Definition
Allergic conjunctivitis (AC)- allergic inflammation of the eye conjunctiva, manifested itchy century, hyperemia, watering, due to exposure to causal allergen.
Survey
1. Required laboratory tests:
Clinical analysis of blood - one-time (with changes in repeated studies 1 every 10 days);
RW, HIV;
An overall analysis of urine - on one occasion;
Cytological study separable from the eye - once.
2. Additional laboratory studies (single):
Bacteriology separable from the eye;
Virology research;
Biochemical investigation of blood (bilirubin, ALT, AST, urea, blood glucose).
3. Mandatory allergically survey:
Skin tests with atopic allergens (prick, scarification).
4. Additional allergically and immunological survey:
Determination of total serum IgE;
Specific IgE;
5. Additional research tool:
Conjunctival provocative tests.
6. Consultation specialists.
Required: allergist-immunologist, oculist, ENT doctor.
Characteristics of treatment
1. Appointment hypoallergenic diets, as well as recommendations on changing lifestyles in response to identified allergens causes.
2. Drug therapy.
Antihistamines systemic medications 1 generation (with acute AC heavy and mid flow) - chloropiramin (suprastin) hifenadin (fenkarol) klemastin (tavegil) to 1 pill for 2 times a day rate for 10-14 days; ketotifen (zaditen) to 1 pill for 2 times a day long courses;
Antihistamines systemic drugs 2 generation (with AC light and medium-severe) loratadin (klaritin) astemizol (gismanal) and others on Table 1. on the day of 10-14-day course.
Drugs of choice:
Preparations chromoglycidol in the form of eye drops (high-Krom, kromogeksal, optikrom, etc.) to 2 pills for 3-4 times a day long courses.
GKS topical - with heavy flow AC (hydrocortisone eye drops, oftan-dexamethasone drops, etc.) - in individual doses.
Antihistamines topical medications: levokabastin (gistimet) to 2 drops for 2 times a day or azelastin (allergodil) to 2 pills for 2 times a day.
3. Implementation of the SIT in a specialized institution allergological with no contraindications.
The length of hospital
Treatment is carried out, mainly in the outpatient polyclinic conditions for 10-14 days.
Requirements for the Treatment Results
Full recovery.
Patients are subject to medical check-up allergist-immunologist.
If you can not carry out treatment in the outpatient conditions - inpatient treatment (10-14 days).
