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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

3. The most effective treatment for AC is:

a. Avoidance of environmental triggers
b. Artificial tears
c. Topical antihistamines
d. Topical mast cell stabilizers/antihistamines
e. A & d

Correct Answer:
E.  Removing or avoiding the offending allergens, such as pollen, cats, dust mites, and mold can be an effective method of treatment. Topical mast cell stabilizers/antihistamines provide quick relief of itching, redness, tearing, and swelling. They inhibit release of mediators from mast cells and have a long duration of action. They may be used BID as other topical agents may need to be used up to QID, and they are indicated for children 3 years and older.

4. Immunotherapy is appropriate for patients with AC.

a. True
b. False

Correct Answer:
A. True.  As in allergic rhinitis, immunotherapy can be disease-modifying in patients with AC. Patients should be referred to a specialist if they have chronic or re-occurring moderate to severe symptoms, show lack of improvement with other modalities, and where co morbid conditions are present.

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