Skip to main content

Allergic Rhinoconjunctivitis

  • Chapter
  • First Online:
Rhinitis and Related Upper Respiratory Conditions
  • 609 Accesses

Abstract

This chapter discusses two cases of chronic ocular disorders that commonly involve systemic features of nasal allergies. Atopic keratoconjunctivitis (AKC) has differentiating feature from other ocular surface disorders including vernal keratoconjunctivitis (VKC) while another commonly seen condition is dry eye as a comorbidity of seasonal allergies. These two conditions have a significant overlap and similarities and differences between the two are discussed. The diagnosis is discussed as well as treatment options for both cases along with the best treatment choice for each patient. The differential diagnosis is discussed for each case as well as signs and symptoms for other ocular conditions that may mimic AKC or dry eye syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bielory L. Allergic and immunologic disorders of the eye. Part II: ocular allergy. J Allergy Clin Immunol. 2000;106(6):1019–32.

    Article  CAS  PubMed  Google Scholar 

  2. Bielory L. Ocular allergy guidelines: a practical treatment algorithm. Drugs. 2002;62(11):1611–34.

    Article  CAS  PubMed  Google Scholar 

  3. Anzaar F, Gallagher MJ, Bhat P, Arif M, Farooqui S, Foster CS. Use of systemic T-lymphocyte signal transduction inhibitors in the treatment of atopic keratoconjunctivitis. Cornea. 2008;27(8):884–8.

    Article  PubMed  Google Scholar 

  4. Wroblewski K, Sen HN, Yeh S, Faia L, Li Z, Sran P, et al. Long-term daclizumab therapy for the treatment of noninfectious ocular inflammatory disease. Can J Ophthalmol. 2011;46(4):322–8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bielory BP, Perez VL, Bielory L. Treatment of seasonal allergic conjunctivitis with ophthalmic corticosteroids: in search of the perfect ocular corticosteroids in the treatment of allergic conjunctivitis. Curr Opin Allergy Clin Immunol. 2010;10(5):469–77.

    Article  CAS  PubMed  Google Scholar 

  6. Hom MM, Nguyen AL, Bielory L. Allergic conjunctivitis and dry eye syndrome. Ann Allergy Asthma Immunol. 2012;108(3):163–6.

    Article  PubMed  Google Scholar 

  7. Bielory BP, Shah SP, O'Brien TP, Perez VL, Bielory L. Emerging therapeutics for ocular surface disease. Curr Opin Allergy Clin Immunol. 2016;16(5):477–86.

    Article  PubMed  Google Scholar 

  8. Bielory L. Ocular toxicity of systemic asthma and allergy treatments. Curr Allergy Asthma Rep. 2006;6(4):299–305.

    Article  PubMed  Google Scholar 

  9. Chen SP, Massaro-Giordano G, Pistilli M, Schreiber CA, Bunya VY. Tear osmolarity and dry eye symptoms in women using oral contraception and contact lenses. Cornea. 2013;32(4):423–8.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Thomas J, Jacob GP, Abraham L, Noushad B. The effect of smoking on the ocular surface and the precorneal tear film. Australas Med J. 2012;5(4):221–6.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Teson M, González-García MJ, López-Miguel A, Enríquez-de-Salamanca A, Martín-Montañez V, Benito MJ, et al. Influence of a controlled environment simulating an in-flight airplane cabin on dry eye disease. Invest Ophthalmol Vis Sci. 2013;54(3):2093–9.

    Article  PubMed  Google Scholar 

  12. Nye M, Rudner S, Bielory L. Emerging therapies in allergic conjunctivitis and dry eye syndrome. Expert Opin Pharmacother. 2013;14(11):1449–65.

    Article  CAS  PubMed  Google Scholar 

  13. Perez VL, Pflugfelder SC, Zhang S, Shojaei A, Haque R. Lifitegrast, a novel integrin antagonist for treatment of dry eye disease. Ocul Surf. 2016;14(2):207–15.

    Article  PubMed  Google Scholar 

  14. Pflugfelder SC, De Paiva CS, Villarreal AL, Stern ME. Effects of sequential artificial tear and cyclosporine emulsion therapy on conjunctival goblet cell density and transforming growth factor-beta2 production. Cornea. 2008;27(1):64–9.

    Article  PubMed  Google Scholar 

  15. Pflugfelder SC. Differential diagnosis of dry eye conditions. Adv Dent Res. 1996;10(1):9–12.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bielory, L., Wagle, P. (2018). Allergic Rhinoconjunctivitis. In: Bernstein, J. (eds) Rhinitis and Related Upper Respiratory Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-75370-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-75370-6_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75369-0

  • Online ISBN: 978-3-319-75370-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics