Other vasoconstrictor and antihistamine combination products now available over the counter include OcuHist (pheniramine maleate, naphazoline HCl, Pfizer) and Opcon-A (naphazoline HCl, pheniramine maleate, Bausch & Lomb). I prefer to go with a vasoconstrictor and antihistamine combination product for mild symptoms, such as Naphcon-A (pheniramine maleate 0.3%, naphazoline HCl 0.025%, Alcon), because then Im really getting at the root of the problem, as opposed to giving just very brief comfort as I would with an artificial tear, Dr. Artificial tears can help wash out or dilute antigens, but the underlying causes will remain, Dr. ∺rtificial tears are an important part of ocular allergy treatment, mainly because you get pollen stuck on the tear film and a portion of the artificial tears is literally washing these potential allergens off the surface of the eye.Īrtificial tears must be used frequently by patients to be effective however, if the patient is symptomatic, this may not be the best treatment choice. Slonim, MD, FACS, associate clinical professor of ophthalmology at the University of South Florida College of Medicine in Tampa, Fla., and private practitioner in Tampa. Many doctors forget about artificial tears as a means of helping in the realm of ocular allergies, said Charles B. They provide a washing agent and increase the barrier, but they have a limited benefit. ∿irst is the obvious, is the easiest, is the cheapest and has the least amount of problems tears, Dr. If it seems more involved than that, you look into ocular medications, she said. The relief is brief, but if the symptoms are mild and sporadic, that may be all you need. For very mild symptoms, a cold compress can be effective in relieving itching, said Valarie Conrad, OD, an associate professor at the Illinois College of Optometry. Treatments for mild symptomsĪpproaches to ocular allergy management differ as symptoms vary. Other symptoms include lid swelling, redness, hyperemia, chemosis, eyelid edema and significant mucous discharge. Its important to ask about these symptoms. They have a tendency to overlook that symptomatology, Dr. When patients have nasal stuffiness and asthma, the ophthalmologic symptoms are often just as significant and chronic, but might not be mentioned, according to Dr. Spangler, associate clinical professor at the Medical College of Atlanta and chief medical officer at the Atlanta Allergy and Asthma Clinic, added that if you want to control the allergic symptom process both acute and chronic inflammation must be addressed. As the allergic reaction continues, there is infiltration of the eye by the cells of chronic inflammation, including eosinophilia and lymphocytes, that contribute to a hyper-irritability state that occurs not only in the lung and the nose, but also in the eye.ĭr. It also is a chronic inflammation phenomenon. Spangler, MD, at the American Academy of Ophthalmology meeting. ∻ut the main thing with this is it is not only a histamine phenomenon, said Dennis L. Ocular allergic reactions cause mast cells to release mediators, including histamine, which creates the symptoms of allergic ophthalmologic problems. The most common complaint among ocular allergy sufferers, practitioners agree, is itchy, watery eyes. The objectives of treatment include decreased inflammation, minimal dosing, ease of compliance, minimum side effects and increased tolerance to allergy triggers. These choices are based on efficacy, safety, convenience of dosing and comfort of administration for the patient. If you continue to have this issue please contact to HealioĪs symptoms differ widely among the 23 million ocular allergy sufferers in the United States, doctors are challenged to choose appropriate therapies to provide relief.
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