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FLOWCHARTS AND TABLES

FLOWCHART I DIAGNOSTIC CHART OF ALLERGIC EYE DISEASE

Itchy Red Eye

Consider Allergic Conjunctivitis

Examine Discharge

Watery

Mucopurelent

Mucoid

No lymph node enlargement

Lymph node enlargement

Infective Conjunctivitis

VKC or GPC

SAC / PAC/ CAC / AKC

Viral Conjunctivitis

Giant papillae over upper tarsal surface

Topical Antihistamines

+

+

+

+

+

Mast Cell Stabilisers

+

+

+

+

+

+

Dual Action Drugs

+

+

+

+

+

+

NSAIDs

+

+

+

+

+

SAC

PAC

VKC

AKC

Artificial Tears

+

+

+

+

Vasoconstrictors

±

±

NSAIDs = Non Steroidal Anti-inflammatory Drugs

+

+

TABLE I A QUICK GUIDE TO DRUGS USED TO TREAT DIFFERENT CASES OF ALLERGIC CONJUNCTIVITIS.

+

  • +

    +

±

Topical Steroids

+

GPC

CAC

+

Topical Cyclosporine

+

Systemic Steroids

  • +

    +

+

Systemic Cyclosporine

Imm. Therapy

Contact Lens

Limbal trantas

GPC

dots Seasonal onset Male Adolescence

45

ALLERGIC CONJUNCTIVITIS

1. History of rhinitis, asthma, eczema

SAC if seasonal PAC if all over the year

2. History of topical drug use/cosmetics

CAC

VKC

44

ALLERGIC CONJUNCTIVITIS

3. History of atopy/ 20 – 50 yrs/skin mani- festations / corneal involvement

AKC

SAC = Seasonal Allergic Conjunctivitis PAC = Perennial Allergic Conjunctivitis CAC = Contact Allergic Conjunctivitis

AKC = Atopic Keratoconjunctivitis VKC = Vernal Keratoconjunctivitis GPC = Giant Papillary Conjunctivitis

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