oa Current Allergy & Clinical Immunology - Current concepts in the therapeutic approach to allergic conjunctivitis : review article

Volume 19, Issue 2
  • ISSN : 1609-3607



Allergic conjunctivitis is an extremely common and often notoriously chronic condition that remains difficult to manage effectively. It is wise to adopt a step-care approach, starting with identifying, avoiding and diluting the antigen, using simple effective therapy like icepacks, and then as the need arises progressing step by step to the top of the therapeutic 'ladder' where the use of steroids and immunosuppressants become unavoidable. Topical antihistamines provide faster and superior relief of symptoms than systemic treatment and have become the treatment of choice in ocular allergic disorders for many practitioners. This overview attempts to simplify the pharmacological treatment options based on the current understanding of drugs and their mechanisms of action. The discussion includes the use of topical antihistamines, vasoconstrictors, mast-cell stabilisers, non-steroidal antiinflammatory drugs, and corticosteroids .

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