Updates in the treatment of ocular allergies

Figures & data

Figure 1 Acute allergic conjunctivitis.

Table 1 Topical treatment schedule for eosinophilic allergic and eosinophilic nonallergic conjunctivitis

Treatment	Allergic	Nonallergic
Antibiotics	No	In the beginning
Corticosteroids or corticosteroids–antibiotics	Not usually or short-term	First step/later when symptoms persist
Antihistamines	Yes	Not usually or short term
Mast cell stabilizers	Yes	Yes
Astringents	Not usually	No
Lubricants	Sometimes	Yes
Immunotherapy	In severe cases	No
Nonsteroidals (NSAID)	Seldom	Yes
Immunosupressants (cyclosporine and tacrolimus)	No	Yes
Duration of topical treatment	Short term	Long term

Figure 2 Chronic allergic conjunctivitis.

Figure 3 Atopic blepharoconjunctivitis in a child.

Figure 4 Severe atopic blepharoconjunctivitis.

Figure 5 Vernal keratoconjunctivitis.

Figure 6 Nonallergic eosinophilic conjunctivitis.

Figure 7 Conjunctival cytology.

Figure 8 Contact allergic blepharoconjunctivitis (pilocarpine eyedrops).

Figure 9 Seborrheic blepharitis.