active problem list for allergic conjunctivitis active problem list for allergic conjunctivitis

Scanning electron micrograph of an Ambrosia trifida plant, more commonly known as ragweed. These may include medicines that help control allergic reactions, such as antihistamines and mast cell stabilizers. Perennial conjunctivitis lasts all year. o [teenager OR adolescent ], (See also Overview of Conjunctivitis Overview of Conjunctivitis Conjunctival inflammation typically results from infection, allergy, or irritation. Its important to identify this rather than treating the allergy with medication. According to Francis Mah, MD, whos in practice in San Diego, some of the more popular medications in this category now have generic and over-the-counter options. You can learn more about how we ensure our content is accurate and current by reading our. Dr. Latkany has no financial interest in any of the products discussed. Vaccines & Boosters | Testing | Visitor Guidelines | Coronavirus. As with many allergic diseases, clinical manifestations decrease with age. Lastly, contact lenses can cause allergy symptoms. Specific blood tests or skin tests may be required to diagnose or identify the specific allergen causing your reaction. You will be subject to the destination website's privacy policy when you follow the link. The antihistamines provide some relief from symptoms before the mast cell stabilizers start working. Allergic conjunctivitis is a type of pink eye that comes from an allergic reaction to pollen, animals, cigarette smoke, pool chlorine, car fumes or something else in the environment. Alternatively, changes in the usual bacteria that live on the conjunctiva can also cause conjunctivitis. Compared to patients treated with vehicle, patients treated with 0.25% and 0.5% reproxalap experienced a statistically significant reduction in ocular itching. is a 30-year-old female asthmatic patient. He eats 40 grams of carbohydrates for lunch. Conjunctivitis is an infection or an allergic inflammation of the conjunctiva and the sclera. Signs and symptoms of bacterial conjunctivitis overlap with other causes of conjunctivitis, including viral and allergic conjunctivitis, which can make diagnosis difficult. Inappropriate immune reactions include those that are read more to a specific antigen. Infective conjunctivitis: This is caused by bacteria or virus. Allergic conjunctivitis is an acute, intermittent, or chronic conjunctival inflammation usually caused by airborne allergens. Scientists use genetic rewiring to increase lifespan of cells, Beyond amyloid and tau: New targets in developing dementia treatments, Napping longer than 30 minutes linked to higher risk of obesity and high blood pressure, Activity 'snacks' could lower blood sugar, complication risk in type 1 diabetes, In Conversation: Investigating the power of music for dementia. Concomitant rhinitis is common. . Conjunctivitis: A systematic review of diagnosis and treatment. Cataract formation can occur in these patients. Bacterial conjunctivitis can spread from person to person in many ways. For Clinicians. Seasonal allergic conjunctivitis and perennial allergic conjunctivitis are the most common ocular allergies, affecting 15 to 25 percent of the population.1 Atopic keratoconjunctivitis, vernal keratoconjunctivitis and giant papillary conjunctivitis are more severe conditions and more challenging to treat. Since conjunctivitis is usually viral, antibiotics won't help. Instead, the virus needs time to run its course. Dilation of conjunctival blood vessels secondary to viral or bacterial infection, chemical exposures, or allergies results in the redness seen on the . Currently, there are new topical steroids being researched. Allergic conjunctivitis H10.13 2. Many species of bacteria can cause bacterial conjunctivitis including. Depending on the trigger, it may help if you: Common triggers for allergic conjunctivitis include household dust, pollen, mold spores, pet dander, household detergents, and perfumes. It can be initiated by mechanical trauma read more develops, causing pain and increased photophobia. Do I need to come back for a follow-up visit? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). : 1 (one) drop in each affected eye once a day for, The first reason I chose this particular medication for this patient is because, olopatadine is an, agent, along with alcaftadine, epinastine and bepotastine besilate. Rubbing can make the itchiness worse. Accessed Nov. 15, 2022. Last medically reviewed on January 15, 2018. Learn about five home remedies for pink eye. a.Dyspnea and fatigue without volume overload b.Impairment of ventricular filling and relaxation c.Mild, M.K. The following allergens commonly cause allergic conjunctivitis: There are different types of allergic conjunctivitis. (Dupuis et al., 2020) Treatment for allergic conjunctivitis includes topical mast cell stabilizers and antihistamines; bacterial conjunctivitis treatment includes topical antibiotics; viral conjunctivitis requires symptomatic treatment. Sometimes it can progress to scarring of the cornea, resulting in permanent vision loss. We avoid using tertiary references. Healthline Media does not provide medical advice, diagnosis, or treatment. Usually, the palpebral conjunctiva of the upper eyelid is involved, but the bulbar conjunctiva is sometimes affected. Allergic conjunctivitis can be grouped into two types: Seasonal allergic conjunctivitis: The seasonal form is associated with seasonal allergies that usually occur during the spring and summer months, and sometimes during the fall. Dust-mite allergy is an immune-system response to a specific dust mite protein. These agents help to dilute various, allergens and inflammatory mediators that may be present on the ocular surface, and they help flush the, ocular surface of these agents. INTRODUCTION. Any watery, non-viscous, preservative-free drop will work well.. Treatment. Nonprescription versions of these medicines also may be effective. How often do you replace your contact lens storage case? Itchiness, irritation or . See additional information. The conjunctiva, or mucous membrane covering the white of the eye, may become swollen. Symptoms include itching, lacrimation, discharge, and conjunctival hyperemia. Use to remove results with certain terms a. Treatment is with topical antihistamines and mast cell stabilizers. This often results from wearing contact lenses. If your symptoms persist or get worse, despite treatment, your provider may refer you to an eye specialist (ophthalmologist). Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. (2022). The patients presenting history and physical examination are consistent with the diagnosis of allergic conjunctivitis. While topical ophthalmic solutions are the most convenient treatment, the eyes anatomy and physiology lead to decreased bioavailability of the drugs. This steroid is metabolized more efficiently therefore reducing the risk of adverse side-effects. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Open in a separate window You can review and change the way we collect information below. Treatment is read more , their use should be initiated and monitored by an ophthalmologist. Mayo Clinic does not endorse companies or products. Red or pink eyes: The eyes become irritated as the capillaries, or small blood vessels, widen in the conjunctiva. In these cases, call the glaucoma doctor and ask if you can switch medications for a week to see if the allergy symptoms get any better. Another medication in that category is Bepreve. What is infective conjunctivitis, or pinkeye? Symptoms include irritation, photophobia, and watery discharge. Viral conjunctivitis can be highly contiguous, which is different from the noncontagious allergic conjunctivitis, Ocular Surface Disease and Dry Eye Clinic at the Wilmer Eye Institute, Visit the Ocular Surface Disease and Dry Eye Clinic. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The blood vessels dilate, or expand, and this irritates the nerve endings. (CDC Public Health Image Library). She is healthy otherwise without any complaints. Active problem list- allergic conjunctivitis, allergic rhinitis, cannabis abuse, alcohol use - Are there any changes that you would also make to this patient's overall treatment plan at this time? CDC twenty four seven. A doctor will diagnose allergic conjunctivitis by examining the patient and asking about signs and symptoms, including sneezing and a runny nose. If you experience seasonal allergies, these essential. If possible, evert and inspect the upper lid. Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. Mid-morning and early evening are when the pollen count is highest. Avoiding the allergen: Keeping the house clean, minimizing soft furnishings, and staying indoors when the pollen count is high can help. Adopted child 821 Z72.821 Treatment plan change: I see no change in the treatment plan currently, and allergic conjunctivitis should resolve in 10-14 days. The uninvolved bulbar conjunctiva is milky white. If we can determine the source, patients can make lifestyle modifications, such as not allowing the dog or cat in their bed if they are allergic. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Some people are sensitive to specific substances. Most cases of acute, infectious conjunctivitis in adults are viral and self-limited; these cases do not require antimicrobial treatment. Pink eye caused by viral conjunctivitis often starts in one eye and spreads to the other, while eye allergies usually affect both eyes at once. Corrected ICD-10 codes and active problem list, Rx format and treatment plan revision/Corrected arguments to demonstrate understanding. Common symptoms of allergic conjunctivitis in the eyes can include: Intense itching of eyes and urge to rub eyes. A., & Barney, N. P. (2013, October 23). Acute allergic conjunctivitis is due to a type I hypersensitivity reaction Type I Allergic (including atopic) and other hypersensitivity disorders are inappropriate or exaggerated immune reactions to foreign antigens. Find out what happens in your eye to bring you such distress. Herpetic keratoconjunctivitis a type of conjunctivitis associated with herpes simplex virus and blister-like lesions on the skin; it may affect only one eye, Rubella and rubeola (measles) conjunctivitis can occur with these viral rash illnesses which are usually accompanied by rash, fever, and cough, Purulent discharge that causes eyelids to be matted together, Is the most common form of bacterial conjunctivitis, Is typically self-limited within 12 weeks, but topical antibiotic therapy may reduce the duration of disease, Is a very rare and severe type of conjunctivitis with rapid onset and progression, as well as severe symptoms, including massive exudate, severe chemosis, eyelid swelling, marked hyperemia, pain, and decreased vision, Requires both parenteral and topical antibiotic therapy, Can progress to corneal infiltrates, melting and perforation and vision loss if not treated promptly by an ophthalmologist, Defined as symptoms lasting for at least 4 weeks, Often occurs with blepharitis (inflammation of the eyelid), which can cause flaky debris and warmth along the lid, People with this condition should see an ophthalmologist, Infection usually is acquired during delivery of infants born to mothers with, It is called chlamydial ophthalmia neonatorum in the first 4 weeks of life, Usually symptoms develop 5 to 14 days after birth; symptoms can develop earlier if the amniotic sac is ruptured during delivery Concurrent chlamydial infection elsewhere in their bodies (e.g., lungs, nasopharynx) is common, Approximately 50% of infants who develop pneumonia have a history of chlamydial conjunctivitis, Presenting symptoms include watery, mucopurulent, or bloody discharge, marked swelling with red, thickened, and friable conjunctivae, and a pseudomembrane may form, Acute disease is commonly unilateral with hyperemia and purulent discharge and caused by, Many patients will have a mild prolonged course, Presenting with chlamydial conjunctivitis will have an associated genital infection, The leading global cause of preventable blindness, A chronic follicular conjunctivitis caused by, Causes scarring of the inner eyelid which can cause the eyelashes to turn in and scratch the cornea (trichiasis), leading to permanent damage, Transmitted from person to person through contact with discharge from the eyes or nose of an infected person, through shared items, or by flies spreading ocular secretions, Repeat infections occur in children younger than 10 years of age, Common in developing countries where access to water and sanitation may be poor, Is targeted for elimination by the World Health Organization through an innovative, multi-faceted public health strategy known as S.A.F.E. Allergic conjunctivitis is often confused with pink eye caused by viral infection of conjunctiva due to their similar symptoms. Primary endpoints were ocular itching and conjunctival redness 15 minutes and eight hours post-treatment, post-conjunctival allergen challenge. These allergens, particularly those in the home, tend to cause symptoms year-round. The patient has a history of Type 2 Diabetes, Chronic Constipation, and Obesity. Course Hero is not sponsored or endorsed by any college or university. Anyone who develops papillary conjunctivitis after recent eye surgery will be referred to an ophthalmologist. patient experiencing heart failure with reduced ejection fraction will have which symptoms? Here's some information to help you get ready for your appointment and what to expect. Cequa, Gengraf , Neoral, Restasis, Sandimmune, SangCya, Verkazia, Alaway, Children's Alaway, Claritin Eye, Eye Itch Relief, Itchy Eye, Zaditor, Zyrtec Itchy Eye, All Day Allergy , All Day Allergy Children's, Allergy Relief, Children's Allergy Relief, PediaCare Children's Allergy, Quzyttir, ZERVIATE, Zyrtec, Zyrtec Chewable, Zyrtec Children's, Zyrtec Children's Allergy , ZYRTEC Children's Dye Free, Zyrtec Children's Hives , Zyrtec Dissolve, ZYRTEC Dye Free, Zyrtec Hives Relief , Zyrtec Liquid Gel , Zyrtec Pre-Filled Spoons, Zyrtec Syrup, Acular, Acular LS, Acular PF, Acuvail , SPRIX, Toradol. These symptoms may be accompanied by nasal symptoms such as a runny or itchy nose, or sneezing. Its important to determine the source of the allergy, so it can be helpful to involve an allergist. They may find symptoms are worse at certain times of the day than at others. Figure 1. In: Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. Reproduction in whole or in part without permission is prohibited. o [ abdominal pain pediatric ] information submitted for this request. Conjunctivitis can result from many causes, including viruses, bacteria, allergens, contact lens use, chemicals, fungi, and certain diseases. More than 90 percent of patients can be controlled with artificial tears, avoidance of the allergen, and then using topical antihistamines or mast cell stabilizers, he says. Usually, conjunctivitis lasts one to two weeks. Advertising revenue supports our not-for-profit mission. What websites do you recommend? If the eyelids are red, cracked, or dry, this may indicate contact conjunctivitis. When avoidance of non-pharmacologic strategies do not provide. Identifying product sensitivities helps us treat them., Patients can also be allergic to medications theyre taking. The main symptoms are itching, burning, watering and redness of the eye, and puffiness of the eyelids. a feeling that there is something in the eye, brush them regularly and wash them every 2 weeks, stay inside and keep doors and windows closed when the pollen count is high, avoid areas with a lot of grass, flowers, or trees, use wraparound sunglasses to protect your eyes, bathe and change your clothes after being outside, try to get someone else to cut the lawn for you, avoid soft furnishings, such as carpets and drapes, choose anti-allergenic matresses and bedding, vacuum often, and dust with a clean, damp cloth. Our team thoroughly researches and evaluates the recommendations we make on our site. If you live in a location where high pollen counts are common, you are more susceptible to allergic conjunctivitis. Kids who suffer from chronic allergic conjunctivitis can develop dark discoloration below their eyes, called allergic shiners. Review/update the antihistamines, saline eye drops, and nasal sprays. This content does not have an Arabic version. The following viruses can cause viral conjunctivitis, with adenoviruses being one of the most common causes: Viral conjunctivitis is highly contagious. Antiviral medicines may be an option if your viral conjunctivitis is caused by the herpes simplex virus. Your symptoms should gradually clear on their own. If you buy through links on this page, we may earn a small commission Heres our process. Your doctor will diagnose you with allergic conjunctivitis through a review of your symptoms and an eye examination. Its your bodys reaction to substances it considers potentially harmful. It may involve the iris. Recurring exposure to allergens, however, will likely trigger the same symptoms in the future. When did you begin experiencing symptoms? Generally, the common problem with vasoconstrictors is that they may cause dependency with resultant rebound conjunctival injection and . Elsevier; 2023. https://www.clinicalkey.com. This topic discusses the management of allergic conjunctivitis. Allergic conjunctivitis causes red, watery, itchy or gritty eyes. Have your symptoms been continuous or occasional? The viruses most commonly associated with it include enterovirus 70, coxsackievirus A24, and adenoviruses. Investigators measured conjunctival redness and found that it was significantly lower after cetirizine treatment compared to vehicle at seven minutes post-conjunctival allergen challenge at both 15 minutes and eight hours post-treatment in both studies. According to the Centers for Disease Control and Prevention (CDC), symptoms usually improve after stopping exposure to the allergen. Take a comprehensive approach and attack the source of the problem rather than the symptom, he advises. There is a problem with These can cause an allergic reaction in some people. Chronic itching can lead to chronic eyelid rubbing, periocular hyperpigmentation, and dermatoblepharitis. The result could be irreversible eye damage. Seven signs of conjunctivitis are: discharge from the eyes or sticky eyes crusty eyelashes and lids swelling around the eyes burning sensation tearing up red or pink in the whites of the eyes. If these do not help, a doctor may prescribe medication. It typically presents as bilateral ocular itching, redness, and watery discharge. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Diagnosis is by history read more , or asthma Asthma Asthma is a disease of diffuse airway inflammation caused by a variety of triggering stimuli resulting in partially or completely reversible bronchoconstriction. In the study, cetirizine administered 15 minutes or eight hours prior to conjunctival allergen challenge resulted in significantly lower ocular itching scores compared to vehicle at all time points post-conjunctival allergen challenge. The conjunctiva is the thin transparent layer of tissue that lines the inner surface of the eyelid and covers the white part of the eye. 3. Some substances that cause this reaction are: Some people may also experience allergic conjunctivitis in reaction to certain medications or substances dropped into the eyes, such as contact lens solution or medicated eye drops. We take your privacy seriously. Allergic conjunctivitis is inflammation of the conjunctiva, which is the tissue that covers the inside of eyelids, as well as the white part of the eyeball. They should be asked to remove their contact lenses, treated with topical antibiotics, and promptly evaluated by an ophthalmologist. The best way to prevent allergic conjunctivitis is to avoid exposure to environmental triggers, but this can be hard to do. Ophthalmic Epidemiology. Most viruses that cause conjunctivitis spread through hand-to-eye contact by hands or objects that are contaminated with the infectious virus. Discharge may be tenacious and mucoid, containing numerous eosinophils. Active problem list: Allergic conjunctivitis; Allergic rhinitis (seasonal) Recreational THC use; Changes in patient's current treatment plan: No changes would be made to the current treatment plan at this time. Symptoms may appear quickly, soon after the eyes come into contact with the allergen. Itchy eyes are rarely a symptom of a serious condition, but they can cause irritation and impact quality of life. Please confirm that you are a health care professional. Allergic conjunctivitis is caused by airborne allergens contacting the eye, which leads to immunoglobulin E (IgE) mediated local mast cell degranulation and allergic inflammation. Ocular drug-delivery systems are also being studied to overcome this limitation. If the patient is allergic to a product, we want to know that rather than just giving him or her Pataday and a steroid, while they keep using the product. Dual-acting AC medications, exhibit a high degree of overall effectiveness and are well tolerated for chronic use. The conjunctiva is a thin membrane between the inner eyelid and the white of the eye. Ask your provider if you should discard and replace your contact lens accessories, such as the lens case used before or during the illness. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Having contact with infectious tears, eye discharge, fecal matter, or respiratory discharges can contaminate hands. Swollen eyelids. Symptoms include itching, lacrimation, discharge, and conjunctival read more (see table ) are usually clinical. Some favorites in that category include Prolensa, BromSite, and Nevanac. Allergic conjunctivitis is a common eye problem that affects more than 20% of people. Corrected ICD-10 codes and active problem list 1. ecause the eye is in constant contact with the environment, it is vulnerable to irritants. Healthline only shows you brands and products that we stand behind. If you are a Mayo Clinic patient, this could Poor hygiene when handling contact lenses, solutions, and cases may contribute to infections of the eye. Patients seem to tolerate it well, and there is very little stinging, he says. Course Hero is not sponsored or endorsed by any college or university. An allergic reaction happens when the immune system overreacts to a substance. Antihistamines may help bring fast relief from symptoms, either as an oral dose or as eye drops. A systematic review of clinical practice guidelines for infectious and non-infectious conjunctivitis. Pollen is a common cause of seasonal allergies, but a persistent allergy may be due to dust or animal dander, allergens that are present all year. Patients who have severe cases of atopic keratoconjunctivitis may require a stronger steroid. Zitelli BJ, et al., eds. In: Conn's Current Therapy 2022. Topical antihistamines, nonsteroidal anti-inflammatory drugs (NSAIDs), mast cell stabilizers, or a combination, Topical corticosteroids or cyclosporine for recalcitrant cases. https://www.aao.org/eye-health/diseases/pink-eye-conjunctivitis. Generally, for me, I tend to go to either Zerviate, which is a prescription, or topical Pazeo, which is OTC. What's the most likely cause of my symptoms? https://ir.aldeyra.com/news-releases/news-release-details/aldeyra-therapeutics-announces-positive-top-line-results-phase-3. Topical cyclosporine drops may be helpful. for the treatment of allergic conjunctivitis (AC) because they offer acute symptomatic relief and control inflammation. Seasonal allergic conjunctivitis (hay fever conjunctivitis) is caused by airborne mold spores or pollen of trees, grasses, or weeds. By Adam Debrowski. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The conjunctiva is susceptible to irritation from allergens, especially during hay fever season. Allergic conjunctivitis comes in two main types: This is a short-term condition that is more common during allergy season. We do not control or have responsibility for the content of any third-party site. Complications of perennial or seasonal allergic conjunctivitis are rare. How is allergic conjunctivitis diagnosed? Seasonal allergies J30.2 3. health information, we will treat all of that information as protected health Intense itching of the eyes is a symptom only associated with eye allergies. (CDC Public Health Image Library), Allergic conjunctivitis is common in people who have other signs of allergic disease, such as hay fever, asthma, and eczema. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Common symptoms of allergic conjunctivitis in the eyes can include: These symptomsmay beaccompanied by nasal symptoms such as a runny or itchy nose, or sneezing. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. It mainly results from an allergy to house dust mites. The Ocular Service Disease and Dry Eye Clinic at the Wilmer Eye Institute treats a variety of eye conditions, including allergic conjunctivitis. Vernal keratoconjunctivitis typically reappears each spring and subsides in the fall and winter. The bulbar conjunctiva may appear translucent, bluish, and thickened. Thus, chronic allergic conjunctivitis leads to milder lid edema and conjunctival chemosis over time. All rights reserved. A quick look at the best eye drops for allergies Best overall eye drops for allergies: Bausch + Lomb Alaway Antihistamine Eye Drops Best once-daily eye drops for allergies: Pataday Once Daily. Cetirizine also resulted in significant improvement in chemosis, eyelid swelling, tearing, ciliary redness, and episcleral redness, as well as nasal symptoms after conjunctival allergen challenge. We can next try artificial tear substitutes because they provide a barrier function and help to, improve the first-line defense at the level of conjunctival mucosa. Various eye drops may help decrease symptoms and inflammation. Because loteprednol is not a super-strong steroid, there are fewer side effects. Conjunctivitis, also informally known as "pink eye," makes up the majority of ophthalmologic disorders seen at primary care clinics. Your provider may recommend: If you wear contact lenses, you'll be advised to stop wearing them until treatment is complete. You may experience seasonal allergies in late winter or spring or even in late summer and fall. People taking them for the first time should refrain from driving or operating heavy machinery until they know whether or not the medication affects them. Diagnosis is clinical read more , and noninfectious conjunctivitis Allergic Conjunctivitis Allergic conjunctivitis is an acute, intermittent, or chronic conjunctival inflammation usually caused by airborne allergens. Schools should allow infected children to remain in school once any indicated therapy is implemented, except when viral or bacterial conjunctivitis is accompanied by systemic signs of illness. , or conjunctivitis, refers to an irritation or infection of the conjunctiva. Complications are rare with allergic conjunctivitis. Cold compresses: Holding a wad of cotton wool soaked in cold water on the eyelid can soothe the eyes. Most people do not react in this way to dust, pollen, and other substances, but some are more susceptible. Both eyes are usually affected, although symptoms may be worse in one eye. Allergic conjunctivitis is an eye inflammation resulting from an allergic reaction to substances like pollen or mold spores. Rubbing the eyes can worsen symptoms. Conjunctivitis can result from many causes, including viruses, bacteria, allergens, contact lens use, chemicals, fungi, and certain diseases. It is rarely vision-threatening but can significantly decrease the quality of life for patients. . Allergic conjunctivitis is usually bilateral with watery discharge and itching. The term eye irritation describes feelings of dryness, itchiness, pain, or grittiness in the eye. o [ pediatric abdominal pain ] How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.aop.org.uk/advice-and-support/for-patients/eye-conditions/allergic-conjunctivitis, https://www.nhs.uk/conditions/allergic-rhinitis/prevention/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049531/, https://patient.info/health/allergic-conjunctivitis-leaflet, New clues to slow aging? Topical over-the-counter antihistamines (eg, ketotifen) are useful for mild cases. Also known as contact dermatoconjunctivtis, symptoms are usually caused by cosmetics, eye-drops, or other chemicals that irritate the conjunctiva in those who are susceptible. The other medication that ophthalmologists are writing for is Zerviate, so thats kind of the last man standing for prescription medications., Dr. Latkany agrees. Accessed Nov. 11, 2022. NR511 week 3 case study conjuntivitis part 2.docx, NR 511 Week 3 Clinical Case Study Part Two Discussion.docx, Dylan is a 22 y/o Type 1 diabetic.