Allergic conjunctivitis

Clinical Features

  1. Itching, watery discharge
  2. Injected and edematous conjunctiva with papillae on inf conjunctival fornix
  3. Erythematous, swollen eyelids

Treatment

  1. Mild
    1. Avoidance of triggers
    2. Cool compresses x15min QID
  2. Moderate
      1. Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
  3. Severe
    1. Ophto referral to decide if pt requires topical steroids

Disposition

  • Outpatient ophtho

See Also

Source

  • Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26
  • Tintinalli