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  • Recognition of allergic conjunctivitis in patients with allergic rhinitis

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    Author(s)
    Williams, DC
    Edney, G
    Maiden, B
    Smith, PK
    Griffith University Author(s)
    Maiden, Bianca K.
    Smith, Peter K.
    Edney, Gabrielle
    Williams, Daniel
    Year published
    2013
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    Abstract
    Aims: To identify the incidence of allergic conjunctivitis in patients with allergic rhinitis. Methods: One hundred and eighty seven consecutive patients with allergic rhinitis (AR) were directly questioned if they have allergic conjunctivitis (AC) and this was clarified using standard screening questions relating to red, itchy and watery eyes recorded through a total ocular symptom score (TOSS). Patients were also asked about further symptoms that may be attributable to AC: eyelid dermatitis, frequent blinking; eye sensitivity and frontal headache from squinting or. blinking. All patients were given a drop of olopatadine ...
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    Aims: To identify the incidence of allergic conjunctivitis in patients with allergic rhinitis. Methods: One hundred and eighty seven consecutive patients with allergic rhinitis (AR) were directly questioned if they have allergic conjunctivitis (AC) and this was clarified using standard screening questions relating to red, itchy and watery eyes recorded through a total ocular symptom score (TOSS). Patients were also asked about further symptoms that may be attributable to AC: eyelid dermatitis, frequent blinking; eye sensitivity and frontal headache from squinting or. blinking. All patients were given a drop of olopatadine hydrochloride 0.1% in each eye to help identify "silent" disease. 20 healthy non-atopic controls were also treated with olopatadine drops and questioned on ocular symptoms. Results: Fifty five percent of patients with AR were identified as having AC by direct questioning and the use of the TOSS questionaire. A further 41% were identifiable by asking additional questions and performing therapeutic challenge with olopadatine. Conclusions: AC is a frequent comorbid condition occurring in 95% of our patients with AR. Only 55% of patients were able to identify that they had AC based on standard screening questions. Additional specific questioning and a therapeutic challenge in suspected patients can help identify patients who may benefit from treatment of AC.
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    Journal Title
    World Allergy Organisation Journal
    Volume
    6
    DOI
    https://doi.org/10.1186/1939-4551-6-4
    Copyright Statement
    © Williams et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/57376
    Collection
    • Journal articles

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