Seasonal ocular allergy - 2

Preventing or avoiding exposure to allergens is the most effective treatment for an allergy.

Treatment is primarily aimed at symptom improvement or amendment. Preventing or avoiding exposure to allergens is the most effective treatment but also the least practical because it requires isolation of the environment in which there are allergens.

For local treatment of ocular allergy is through the application of decongestant cold compresses, artificial tears and other eye lubricants that wash allergens and effect. They are recommended and which have the effect of decongestant eye mainly vasoconstriction which delays and prevents the release of chemical mediators in tissue and reduce redness, chemozisul and other symptoms. Rapid improvement of symptoms is achieved by using selective receptor antagonists histamine type 1 (Emedastina-Emadine). Lodoxamid membrane type mast stabilizers Cromolyn sodium or help prevent allergic episode by blocking mast cell adhesion compound allergen. Patients with known recurrent seasonal allergies benefit from established treatment before allergy season.

Therapy should be followed and performed throughout the allergy season.

There are products that combine an antihistamine with mast cell membrane stabilizer, providing protection in both acute episodes and in cases with chronic evolution, duration. Antihistamines may be given to the need and general way. In cases with clinical symptoms are very noisy choice of topical steroids, but in any event, treatment should be done at the doctor's eye and under his control. Control patients who are taking non-steroidal is at 1-2 weeks after beginning treatment, the treatment cortisone (steroid) require local monitoring and control of intraocular pressure in 4-5 days, and patients with corneal ulcers should be monitored daily. These complicated cases of vernal keratoconjunctivitis with corneal ulcers requiring topical antibiotic therapy, therapeutic contact lens and cornea only after reepitelizarea, topical corticosteroids.

Patients with a history of seasonal allergic conjunctival be advised to avoid exposure to allergens or to those that precipitate symptoms domestic (local irritation caused by dust, smoke, cosmetics). Therapy should be followed and performed throughout the allergy season.