Seasonal
Allergic Conjunctivitis
What
is an allergy?
An allergy is an exaggerated immune response to a relatively
harmless foreign substance, referred to as an allergen. In people without
allergies, the immune response that occurs following exposure to an
allergen is controlled, and produces few if any symptoms. In people
with allergies, activation of the immune response results in the release
of inappropriate, high quantities of chemical mediators -- the most
common is histamine. These mediators are responsible for the symptoms
of allergic reactions. More in depth on ALLERGY and HISTAMINE
What is Allergic Conjunctivitis?
Allergic conjunctivitis is one of the most common disorders
of the eye. The most prominent symptom is itchy, watery eyes, and a
red lining on the whites of the eyes (Conjunctiva). These symptoms may
also be accompanied by large bumpy formations under the eyelid. Allergic
conjunctivitis is often associated with other allergic symptoms such
as hay fever, but sometimes only the eyes are affected. The term allergic
conjunctivitis is often used to describe basic symptoms of an
allergic response (red, itchy, and swollen eyes) to a foreign substance
- allergen. While Seasonal Allergic Conjunctivitis (SAC) is the most
common, several classifications of allergic conjunctivitis exist, they
include:
Seasonal And Perennial Allergic Conjunctivitis
Atopic Keratoconjunctivitis AKC
Giant Papillary Conjunctivitis GPC
Contact Allergic Conjunctivitis
Vernal Keratoconjunctivitis VKC
How is Allergic Conjunctivitis diagnosed?
The most common type of ocular allergy is seasonal and perennial (year
round) allergic conjunctivitis. Seasonal allergic conjunctivitis (hay
fever conjunctivitis), is the more common type accounting for the majority
of allergic conjunctivitis cases. As its name suggests, it is related
to specific pollens that spore during specific seasons. Symptoms generally
include red,itchy, and watery eyes. People affected by hay fever and
other seasonal allergies also experience symptoms involving the nose
and throat. Perennial allergic conjunctivitis is a year-round allergic
condition. These allergic responses are often related
to animal dander, dust, or other allergens that are present in the environment
year round. Symptoms are similar to seasonal allergic conjunctivitis;
however, they tend to be milder. Seasonal allergic conjunctivitis
generally occurs in May and June (grass pollen)
Lubricants Decongestants Antihistamines Decongestant /
Antihistamine combinations Non-Steroidal Anti-inflammatory Agents (NSAIDs)
Steroids. Your choice of therapy will depend on the intensity of the
allergic response. Since histamine causes most of the common symptoms
associated with allergic conjunctivitis, an antihistamine or histamine
blocker are effective. Vasocon-A is an effective over-the-counter.
If possible, you may want to identify and attempt to reduce exposure
to the allergy causing
substance. In mild cases, an artificial lubricant HypoTears® or
AquaSite may relieve symptoms by washing the allergen from the eye and
providing relief to ocular irritation. See also "Treatment options
for Contact Allergic Conjunctivitis. Do Oral Antihistamines Provide
Affective Relief? Orally ingested antihistamines such as Hismanal®
(Janssen) and Seldane®
(Marion Merrell Dow) may partially relieve ocular symptoms. However,
topical antihistamines may prove the most effective in relieving itch
and swelling. Unlike oral medications, eye drops allow the medication
to get directly to the affected eyes.