Ocular allergy: recognizing and diagnosing hypersensitivity disorders of the ocular surface

Ocular allergy: recognizing and diagnosing hypersensitivity disorders of the ocular surface
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DOI:
10.1111/all.12009
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发表时间:
2012-11-01
期刊:
影响因子:
12.4
通讯作者:
Delgado, L.
Delgado, L.
中科院分区:
医学1区
文献类型:
--
作者:
Leonardi, A.;Bogacka, E.;Delgado, L.

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眼过敏包括几种临床上不同的情况,可被认为是眼表的超敏性疾病。这些疾病的分类很复杂,由于缺乏明确的命名法,它们的流行病学还没有得到充分的研究。眼部过敏症状通常(但并非总是)伴有其他过敏表现,主要是鼻炎。然而,特殊的眼部过敏性疾病需要由一个包括眼科医生和过敏症专家的团队来识别和管理。眼部过敏的诊断通常基于临床病史和体征和症状,当需要确定特定的过敏致敏性以进行患者管理时,需要体内和体外试验的支持。本工作组报告的目的是:(1)通过结合眼科和过敏学,统一眼部过敏的命名和分类,变应性鼻炎及其对哮喘标准的影响;(ii)描述当前的诊断方法;(iii)总结眼部变应性炎症的治疗方案。
Ocular allergy includes several clinically different conditions that can be considered as hypersensitivity disorders of the ocular surface. The classification of these conditions is complex, and their epidemiology has not been adequately studied because of the lack of unequivocal nomenclature. Ocular allergy symptoms are often, but not always, associated with other allergic manifestations, mostly rhinitis. However, specific ocular allergic diseases need to be recognized and managed by a team that includes both an ophthalmologist and an allergist. The diagnosis of ocular allergy is usually based on clinical history and signs and symptoms, with the support of in vivo and in vitro tests when the identification of the specific allergic sensitization is required for patient management. The aims of this Task Force Report are (i) to unify the nomenclature and classification of ocular allergy, by combining the ophthalmology and allergy Allergic Rhinitis and its Impact on Asthma criteria; (ii) to describe current methods of diagnosis; (iii) to summarize the therapeutic options for the management of ocular allergic inflammation.