Allergic rhinoconjunctivitis and differential diagnosis of the red eye
Red eye is a common presentation in clinical practice with conjunctivitis being the most common cause of red eye. Most commonly, conjunctivitis is infective (bacterial and viral) or allergic in origin although other forms of conjunctivitis including toxic and irritative conjunctivitis and conjunctivitis related to systemic conditions or dry eye are prevalent enough to warrant consideration in diagnosis. This article aims to provide a guide for generalists and allergists in the differential diagnosis of conjunctivitis allowing the inclusion of eye treatment into their current practice. With a discussion of important aspects to include in the patient history as well as a systematic guide to examination of the eye for generalists and allergists, this article provides a “plan of action” in the examination protocol for red eye patients. A differential diagnosis table and flowchart are provided as a useful chair-side reference for practitioners. With a particular focus on the more prevalent types of conjunctivitis, typical features, signs, and symptoms of each type are detailed. A general discussion of prognosis and treatment options and conditions that require ophthalmologic referral is included.
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Document Type: Research Article
Affiliations: University of California–San Diego/Ratner Children's Eye Center, 9415 Campus Point Drive, La Jolla, CA 92037, USA. [email protected]
Publication date: 01 November 2008
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- Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.
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Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.
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