Caution in dry eye/compromised ocular surface if prolonged use planned
Refer to local Pharmacist for oral antihistamine
If persistent, consider use of sodium cromoglicate 2% eye drops 4 times daily
Advice
Avoid patient identified allergens e.g. elimination of pets and carpeting, where necessary; instillation of air filtering devices and alterations to bedding materials
Management Category
Urgent referral (within one week) if corneal involvement
Routine referral for PoM for milder cases
Possible management by Ophthalmologist
Topical steroids
Topical/systemic antibiotic for lids
Topical immunosuppression for eye and or lids
Systemic immunosuppression
Debridement/superficial lamellar keratectomy for corneal plaque/shield ulcer
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