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Clinical Diagnosis and Management of Ocular Allergy
Ashok Garg, John D Sheppard, David Meyer
CHAPTER ONE:
Immunology and Pathogenesis of Ocular Allergy
ACUTE ALLERGIC DISORDERS
Seasonal and Perennial Allergic Conjunctivitis
Early Phase Response
ARACHIDONIC ACID PATHWAY
Late-Phase Reaction
CHRONIC ALLERGIC DISORDERS
Vernal and Atopic Keratoconjunctivitis
Vernal Keratoconjunctivitis
Atopic Keratoconjunctivitis
GIANT PAPILLARY CONJUNCTIVITIS
CONCLUSION
CHAPTER TWO:
Diagnosis and Investigation of Ocular Allergy
ALLERGY TESTS
Skin Test
Skin Prick Test3, 4
Intradermal Test3, 4
Skin Patch Test
Blood Test
Complete Blood Count: and Differential Count
Total IgE Assay3, 4
Radio Allergo Sorbent Test (RAST)3,4
The Phadiatop9
Specific IgE Pediatric Food Mix9
Specific IgE Allergen Test9
Unproven Tests in Allergy3,4
Mast Cell Tryptase Test9
Advantage
CHAPTER THREE:
Clinical Features of Ocular Allergy
CONJUNCTIVA
CORNEA
LENS
FUNDUS
CHAPTER FOUR:
Medical Management of Ocular Allergic Diseases
INTRODUCTION
TYPE 1 HYPERSENSITIVITY REACTIONS
CLINICAL RESPONSES
Seasonal Allergic Conjunctivitis
Vernal Keratoconjunctivitis (VKC)
Atopic Keratoconjunctivitis (AKC)
Giant Papillary Conjunctivitis
HYPERSENSITIVITY REACTION TO DRUGS
ANTIALLERGY MEDICATION
TOPICAL MAST CELL INHIBITORS
Cromolyn Sodium (Sodium Cromoglycate)
Disodium Cromoglycate
Lodoxamide
Nedocromil
Ketotifen Fumarate
Olopatadine Hydrochloride
Azelastine Hydrochloride
ANTIHISTAMINES
Oral Antihistamines
Levocetrizine
Fexofenadine
NSAIDs (ANTIPROSTAGLANDIN THERAPY)
TOPICAL STEROIDS
TOPICAL IMMUNOSUPPRESSORS
Cyclosporine
RECENT ADVANCES IN IMMUNOSUPPRESSIVE THERAPY
Liposomes
CHAPTER FIVE:
Current Concepts in the Pharmacotherapeutic Approach of Allergic Conjunctivitis
CONCLUSION
CHAPTER SIX:
Novel Humanized Monoclonal Antibody Treatment of Severe Atopic Keratoconjunctivitis
CHAPTER SEVEN:
Steroid Therapy for Allergic Ocular Disease
THE NATURE OF ALLERGIC DISEASE
Molecular Biology Allows better Understanding of Ocular Allergic Diseases
Reversible Inflammation
COMBINED SURFACE DISEASES PRESENT DIAGNOSTIC CHALLENGES
Rapid Diagnosis of Dry Eye, Blepharitis and Allergy
Clarify Concomitant Ocular Surface Disease
Tear Film and Schirmer Testing
Sjögren's Syndrome can Accompany Allergic Disease
INNOVATIVE STRATEGIES FOR OCULAR SURFACE DISEASES
Dry Eye and Ocular Allergy have Overlapping Therapeutic Profiles
Punctal Occlusion, Past and Present
Therapy for Every Allergy Level
Treating Moderate to Severe Disease
Tapering and Titration
Perspective on Risks
Environmental Control
BLEPHARITIS EXACERBATES DRY EYES AND ALLERGY
Blepharitis Diagnosis
Topical Ointments: Bacitracin and Erythromycin
Systemic Therapy
Loteprednol, Metronidazol, Topical Doxycycline, and Cyclosporine
Nutrition for Blepharitis and Ocular Allergy
STEROIDS FOR CONTACT LENS WEARERS AND REFRACTIVE SURGERY PATIENTS
Awareness of Ocular Surface Disease
Challenging Refractive Patients and Informed Consent
CHAPTER EIGHT:
Ocular Allergy and Contact Lenses
CHAPTER NINE:
Allergic Ocular Surface Disorders due to Drugs Toxicity
INTRODUCTION
COMPLICATIONS OF TOPICAL ANTI-MICROBIAL AGENTS
Systemic Complications
Stevens-Johnson Syndrome
Local Complications
Nonspecific Local Complications
Contact Dermatoconjunctivitis
Chronic Follicular Conjunctivitis
Punctate Marginal Keratitis
Keratitis Medicamentosa
Inhibition of Epithelial Wound Healing
Specific Local Complications
Sulfonamides
Amphotericin B
Idoxuridine
Propamidine
COMPLICATIONS OF STEROIDS
Topical Steroids
Dermatitis
Infection and Ulceration
Delayed Wound Healing
Periocular Steroids
Systemic Steroids
Various Adverse Effects
COMPLICATIONS OF TOPICAL OCULAR ANESTHETIC AGENTS
Adverse Effects
Direct Corneal Effects
Secondary Adverse Effects
Interference with Diagnostic Tests
Variability in Schirmer's Testing
Reduction of Microbial Recovery
Preclusion of Sequential Testing
Surface Keratopathy
Alterations of Ocular Response to Other Topical Agents
Changes in Epithelial Permeability
Prolonged Surface Contact
TOXICITY OF SURGICAL SOLUTIONS
Antiseptic Solutions
Irrigating Solutions Toxicity
Patients at Increased Risk
Formulation Problems and Toxicity
Reuse
Viscoelastic Solutions
Formulation Problems and Toxicity
Intraocular Inflammation
New Viscoelastic Solutions
Mydriatics and Miotics
Mydriatics
Miotics
Other Agents
Preservatives
Thrombin
Alpha Chymotrypsin
Hyaluronidase
COMPLICATIONS OF CONTACT LENS SOLUTIONS
Solution Stability
Sensitivity
Binding
Compatibility
DRUG-INDUCED OCULAR CICATRIZATION
Clinical Manifestations
Differential Diagnosis
Disease Stages
Treatment
SYSTEMIC DRUGS CAUSING OCULAR SURFACE TOXICITY
Antimalarial Drugs
Chlorpromazine
Analgesics
Anti-arthritic Drugs
Antigout
Corticosteroids
NSAIDs (Nonsteroidal Antiinflammatory Drugs)
General Anesthetic Agents
Antihistamines
Anti-infective Agents
Systemic Antibiotics
Cephalosporins
Chloramphenicol
Erythromycin and related drugs
Colistin
Nitrofurantoins (Nalidixic acid)
Penicillins
Antifungals
Penicillin derivatives (Griseofulvin)
Polyenes derivatives
Imidazoles
Antileprosy Drugs
Phenazines
Sulfones
Antiparasitics
Amebicides
Antihelminthics
Antituberculosis Drugs
Ethambutol
Para-aminosalicylates
Cycloserine
Isoniazid, ethionamide
Rifampicin, Capreomycin
Antivirals (Systemic)
Antineoplastic Drugs
Alkaloids
Antibiotics—Antineoplastics
Antimetabolites
Thiotepa
Folic acid antagonists
Heavy metals
Interferon
Nonsteroidal Antiestrogens (e.g. Tamoxifen, Temorifen)
Vinca alkaloids (e.g. vinblastine, vincristine)
Antianginal Drugs
Antiarrhythmics
Anticholinergics
Beta-adrenergic blockers
Quinidine
Antihypertensives
Alpha-adrenergic agonists
Beta-adrenergic blockers
Angiotensin-converting enzymes inhibitors
Ganglionic blockers
Monoamine oxidase inhibitors
Rawolfia alkaloids
Antimigraine Agents
Peripheral Vasodilators
Bronchodilators
Alcohols
Anorexiants (Amphetamines)
Muscles Relaxants (Benzodiazepines)
Anticonvulsants
Antidepressants
Antipsychotics and Tranquilizers
Psychedelic Drugs
Sedatives and Hypnotics
Dermatological Preparations
Hexachlorophene
Chrysarobin
Retinoids
Psoralen therapy
Diuretics
Spironolactone
Ethacrynic acid
Sulfonamides
Thiazides
Hyperosmotics
Gastrointestinal Drugs
Antacids
Antiemetics
Antispasmodics
Hormonal Drugs
Androgens
Corticosteroids
Antihyperglycemics
Insulin
Sulfonylureas
Antithyroid Drugs
Iodines
Thiouracils
Thyroid replacement therapy:
Oral Contraceptives
Estrogen-progesterone combination:
Nonsteroidal antiestrogens
Immunosuppressant drugs:
Neuromuscular Drugs
Polyalcohols
Anticholinergics
Baclofen
Myasthenia Gravis Drugs
Vaccines (DPT, polio, measles, mumps-rubella, smallpox, rabies, tetanus)
Vitamins
Vitamin A
Vitamin D
Isotretinoin
Amiodarone
CHAPTER TEN:
Ocular Allergy in Clinical Practice
CHAPTER ELEVEN:
Ocular Allergy and Hypersensitivity to Ophthalmic Drugs
PATHOPHYSIOLOGY OF ALLERGY
CLINICAL RESPONSES
Seasonal Allergic Conjunctivitis
Vernal Keratoconjunctivitis (VKC)
Atopic Keratoconjunctivitis (AKC)
Giant Papillary Conjunctivitis
HYPERSENSITIVITY REACTION TO DRUGS
CHAPTER TWELVE:
Is It Allergies or Dry Eyes? A Diagnostic Dilemma
CHAPTER THIRTEEN:
Suggestions for the Diagnosis and Treatment of Ocular Allergy
CONCLUSION
CHAPTER FOURTEEN:
Ocular Complications seen in Patients with Atopic Dermatitis
CONCLUSION
CHAPTER FIFTEEN:
Amniotic Membrane Transplantation in Ocular Surface Disorders
INTRODUCTION
HISTORY
HISTOLOGY
PREPARATION
Clinical Effects and Mechanisms of Action
Clinical Use in Ophthalmology
Limbal Stem Cell Deficiency
Corneal Ulcers and Perforations
Bullous Keratopathy
Chemical Burn
Conjunctival Reconstruction
Symblepharon
Miscellaneous
SURGICAL TECHNIQUE
Postoperative Complication
CONCLUSION
CHAPTER SIXTEEN:
Cultured Limbal Stem Cell Transplantation
INTRODUCTION
What are Limbal Stem Cells?
What is Limbal Stem Cell Deficiency (LSCD)?
Causes of LSCD
Clinical Features
Diagnosis
Management
Current Indications of Cultured Stem Cell Transplant
Contraindications
The General Principles of Culturing Stem Cells are
Preoperative Considerations
Technique
Postoperative Management
CONCLUSION
CHAPTER SEVENTEEN:
Stem Cell Surgery in Ophthalmology
INTRODUCTION
LIMBAL STEM CELL DEFICIENCY
LIMBAL STEM CELL TRANSPLANTATION
PREOPERATIVE PREPARATION
SURGICAL TECHNIQUE FOR LIMBAL ALLOGRAFT
RECIPIENT EYE
AMNIOGRAFT
SURGICAL TECHNIQUE FOR LIMBAL AUTOGRAFT
LIMBAL STEM CELL TRANSPLANTATION WITH KERATOPLASTY
LIMBAL STEM CELL TRANSPLANTATION WITH AMNIOTIC MEMBRANE GRAFT
POSTOPERATIVE COURSE
Postoperative Drug Therapy
Success Rates
RECENT ADVANCES
Transplantation of ex vivo Expanded Limbal Epithelial Stem Cells
Gene Therapy
KEY POINTS
CHAPTER EIGHTEEN:
Recent Advances in Ocular Allergy
CHAPTER NINETEEN:
Pediatric Ocular Allergy
OCULAR ALLERGY DIAGNOSIS
Acute Allergic Conjunctivitis (AAC)
Seasonal (SAC) and Perennial Allergic Conjunctivitis (PAC)
Vernal Keratoconjunctivitis (VKC)
Atopic Keratoconjunctivitis
Giant Papillary Conjunctivitis
Differential Diagnosis
ANALYSIS OF THE PEDIATRIC ALLERGIC PATIENT
NON-PHARMACOLOGIC TREATMENT STRATEGIES
TOPICAL ALLERGY MEDICATIONS
FINE TUNING TOPICAL THERAPY
CONTROLLING VASCULAR PERMEABILITY
STRATEGIC AVOIDANCE OF SYSTEMIC ALLERGY MEDICATIONS
SPECIFIC MEDICAL THERAPEUTIC OPTIONS
CONTROLLING SERIOUS COMPLICATIONS
SPECIALTY CONSULTATIONS FOR DIFFICULT CASES
Patient and Parent Acceptance of Chronicity and Recurrence without Cure
CHAPTER TWENTY:
Quick Look Antiallergic Formulations
INDEX
TOC
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