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    How to approach the management of seasonal allergies



    Every spring, ophthalmologists typically see a big influx of patients seeking relief from the itching and watery eyes that come with allergies.

    Eric D. Donnenfeld, MD, Ophthalmic Consultants of Long Island, Rockville Centre, NY, said the first thing ophthalmologists should do is to be certain that allergic conjunctivitis is the right diagnosis.

    Related: How sleep patterns may affect MGD, dry eye

    “Sometimes diseases like dry eye can mimic allergy, so you want to make certain what you are dealing with,” Dr. Donnenfeld said. “Allergies usually present as itching, and there may be some systemic component to it as well. It can be a little difficult to diagnose.”

    Looking at the pallor of the conjunctiva or presence of pale discharge can point toward allergies, he added. In bad cases, Horner-Trantas dots and papillary changes also can be evident.

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