A contemporary look at allergic conjunctivitis.

Allergic conjunctivitis Allergic conjunctivitis diagnosis Allergic conjunctivitis treatment algorithm Allergic eye disease Interprofessional management Ocular allergy

Journal

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
ISSN: 1710-1484
Titre abrégé: Allergy Asthma Clin Immunol
Pays: England
ID NLM: 101244313

Informations de publication

Date de publication:
2020
Historique:
received: 14 08 2019
accepted: 09 01 2020
entrez: 30 1 2020
pubmed: 30 1 2020
medline: 30 1 2020
Statut: epublish

Résumé

Allergic eye disease is common, yet often overlooked in North America. In the U.S., up to 40% of the population is deemed to be affected and this number is growing. Symptoms and signs of ocular allergy can lead to decreased productivity and negatively impact quality of life (QoL). Various treatment options exist to achieve symptom control. For allergic conjunctivitis, ophthalmic agents include antihistamines, mast cell stabilizers, dual-activity agents, nonsteroidal anti-inflammatory drugs (NSAIDs), steroids and some off-label treatments. Immunotherapy is recommended as a therapeutic option. This review provides a summary of the forms of ocular allergies, with a focus on symptoms and signs, impact on QoL, physical examination, diagnosis and therapeutic options of allergic conjunctivitis. Through multidisciplinary collaborations, a simplified algorithm for the treatment of allergic conjunctivitis is proposed for Canadian clinical practice.

Identifiants

pubmed: 31993069
doi: 10.1186/s13223-020-0403-9
pii: 403
pmc: PMC6975089
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

5

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsCLP has received honoraria from Alcon, B+L, Innova Medical, Novartis, Shire for speaking and/or participation on advisory boards. HK has received honoraria from Astrazeneca, CSL Behring, Shire, Novartis, Pediapharm, Aralez, Mylan, Sanofi, Pfizer for speaking and/or participation on advisory boards. PD and AH have not received any pharmaceutical grants or payments. The authors declare no conflicts of interest in this work.

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Auteurs

Pascale Dupuis (P)

1Division of Clinical Immunology and Allergy, Department of Medicine, St. Joseph's Hospital, Western University, Room B3-102, 268 Grosvenor Street, London, ON N6A 4V2 Canada.

C Lisa Prokopich (CL)

2School of Optometry & Vision Science, University of Waterloo, 200 Columbia St W., Waterloo, ON N2L 3G1 Canada.

Alexander Hynes (A)

Kitchener, Canada.

Harold Kim (H)

1Division of Clinical Immunology and Allergy, Department of Medicine, St. Joseph's Hospital, Western University, Room B3-102, 268 Grosvenor Street, London, ON N6A 4V2 Canada.
4Division of Clinical Immunology and Allergy, Department of Medicine, McMaster University Health Sciences Centre, 1280 Main St. W., Hamilton, ON L8S 4K1 Canada.

Classifications MeSH