Ocular allergy latin american consensus
PURPOSE: To establish current definition, classification and staging, and to develop diagnosis and treatment recommendations for ocular allergy, by using Delphi approach. METHODS: Ten Latin American experts on ocular allergy participated in a 4-round Delphi panel approach. Four surveys were constructed and answered by panelists. A two-thirds majority was defined as consensus. Definition, classification, staging and diagnosis and treatment recommendations were the main outcomes. RESULTS: "Ocular allergy" was proposed as the general term to describe ocular allergic diseases. Consensus regarding classification was not reached. Signs and symptoms were considered extremely important for the diagnosis. It was consensus that a staging system should be proposed based on the disease severity. Environmental control, avoidance of allergens and the use of artificial tears were recommended as first line treatment. The secondary treatment should include topical anti-histamines, mast cell stabilizers and multi actions drugs. Topical non-steroidal anti-inflammatory and vasoconstrictors were not recommended. Topical corticosteroids were recommended as third line of treatment for the most severe keratoconjunctivitis. Consensus was not reached regarding the use of systemic corticosteroids or immunosuppressant. Surgical approach and unconventional treatments were not recommended as routine. CONCLUSION: The task of creating guidelines for ocular allergies showed to be very complex. Many controversial topics remain unsolved. A larger consensus including experts from different groups around the world may be needed to further improve the current recommendations for several aspects of ocular allergy.
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Conselho Brasileiro de Oftalmologia
2011
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oai:scielo:S0004-274920110006000162012-02-10Ocular allergy latin american consensusSantos,Myrna Serapião dosAlves,Milton RuizFreitas,Denise deSousa,Luciene Barbosa deWainsztein,RicardoKandelman,SérgioLozano,MauricioBeltrán,FranciscoLozada,Oscar BaçaSantacruz,ConcepciónGuzzo,GiovanniZaccarelli Filho,Carlos AlbertoGomes,José Álvaro Pereira Questionnaires Consensus Keratoconjunctivitis Adrenal cortex hormones Immunosuppressive agents PURPOSE: To establish current definition, classification and staging, and to develop diagnosis and treatment recommendations for ocular allergy, by using Delphi approach. METHODS: Ten Latin American experts on ocular allergy participated in a 4-round Delphi panel approach. Four surveys were constructed and answered by panelists. A two-thirds majority was defined as consensus. Definition, classification, staging and diagnosis and treatment recommendations were the main outcomes. RESULTS: "Ocular allergy" was proposed as the general term to describe ocular allergic diseases. Consensus regarding classification was not reached. Signs and symptoms were considered extremely important for the diagnosis. It was consensus that a staging system should be proposed based on the disease severity. Environmental control, avoidance of allergens and the use of artificial tears were recommended as first line treatment. The secondary treatment should include topical anti-histamines, mast cell stabilizers and multi actions drugs. Topical non-steroidal anti-inflammatory and vasoconstrictors were not recommended. Topical corticosteroids were recommended as third line of treatment for the most severe keratoconjunctivitis. Consensus was not reached regarding the use of systemic corticosteroids or immunosuppressant. Surgical approach and unconventional treatments were not recommended as routine. CONCLUSION: The task of creating guidelines for ocular allergies showed to be very complex. Many controversial topics remain unsolved. A larger consensus including experts from different groups around the world may be needed to further improve the current recommendations for several aspects of ocular allergy.info:eu-repo/semantics/openAccessConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.74 n.6 20112011-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000600016en10.1590/S0004-27492011000600016 |
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Santos,Myrna Serapião dos Alves,Milton Ruiz Freitas,Denise de Sousa,Luciene Barbosa de Wainsztein,Ricardo Kandelman,Sérgio Lozano,Mauricio Beltrán,Francisco Lozada,Oscar Baça Santacruz,Concepción Guzzo,Giovanni Zaccarelli Filho,Carlos Alberto Gomes,José Álvaro Pereira |
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Santos,Myrna Serapião dos Alves,Milton Ruiz Freitas,Denise de Sousa,Luciene Barbosa de Wainsztein,Ricardo Kandelman,Sérgio Lozano,Mauricio Beltrán,Francisco Lozada,Oscar Baça Santacruz,Concepción Guzzo,Giovanni Zaccarelli Filho,Carlos Alberto Gomes,José Álvaro Pereira Ocular allergy latin american consensus |
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Santos,Myrna Serapião dos Alves,Milton Ruiz Freitas,Denise de Sousa,Luciene Barbosa de Wainsztein,Ricardo Kandelman,Sérgio Lozano,Mauricio Beltrán,Francisco Lozada,Oscar Baça Santacruz,Concepción Guzzo,Giovanni Zaccarelli Filho,Carlos Alberto Gomes,José Álvaro Pereira |
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Santos,Myrna Serapião dos |
title |
Ocular allergy latin american consensus |
title_short |
Ocular allergy latin american consensus |
title_full |
Ocular allergy latin american consensus |
title_fullStr |
Ocular allergy latin american consensus |
title_full_unstemmed |
Ocular allergy latin american consensus |
title_sort |
ocular allergy latin american consensus |
description |
PURPOSE: To establish current definition, classification and staging, and to develop diagnosis and treatment recommendations for ocular allergy, by using Delphi approach. METHODS: Ten Latin American experts on ocular allergy participated in a 4-round Delphi panel approach. Four surveys were constructed and answered by panelists. A two-thirds majority was defined as consensus. Definition, classification, staging and diagnosis and treatment recommendations were the main outcomes. RESULTS: "Ocular allergy" was proposed as the general term to describe ocular allergic diseases. Consensus regarding classification was not reached. Signs and symptoms were considered extremely important for the diagnosis. It was consensus that a staging system should be proposed based on the disease severity. Environmental control, avoidance of allergens and the use of artificial tears were recommended as first line treatment. The secondary treatment should include topical anti-histamines, mast cell stabilizers and multi actions drugs. Topical non-steroidal anti-inflammatory and vasoconstrictors were not recommended. Topical corticosteroids were recommended as third line of treatment for the most severe keratoconjunctivitis. Consensus was not reached regarding the use of systemic corticosteroids or immunosuppressant. Surgical approach and unconventional treatments were not recommended as routine. CONCLUSION: The task of creating guidelines for ocular allergies showed to be very complex. Many controversial topics remain unsolved. A larger consensus including experts from different groups around the world may be needed to further improve the current recommendations for several aspects of ocular allergy. |
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Conselho Brasileiro de Oftalmologia |
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2011 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000600016 |
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1756373153941028864 |