Ocular allergy latin american consensus

Arquivos Brasileiros de Oftalmologia

Myrna Serapião Dos Santos²  Milton Ruiz Alves¹  Denise De Freitas¹  Luciene Barbosa De Sousa¹  Ricardo Wainsztein¹  Sérgio Kandelman¹  Mauricio Lozano¹  Francisco Beltrán¹  Oscar Baça Lozada¹  Concepción Santacruz¹  Giovanni Guzzo¹  Carlos Alberto Zaccarelli Filho¹  José Álvaro Pereira Gomes¹ 

[1] ,Universidade Federal de São Paulo Setor de Córnea e Doenças Externas São Paulo SP ,Brazil

关键词: Questionnaires;    Consensus;    Keratoconjunctivitis;    Adrenal cortex hormones;    Immunosuppressive agents;    Questionários;    Consenso;    Conjuntivite alérgica;    Ceratoconjuntivite;    Corticosteroides;    Imunossupressores;   

DOI  :  10.1590/S0004-27492011000600016

来源: SciELO

【 摘 要 】

PURPOSE: To establish current definition, classification and staging, and to develop diagnosis and treatment recommendations for ocular allergy, by using Delphi approach. METHODS: Ten Latin American experts on ocular allergy participated in a 4-round Delphi panel approach. Four surveys were constructed and answered by panelists. A two-thirds majority was defined as consensus. Definition, classification, staging and diagnosis and treatment recommendations were the main outcomes. RESULTS: "Ocular allergy" was proposed as the general term to describe ocular allergic diseases. Consensus regarding classification was not reached. Signs and symptoms were considered extremely important for the diagnosis. It was consensus that a staging system should be proposed based on the disease severity. Environmental control, avoidance of allergens and the use of artificial tears were recommended as first line treatment. The secondary treatment should include topical anti-histamines, mast cell stabilizers and multi actions drugs. Topical non-steroidal anti-inflammatory and vasoconstrictors were not recommended. Topical corticosteroids were recommended as third line of treatment for the most severe keratoconjunctivitis. Consensus was not reached regarding the use of systemic corticosteroids or immunosuppressant. Surgical approach and unconventional treatments were not recommended as routine. CONCLUSION: The task of creating guidelines for ocular allergies showed to be very complex. Many controversial topics remain unsolved. A larger consensus including experts from different groups around the world may be needed to further improve the current recommendations for several aspects of ocular allergy.

【 授权许可】

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