may appear to sink into Conjunctiva
Management
1. Discontinue offending agents or medications
2. Cold compress to eyes
3. Ocular mast cell stabilizers (preferred)
  1. Cromolyn sodium (Crolom) 1 drop 4-6x/day
  2. Olopatadine 0.1% (Patanol) 1-2 drops each eye bid
  3. Lodoxamide 0.1% (Alomide) 1-2 drops each eye qid
4. Ocular Decongestants and Antihistamines Medications
  1. Naphazoline (Vasocon, Naphcon) 1 drop bid-qid prn
  2. Naphazoline/Pheniramine (Naphcon-A) 1 drop 2-4x prn
5. NSAIDs
  1. Ketorolac 0.5% (Acular) 1 drop qid x7d
  2. Diclofenac 0.1% (Voltaren) 1 drop qid
6. Oral Non-Sedating Antihistamine
7. Consider Intranasal Steroid
Resources: Patient Education
1. Information from your Family Doctor
  1. http://www.familydoctor.org/handouts/678.html

Allergic Conjunctivitis (C0009766)
Definition (MSH)	Conjunctivitis due to hypersensitivity to various allergens.
Concepts	Disease or Syndrome (T047)
MSH	D003233
Basque	KONJUNTIBITIS ALERGIKOA
Danish	Allergisk konjunktivit
Dutch	Allergische conjunctivitis
English	Allergic Conjunctivitides, Allergic conjunctivitis, Atopic Conjunctivitides, Atopic conjunctivitis
Finnish	ALLERGINEN SIDEKALVONTULEHDUS /KONJUNKTIVIITTI
French	Conjonctivite allergique
German	allergische Konjunktivitis
Hebrew	daleket laxmiot alergit
Hungarian	allergias conjunctivitis
Italian	Congiuntivite allergica
Norwegian	ALLERGISK KONJUNKTIVITT
Portuguese	Conjuntivite alergica
Spanish	Conjuntivitis alergica, conjuntivitis atopica
Swedish	ALLERGISK KONJUNKTIVIT
Parent Concepts	Eye (C0015392), Diagnosis/Diseases Component (C0497531), Conjunctivitis (C0009763), Immediate hypersensitivity (C0020523), Immune-mediated conjunctivitis (C1532550), Duplicate concept (C1274013)
Sources	CSP, DXP, ICPC, ICPCBAQ, ICPCDAN, ICPCDUT, ICPCFIN, ICPCFRE, ICPCGER, ICPCHEB, ICPCHUN, ICPCITA, ICPCNOR, ICPCPOR, ICPCSPA, ICPCSWE, MSH, MTH, NCI, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)