Management of Allergic conjunctivitis
Includes vernal (hay fever) conjunctivitis and contact hypersensitivity
reactions.
Treatment—vernal (hay fever) conjunctivitis Tailor treatment to the
degree of symptoms. Antihistamines (oral) may be required but symptomatic
measures usually suffi ce.
• Use sodium cromoglycate 2% drops, 1–2 drops per eye 4 times/d.
• Topical antihistamine/vasoconstrictor preparations include antazoline/
naphazoline and levocabastine 1 drop/eye bd.
• Topical steroids in severe cases.
• Artifi cial tear preparations may give adequate symptomatic relief.
Treatment—contact hypersensitivity
• Withdraw the causative agent (e.g. cosmetics, topical eye agents).
• Apply normal saline compresses.
• Treat with naphazoline or phenylephrine if necessary.
• If not responding, refer for possible corticosteroid therapy.
Includes vernal (hay fever) conjunctivitis and contact hypersensitivity
reactions.
Treatment—vernal (hay fever) conjunctivitis Tailor treatment to the
degree of symptoms. Antihistamines (oral) may be required but symptomatic
measures usually suffi ce.
• Use sodium cromoglycate 2% drops, 1–2 drops per eye 4 times/d.
• Topical antihistamine/vasoconstrictor preparations include antazoline/
naphazoline and levocabastine 1 drop/eye bd.
• Topical steroids in severe cases.
• Artifi cial tear preparations may give adequate symptomatic relief.
Treatment—contact hypersensitivity
• Withdraw the causative agent (e.g. cosmetics, topical eye agents).
• Apply normal saline compresses.
• Treat with naphazoline or phenylephrine if necessary.
• If not responding, refer for possible corticosteroid therapy.