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. 2021 Nov 29;85(4):415-425.
doi: 10.5935/0004-2749.20220053. eCollection 2021.

Brazilian guidelines for the monitoring and treatment of pediatric allergic conjunctivitis

Cristiana Soares Ronconi  1 , Dayane C Issaho  2 , Fabio Ejzenbaum  3 , Luisa Moreira Hopker  2 , Dirceu Solé  4 , Herberto J Chong Neto  5 , Ana Tereza R Moreira  6 , Marcia Keiko Tabuse  1 , Myrna S Santos  1 , Julia Dutra Rossetto  1   7
Affiliations

Brazilian guidelines for the monitoring and treatment of pediatric allergic conjunctivitis

Cristiana Soares Ronconi et al. Arq Bras Oftalmol. .

Abstract
in English, Portuguese

Allergic conjunctivitis is an increasingly frequent condition with a higher prevalence in children. It can be debilitating and is responsible for a great economic burden. These guidelines were developed on the basis of the medical literature (PubMed/Medline database) and the experience of an Expert Committee composed of members of the Brazilian Society of Pediatric Ophthalmology, the Brazilian Council of Ophthalmology, the Brazilian Society of Pediatrics, and the Brazilian Association of Allergy and Immunology. Allergic conjunctivitis is considered to be controlled when the ocular symptoms are not uncomfortable or are present, at most, on 2 days a week; the visual analog scale score is below 5; and the degree of conjunctival hyperemia is graded 0 or 1 on the Efron scale. Allergic conjunctivitis should be classified as mild, moderate, severe, and vision-threatening for adequate treatment and monitoring of frequency. The present document is a guideline for diagnosing, treating, and monitoring pediatric allergic conjunctivitis considering the clinical and demographic aspects of allergic conditions in Brazil.

A conjuntivite alérgica (CA) é uma condição frequente, debilitante e responsável por grande impacto econômico, proporcionalmente maior quando acomete crianças. Essas diretrizes foram desenvolvidas com base na literatura científica (PubMed/Medline) e na experiência de um Comitê de Especialistas composto por membros da Sociedade Brasileira de Oftalmologia Pediátrica, do Conselho Brasileiro de Oftalmologia, da Sociedade Brasileira de Pediatria e da Associação Brasileira de Alergia e Imunologia. A conjuntivite alérgica é considerada controlada quando os sintomas não são desconfortáveis ou estão presentes por dois dias na semana; o escore visual pela escala analógica é inferior a 5 e o grau de hiperemia conjuntival é de 0-1 pela escala de Efron. A conjuntivite alérgica deve ser classificada em leve, moderada, grave e com risco de perda visual para tratamento e frequência de monitoramento adequados. Esta diretriz orienta o diagnóstico, tratamento e monitoramento da conjuntivite alérgica pediátrica, considerando aspectos clínicos e demográficos das condições alérgicas no Brasil.

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Conflict of interest statement

Disclosure of potential conflicts of interest: None of the authors have any potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
The Efron clinical grading scale for conjunctival and limbal hyperemia. Reprinted with permission from Efron N. Contact lens complications. 4th ed. Philadelphia: Elsevier; 2019 (ISBN: 978-0-7020-7611-4).
Figure 2
Figure 2
Algorithm for the classification and treatment of allergic conjunctivitis.
See this image and copyright information in PMC

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