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眼过敏:认识和诊断眼表过敏症。

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

机构信息

Department of Neuroscience, Ophthalmology Unit, University of Padua, Padua, Italy.

出版信息

Allergy. 2012 Nov;67(11):1327-37. doi: 10.1111/all.12009. Epub 2012 Sep 5.

DOI:10.1111/all.12009
PMID:22947083
Abstract

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.

摘要

眼过敏包括几种临床上不同的疾病状态,可被认为是眼表的超敏反应性疾病。这些疾病的分类很复杂,而且由于缺乏明确的命名法,其流行病学尚未得到充分研究。眼过敏的症状通常(但并非总是)与其他过敏表现相关,主要是鼻炎。然而,需要由眼科医生和过敏科医生组成的团队来识别和处理特定的眼过敏疾病。眼过敏的诊断通常基于临床病史和体征症状,必要时还需要进行体内和体外试验,以确定特定的过敏致敏情况,从而为患者管理提供支持。本专家组报告的目的是:(i)通过结合眼科和过敏科的过敏性鼻炎及其对哮喘的影响标准,统一眼过敏的命名法和分类;(ii)描述当前的诊断方法;(iii)总结眼过敏炎症管理的治疗选择。

相似文献

1
Ocular allergy: recognizing and diagnosing hypersensitivity disorders of the ocular surface.眼过敏:认识和诊断眼表过敏症。
Allergy. 2012 Nov;67(11):1327-37. doi: 10.1111/all.12009. Epub 2012 Sep 5.
2
Management of ocular allergy.眼部过敏的管理
Ann Allergy Asthma Immunol. 1995 Sep;75(3):212-22; quiz 223-4.
3
[Management of allergic conjunctivitis. An observational study among ophthalmologists].[过敏性结膜炎的管理。眼科医生的一项观察性研究]
J Fr Ophtalmol. 2014 Jan;37(1):9-17. doi: 10.1016/j.jfo.2013.04.008. Epub 2013 Dec 31.
4
Ocular allergy.眼部过敏
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[Childhood allergic conjunctivitis: the allergist's point of view].[儿童过敏性结膜炎:过敏症专科医生的观点]
J Fr Ophtalmol. 2007 Mar;30(3):292-9. doi: 10.1016/s0181-5512(07)89595-7.
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Classification of ocular allergy.眼部过敏的分类。
Curr Opin Allergy Clin Immunol. 2007 Oct;7(5):424-8. doi: 10.1097/ACI.0b013e3282ef6937.
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Office-based ocular procedures for the allergist.眼科医师诊室中进行的眼部操作。
Curr Opin Allergy Clin Immunol. 2019 Oct;19(5):488-494. doi: 10.1097/ACI.0000000000000563.
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Diagnosing and managing allergic conjunctivitis in childhood: The allergist's perspective.诊断和管理儿童变应性结膜炎:过敏学家的观点。
Pediatr Allergy Immunol. 2019 Jun;30(4):405-414. doi: 10.1111/pai.13035.
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Allergic eye disease.过敏性眼病。
Pediatr Clin North Am. 2014 Jun;61(3):607-20. doi: 10.1016/j.pcl.2014.03.009.
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[Conjunctivitis, keratitis, keratoconjunctivitis: role of allergy].[结膜炎、角膜炎、角膜结膜炎:过敏的作用]
Allerg Immunol (Paris). 1996 Mar;28(3):74-6, 79-80.

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