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Abstract: Allergic conjunctivitis is one of the more frequent types of springtime keratoconjunctivitis and should be distinguished from infectious conjunctivitis. 14-year-old girl presented with itchy, red and swollen play eyes after an outing, aggravated by rubbing her eyes, and consulted after self-adapted anti-inflammatory drugs were ineffective. After 1 week of symptomatic treatment with anti-allergy eye drops, the ocular symptoms were effectively relieved and she recovered completely.
Basic information】Female, 14 years old
Type of disease】Allergic conjunctivitis
Hospital】The First Affiliated Hospital of Zhengzhou University
Date of Consultation】April 2021
Treatment plan】Medication (Olopatadine hydrochloride eye drops+Praprofen eye drops+Sodium vitrate eye drops)
Treatment Period】Regular treatment for 1 week, followed by discomfort
Effectiveness】Redness, swelling, itching and other symptoms gradually disappeared.
I. Initial consultation
The 14-year-old girl was brought to the doctor by her family. The patient was in a normal mental state and only had red and swollen eyes. Through self-reported history, she learned that 3 days ago, after going out to the park with her friends, she had an itchy nose, sneezing, red and swollen eyes, blistering sensation, itchy eyes, and the symptoms of red and swollen eyes could not be relieved after rubbing the eyes, but the symptoms of red and swollen eyes were aggravated, and there was a small amount of translucent filaments. On examination, the skin of both eyelids was clear and edematous, the conjunctiva of both eyelids was mildly congested, small papillary hyperplasia and a few follicles were seen in the lower lid conjunctiva, the bulbar conjunctiva was mildly edematous, and mucous filamentous translucent secretions could be pulled out of the conjunctival sac. The cornea was transparent with a small amount of positive punctate staining, normal anterior chamber depth, atrial flash (-), round pupil, 3 mm in size, and sensitive to light response. The preliminary diagnosis was allergic conjunctivitis.
II. Treatment history
The disease was communicated to the family and consent was obtained, and drug therapy was selected. The patient was prescribed olopatadine hydrochloride eye drops, pranoprofen eye drops, and sodium glassate eye drops to improve the symptoms. Among them, Orotadine hydrochloride eye drops relieve the symptoms of itching and congestion of the eye, which in turn reduces allergic reactions and is more effective for the treatment of acute allergic conjunctivitis, while having a certain degree of comfort and not producing greater irritation; Praplofen eye drops reduce the inflammatory reaction of local congestion and edema, and also have an anti-allergic effect. Sodium vitreous acid eye drops can play a role in relieving the patient’s discomfort at this stage, and can also replenish tears, promote corneal repair, and reduce eye soreness and discomfort. After prescribing the medication, the patient was instructed to follow the doctor’s prescription and observe the symptoms, and the patient was very cooperative.
III. Treatment effect
After the combined treatment of Orotadine Hydrochloride Eye Drops, Pranoprofen Eye Drops and Sodium Glassate Eye Drops, the patient’s symptoms such as eye itching, redness and swelling, and discharge were significantly relieved, and the quality of study and life was restored as before. 1 week later, the patient came to the hospital for a follow-up examination, and there were no obvious symptoms of eye discomfort, showing that he was basically cured. The eye itching as well as the redness and swelling and other uncomfortable symptoms have been completely relieved.
IV. Precautions
1.Spring is the high incidence of allergic conjunctivitis. Advise patients to avoid pollen-rich places when they go out to play, and to wear protective glasses and masks if necessary.
2, improve the indoor living environment to reduce allergen exposure, such as dust mites can be removed regularly.
3. Eat a light diet, less stimulating and spicy food, a balanced diet, and more fruits and vegetables.
4, moderate exercise, choose a suitable exercise mode to improve the body’s ability to resist disease.
5, pay close attention to eye symptoms, if there is discomfort in time to seek medical advice.
V. Personal insight
Spring is a dangerous season for patients prone to allergic conjunctivitis due to the high amount of pollen and willow, and the use of anti-inflammatory eye drops alone will not relieve the symptoms, which will get worse over time anyway, because anti-inflammatory drugs are only anti-infective, while allergic conjunctivitis is treated with antihistamines. This is the case with the patient in this case, and each person’s symptoms and duration of onset are different, and there will be few differences in the medication used. In conclusion, it is important to stay away from allergy in life to prevent this disease, and to develop good habits and take good care of the eyes after healing.