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Introduction
Overview: Pathophysiology and Differential Diagnosis

Therapeutics
Therapy of Allergic Eye Disorders

Case One:
Ten-Year-Old Tommy

Case Two:
Twenty-Six-Year-Old Andy

Case Three:
Twelve-Year-Old Dimitri

Case Study Questions
Additional Resources
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Case Study Questions

1. Which of the following is true about allergic conjunctivitis (AC)?

a. Is only seasonal
b. Is characterized by hyperemia, itching, tearing, and often accompanied by nasal congestion
c. Is contagious
d. Affects only one eye initially, but bilaterally within 48 hours

Correct Answer:
B. Allergic conjunctivitis can be seasonal or perennial. Signs and symptoms of perennial tend to be milder than seasonal. There is bilateral dilatation of the conjunctiva blood vessels in allergic conjunctivitis. Viral and bacterial conjunctivitis occurs in one eye and later in the other.

2. Oral antihistamines are the first line of treatment for AC.

a. True
b. False

Correct Answer:
B. False. Oral antihistamines are only mildly effective for itching. They may increase ocular symptoms by decreasing tear production causing dry eyes. OTC antihistamines may cause drowsiness, excitability, dizziness, negatively impact communication and learning.

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