eye disorders
Allergic Conjunctivitis
Treatment of Allergic Conjunctivitis
Symptomatic measures Topical antihistamines, nonsteroidal anti-inflammatory drugs (NSAIDs), mast cell stabilizers, or a combination Topical corticosteroids orcyclosporinefor recalcitrant cases Sometimes, oral antihistamines Avoidance of known allergens and use of cold compresses and tear supplements can reduce symptoms of allergic conjunctivitis; antigen desensitization is occasionally helpful. Topical over-the-counter antihistamines (eg,ketotifen) are useful for mild cases. If these medications are insufficient, topical prescription antihistamines (eg,olopatadine,bepotastine,azelastine,cetirizine), mast cell stabilizers (eg,nedocromil, cromolyn), or nonsteroidal anti-inflammatory drugs (eg,ketorolac) can be used separately or in combination. acetate 0.12% to 1% drops 4 times a day) can be useful in recalcitrant cases or when quick relief of symptoms is important. Because topical corticosteroids can lead to a flare-up of latent Herpes Simplex Keratitis , possibly leading to corneal ulceration and perforation and, with long-term use, to Seasonal allergic conjunctivitis is less likely to require multiple medications or intermittent topical corticosteroids. 