Management of ocular allergy
Yükleniyor...
Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Blackwell Publishing Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The treatment and management of ocular allergy (OA) remain a major concern for different specialties, including allergists, ophthalmologists, primary care physicians, rhinologists, pediatricians, dermatologists, clinical immunologists, and pharmacists. We performed a systematic review of all relevant publications in MEDLINE, Scopus, and Web Science including systematic reviews and meta-analysis. Publications were considered relevant if they addressed treatments, or management strategies of OA. A further wider systematic literature search was performed if no evidence or good quality evidence was found. There are effective drugs for the treatment of OA; however, there is a lack an optimal treatment for the perennial and severe forms. Topical antihistamines, mast cell stabilizers, or double-action drugs are the first choice of treatment. All of them are effective in reducing signs and symptoms of OA. The safety and optimal dosing regimen of the most effective topical anti-inflammatory drugs, corticosteroids, are still a major concern. Topical calcineurin inhibitors may be used in steroid-dependent/resistant cases of severe allergic keratoconjunctivitis. Allergen-specific immunotherapy may be considered in cases of failure of first-line treatments or to modify the natural course of OA disease. Based on the current wealth of publications and on the collective experience, recommendations on management of OA have been proposed. © 2019 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
Açıklama
Anahtar Kelimeler
allergic conjunctivitis, management, ocular allergy, systematic review, treatment
Kaynak
Allergy: European Journal of Allergy and Clinical Immunology
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
74
Sayı
9
Künye
Leonardı, A., Silva, D., Perez Formigo, D., Bozkurt, B., Sharma, V., Allegri, P., Rondon, C., Calder, V., Ryan, D., L. Kowalsk, M., Delgado, L., Doan, S., L. Fauquert, J. (2019). Management of Ocular Allergy. Allergy: European Journal of Allergy and Clinical Immunology, 74,(9), 1611-1630.
