Home Search

Cornea & External Diseases




















Non Infectious
Allergic conjunctivitis demonstrating bulbar and tarsal conjunctival papillary reaction.

  • One of the most common ocular immunologic disorders seen in ophthalmologic practice.
  • Usually due to immediate hypersensitivity reaction to a variety of airborne allergens such as; pollens from grass, weeds and ragweed.
  • Clinical features:
    • Acute, recurrent, transient, and self-limiting condition.
    • May also present as perennial or chronic condition.
    • Commonly have other allergic histories such as eczema, asthma or seasonal rhinitis.
    • Symptoms:
      • Acute onset of itching
      • Burning sensation
      • Tearing
    • Signs:
      • Red eye
      • Chemosis (conjunctival edema)
      • Lid swelling
      • Conjunctival papillary reaction
      • Watery and/or mucoid discharge
  • Management:
    • Avoid allergens, if known.
    • Topical antihistamines usually helpful.
    • Topical vasoconstrictor may be used.
    • Topical NSAIDs usually helpful to relieve the itching.
    • Topical mast cell degranulation inhibitor.
    • Topical steroids may be considered when other agents have failed and in severe cases.
    • Systemic antihistamines.

Copyright © 2003 Digital Reference of Ophthalmology. All rights reserved. All material published on this website is the property of Digital Reference of Ophthalmology and cannot be duplicated without permission.
Home Search Home Search