Allergic conjunctivitis – treatment, symptomschildren and adults

Update: November 2018

Universal allergization of the population of Russia, and not only ours
country scares its aggressive spread. Nowadays
It’s hard to find someone who hasn’t experienced any
allergic reaction – food, dust, allergy to wool
animals, flowering plants, medicines, household and
cosmetic and perfume chemistry, alcohol, sun and even
cold.

Allergy can manifest itself on human skin, and
affect the functions of the respiratory system, the digestive
tract, manifest as a runny nose and allergic conjunctivitis.
Allergy treatment is a difficult task because the mechanism
the onset of allergies is complex, medicine cannot yet fix
changes in the immune system and is only capable
relieve symptoms of its occurrence. So, how to treat allergic
conjunctivitis?

  • Allergic conjunctivitis is one of the allergic variants.
    body reactions to external stimuli.
  • In allergic conjunctivitis, the symptoms may be: seasonal
    or permanent (year round). Disease can be acute,
    subacute or chronic.
  • In allergic conjunctivitis, the treatment has 3 main
    principle:

    • allergen isolation
    • treatment with eye drops – mast cell stabilizers,
      antihistamine, in very severe cases of corticosteroids in
      каплях (см. список всех капель в глаза от аллергии)
    • immunotherapy.Аллергический конъюнктивит лечение
  • Antihistamines – pills for allergies.
  • Аллергические конъюнктивит у children and adults могут протекать в
    following types:

    • Pollinous conjunctivitis
    • Medicinal conjunctivitis
    • Spring keratoconjunctivitis
    • Chronic allergic conjunctivitis
    • У взрослых — Atopic keratoconjunctivitis.

Symptoms аллергического конъюнктивита у детей

Upon contact with an allergen, the severity of symptoms of an allergic
conjunctivitis is directly dependent on the concentration of the allergen and on
body reactions. Therefore, the reaction is immediate – within
half an hour or slowed down 1-2 days.

  • Most often, allergic conjunctivitis occurs together with
    аллергическим ринитом, то there is насморк, чиханье дополняет
    eye irritation.
  • There is excessive tearing, burning in the eyes, under
    for centuries, itching.
  • Children constantly scratching eyes, thus provoking joining
    secondary infection, which is why ophthalmologists often recommend and
    antimicrobial ointments, and drops with a long course
    allergic conjunctivitis in children.
  • Зуд может быть настолько intense, что вынуждает ребенка или
    взрослого бесконечно растирать eyes.
  • Small follicles may appear on the mucous membrane of the eye or
    nipples.
  • Discharge from the eyes most often clear, mucous, less often.
    filiform, viscous.
  • When joining a secondary infection purulent discharge
    found in the corners of the eyes, especially after sleep.
  • Also, the child complains about the dryness of the mucous eyes, feeling
    sand in the eyes, photophobia appears.
  • As tear production decreases and atrophies
    conjunctiva (especially in adults and the elderly), there are pains and
    cutting discomfort with eye movement.
  • Sometimes in children, on the contrary, an increase in secretion production occurs.
    tears, usually at the onset of the disease.
  • У children and adults возникает утомляемость глаз, покраснение
    both eyes.

With круглогодичном аллергическом конъюнктивите
the child or adult is constantly confronted with an allergen, more often
all this is household chemicals, house dust (see dust allergy) or
pet hair – cats, dogs, rabbits, rodents, feather
parrots. With периодическом, сезонном
allergic conjunctivitis, symptoms appear only in
certain time – periods of flowering plants. With
контактном конъюнктивите развитие заболевания
provoked by contact lens solutions as well
using creams, ointments, cosmetics by girls and
by women.

Before starting a specific treatment, you should accurately
установить аллерген, не всегда это легкая задача.
And often only one ophthalmologist cannot help the patient,
therefore, you should also contact a dermatologist and an allergist for
method of determining the allergen that has become the causative agent of inadequate reaction
organism.

The table below shows the types of allergic conjunctivitis,
symptoms characteristic of each species, age category
patients prone to conjunctivitis.

Types of allergic conjunctivitis Seasonal change Age Itchy eyes Inflammation of the eyelids, corneas Discharge from the eyes Tearing
Allergic conjunctivitis – pollinous, chronic (if
Lasts a year, six months)
Seasonal disease, often accompanied by allergic
runny nose when weeds bloom, flowers, trees
any age strong not mucous discharge there is и значительное
Drug not any age there is eyelid skin, cornea, choroid, retina, optic
nerve
there is there is
Spring keratoconjunctivitis summer and spring aggravation more often after 14 years, but it happens in children from 3 years there is cornea is affected viscous discharge may be absent intense
Atopic keratoconjunctivitis not over 40 years old there is there is different + –

Treatment of allergic conjunctivitis

As we have said, the most accurate and reliable method of treatment
allergic conjunctivitis – an exception to the allergen that k
Unfortunately, it is not always possible. Further damage is local (when
mild cases) and systemic antihistamine therapy, the doctor also
may prescribe specific immunotherapy and symptomatic
drug therapy, with a protracted prophylactic process
prescribe antimicrobial agents.

Pills and drops from allergic conjunctivitis

  • For allergic conjunctivitis, an appointment is made.
    antihistamine drugs inside – Loratadine, Claritin, Cetrin,
    Zyrtec, Telfast. Not all antihistamines can be taken.
    children – allergy pills for children and adults.
  • Drops from the group of membrane stabilizing agents – Lekrolin
    (Kromoheksal), Zaditen (ketotifen), prices for eye drops from
    conjunctivitis.
  • Drops from the group of histamine receptor blockers – Opatanol,
    Histimette (not for children under 12), Allergodil (Azelastine), Vizin
    Alerzhdi.
  • It is necessary to use eye drops from allergic
    conjunctivitis, mast cell stabilizers, these are derivatives
    cromoglycic acid, they contribute to blocking the production
    histamine, among such drops from allergic conjunctivitis can
    highlight – High-chrome (children under 4 can not) Kromoheksal, Lekrolin,
    Crom-Allerg, Lodoxamide (Alomid, not for children under 2 years old)
  • Elderly people may develop dry syndrome.
    eyes when for physiological reasons the production of tears
    reduced or terminated altogether. In this case, when
    allergic conjunctivitis, treatment is indicated by tear replacement
    – Hyphenosis (40 rubles), Inox, Oxial, Oftolik, Vidisik, Oftogel,
    Vizin is a clean tear, Sustain, a natural tear. If in progress
    inflammation is involved and the cornea is then prescribed and eye drops with
    vitamins – Katahrom, Taufon, Emoksipin, Quinax, Catalin,
    Vita-Yodurol, Khrustalin, Udzhala, as well as with dexpanthenol.
  • For very severe forms of allergic conjunctivitis, a doctor
    may prescribe corticosteroid eye drops, ointment, in the composition
    which include dexamethasone or hydrocortisone. Similar treatment
    should always be avoided because hormone therapy is the last
    крайний случай, когда not уже других вариантов терапии. Is always
    be very careful when treating corticosteroids
    hormonal agents, to observe the dosages prescribed by the doctor and
    treatment, drug withdrawal should be gradual.
  • The doctor may also prescribe topical nonsteroidal
    anti-inflammatory drugs – eye drops with diclofenac.
  • If a patient has a persistent recurrence of allergic
    conjunctivitis, the doctor may consider options for
    specific immunotherapy.

Treatment of seasonal conjunctivitis – pollinosis

Avoid flowering of weeds, grass plants, practically
of all trees is unrealistic, therefore both in children and adults most often
Pollinous conjunctivitis begins acutely with burning, photophobia,
itching and tearing. What to do than to treat allergic
conjunctivitis? The treatment is as follows: Аллергический конъюнктивит у детей

  • Instilling eye drops Allergodil and Spersallerg. Already through
    15 minutes of relief of the symptoms, especially in Spersallerg,
    поскольку в его составе there is и сосудосуживающий препарат.
  • At the beginning of an allergy 3-4 p / day, then 2 p / day drip. If a
    allergy is very strong, oral administration is possible
    antihistamine pills.
  • With such conjunctivitis subacute or chronic course
    Also, the doctor prescribed drops from allergic conjunctivitis,
    such as Kromoheksal and Alomid 3-4 p / day.
  • Vasoconstrictor drops – Vizin Alerji,

Treatment of chronic allergic conjunctivitis

This is the most frequent variant of the development of conjunctivitis, because if
пациента there is склонность к аллергическим реакциям, он везде найдет
�”Your allergen”. In a chronic process, the symptoms are not so bright.
expressed, but burning and itching of the eyelids, tearing is also observed.

  • Common causes are food allergies, plant pollen,
    animal dander, fish food, medicine, and household chemicals; and
    cosmetic products.
  • The doctor may prescribe drops Alomid, Kromoheksal 2-3 p / day, and
    also Spersallerg 1-2 p / day, drops with dexamethasone.

Treatment of spring keratoconjunctivitis

Most often this disease occurs in children 3-7 years old, in boys
more common, chronic conjunctivitis, affects both
eyes. A distinctive feature is the papillary growth of cartilage.
века на конъюнктиве eyes. Most often the nipples are small, however
there are also large, leading to the deformation of the century. Symptoms
allergic keratoconjunctivitis are intensified in spring, and by the fall
blunted.

  • Standard drops for allergic conjunctivitis – Cromohexal
    and Alomid help effectively, but doctors sometimes prescribe them along with
    dexamethasone – maxidex.
  • If a проявляются роговичные изменения — эрозии, эпителиопатия,
    infiltrates, keratitis, then you should use alomid 2-3 / day
    instillations.
  • In acute allergic manifestations can be used Allergodil
    2p / day simultaneously with Maxidex drops.
  • For complex system action you can connect
    oral antihistamines – Cetrin, Claritin, Zodak and
    etc., as well as immunotherapy in the form of a course of 6-10 injections
    histoglobulin.

Treatment of allergic reactions in infectious
conjunctivitis

Numerous studies by ophthalmologists claim that with
любых инфекционных и вирусных conjunctivitis — герпетическом,
adenoviral, chlamydial, fungal, acute bacterial,
allergy manifests itself in the clinical picture of any of these
diseases. Moreover, it is believed that all chronic
conjunctivitis are allergic in nature.

  • For any bacterial or viral conjunctivitis therapy
    a mass of antibiotics, antiseptics, antiviral agents creates
    powerful toxic background in the conjunctiva and in the body as a whole.
  • Therefore, any antibiotic therapy of infectious or other
    conjunctivitis – adenoviral, chlamydial, herpetic,
    should be supplemented with antihistamine eye drops.
  • In acute infectious conjunctivitis, Allergodil and Spersallerg
    2-3 p / day, with chronic Alomid or Cromohexal 2 p / day.

Treatment of drug allergic conjunctivitis

Often all the medicines that a person treats
a lot of diseases – essentially alien, hostile
agents for the immune system and its natural response is justified.
30% of all allergic conjunctivitis are caused by taking
various drugs. Even with the local use of creams, ointments,
gels, and we melt more when used internally, development is possible
аллергического conjunctivitis.

  • Allergies can cause eye drops and ointments, and not only
    conjunctiva, but also the cornea, skin of the eyelids. Allergy develops and on
    preservative, included in eye drops, and it may appear
    only 2-4 weeks later when provocative
    medicines.
  • Treat this condition with the initial elimination
    provoking drugs. Urgently prescribed oral
    antihistamine drug inside -Cetrin, Loratadin, Claritin 1
    p / day and eye drops Allergodil, Spersallerg 2-3 p / day, with no
    acute and chronic allergic conjunctivitis
    Cromohexal 2-3 p / day.

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