Allergic Eye disease

Question 1

Management for allergic conjunctivitis

Answer 1

(1) Removal of foreign bodies
(2) conservative:
- Cold compress
- Artificial tears
(3) Oral antihistamines (loratadine)
(4) Eye drops:
1st line: topical/systemic antihistamine (antazoline)
2nd line: mast cell stabiliser (topical cromoglycate; inhibit degranulation)

• Mast cell stabilizers: cromoglycate, lodoxamide
• Steroids: dexamethasone (beware of inducing glaucoma)
• NSAIDs: diclofenac

Question 2

What is giant papillary conjunctivitis associated with

Answer 2

Iatrogenic FBs (contact lenses, prostheses, sutures)

Question 3

Difference between allergic conjunctivitis and giant papillary conjunctivitis on examination

Answer 3

Allergic: SMALL papillae on tarsal conjunctivae
Giant papillary: GIANT papillae on tarsal conjunctivae

Question 4

Management for giant papillary conjunctivitis

Answer 4

removal of FB, mast cell stabilisers

(1) Removal of foreign bodies
(2) conservative:
- Cold compress
- Artificial tears
(3) Oral antihistamines (loratadine)
(4) Eye drops:
- Mast cell stabilizers: cromoglycate, lodoxamide
- Steroids: dexamethasone (beware of inducing glaucoma)
- NSAIDs: diclofenac
( - Antihistamines: antazoline, azelastine )