gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Problems in Diagnostic and Therapy of ocular Allergies

Meeting Abstract

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  • corresponding author M. Zierhut - Dept. of Ophthalmology, University of Tuebingen

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.16.12

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog313.shtml

Veröffentlicht: 22. September 2004

© 2004 Zierhut.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background

Ocular allergies belong to the most challenging inflammatory disorders of the eye. Despite improvements in the therapy of these disorders, this presentation summarizes updated problems in the diagnostic and therapy.

Diagnostic

Normally seasonal rhinoconjunctivitis and contact allergy can be differentiated by history from other types of ocular allergy. Using the general differentiation and terms, this is not always possible in atopic and vernal keratoconjunctivitis. For this a new concept will be presented, which assumes that "atopy" is the only systemic disorder, leading to ocular allergy (like sarcoid as the underlying disease for any type of uveitis). So, all ocular allergies, which are in atopic patients, should be termed "atopic conjunctivitis.

Therapy

Faults in the therapy of ocular allergy will be presented. This starts with recommendation of useless drugs (nonsteroidal anti-inflammatory drugs) or drugs which are not effective enough (artifical tears), but also the use of topical corticosteroids which is still ordered much too often, for longterm and uncritical, and the non recommendation of more recent developed drugs, especially for atopic keratoconjunctivitis.

Conclusion

Following some diagnostic advices and using an updated therapy regimen the prognosis even of the worst types of ocular allergy is much more favourable today then in previous days.