F71 Conjunctivitis allergic (ICD-10:H10.1)

Introduction

Conjunctivitis allergic, also known as allergic conjunctivitis, is an inflammation of the conjunctiva, the thin layer of tissue that covers the white part of the eye and the inner surface of the eyelids. It is a common condition that occurs when the eyes react to allergens, such as pollen, dust mites, pet dander, or certain medications.^[1][2] The aim of this guide is to provide a comprehensive overview of conjunctivitis allergic, including its symptoms, causes, diagnostic steps, possible interventions, and patient education.

Codes

• ICPC-2 Code: F71 Conjunctivitis allergic^[3]
• ICD-10 Code: H10.1 Acute atopic conjunctivitis^[4]

Symptoms

• Redness of the eyes: The eyes may appear red or bloodshot.^[5]
• Itching or burning sensation: The eyes may feel itchy or like they are burning.^[6]
• Watery eyes: Excessive tearing or watering of the eyes.^[7]
• Swelling of the eyelids: The eyelids may become swollen or puffy.^[8]
• Sensitivity to light: Increased sensitivity to light, also known as photophobia.^[9]
• Stringy discharge: A clear, stringy discharge rom the eyes.^[10]
• Blurred vision: Vision may become temporarily blurred.

Causes

• Allergens: Exposure to allergens, such as pollen, dust mites, pet dander, or certain medications, can trigger an allergic reaction in the eyes.
• Seasonal factors: Allergic conjunctivitis may be more common during certain seasons, such as spring or fall, when there is a higher concentration of allergens in the air.
• Environmental factors: Exposure to irritants, such as smoke, pollution, or chemicals, can also contribute to allergic conjunctivitis.

Diagnostic Steps

Medical History

• Gather information about the patient’s symptoms, including the duration and severity of the symptoms.
• Ask about any known allergies or previous episodes of allergic conjunctivitis.
• Inquire about any recent exposure to potential allergens or irritants.
• Assess the impact of the symptoms on the patient’s daily activities and quality of life.

Physical Examination

• Inspect the eyes for redness, swelling, or discharge.
• Assess visual acuity and perform a basic eye examination.
• Check for any signs of other eye conditions or complications.

Laboratory Tests

• There are no specific laboratory tests for diagnosing allergic conjunctivitis.
• In some cases, a swab of the conjunctiva may be taken to rule out other possible causes of conjunctivitis, such as bacterial or viral infections.

Diagnostic Imaging

• Diagnostic imaging is not typically necessary for the diagnosis of allergic conjunctivitis.

Other Tests

• Allergy testing: In some cases, allergy testing may be recommended to identify specific allergens that trigger the allergic reaction in the eyes.

Follow-up and Patient Education

• Schedule a follow-up appointment to monitor the patient’s progress and adjust the treatment plan if necessary.
• Provide patient education on how to manage and prevent allergic conjunctivitis, including avoiding allergens, practicing good eye hygiene, and using appropriate medications.

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for Conjunctivitis allergic:

1. Antihistamine eye drops (e.g., Olopatadine, Ketotifen):
   • Cost: $10-$30 per bottle.
   • Contraindications: Hypersensitivity to the medication.
   • Side effects: Temporary burning or stinging sensation in the eyes.
   • Severe side effects: Rare, but may include eye pain or vision changes.
   • Drug interactions: Minimal drug interactions.
   • Warning: Remove contact lenses before using the eye drops.
2. Mast cell stabilizer eye drops (e.g., Cromolyn sodium, Nedocromil):
   • Cost: $10-$30 per bottle.
   • Contraindications: Hypersensitivity to the medication.
   • Side effects: Minimal side effects, but may include temporary stinging or burning sensation in the eyes.
   • Severe side effects: Rare, but may include eye pain or vision changes.
   • Drug interactions: Minimal drug interactions.
   • Warning: Remove contact lenses before using the eye drops.
3. Nonsteroidal anti-inflammatory eye drops (e.g., Ketorolac):
   • Cost: $15-$40 per bottle.
   • Contraindications: Hypersensitivity to the medication, history of asthma or aspirin sensitivity.
   • Side effects: Temporary stinging or burning sensation in the eyes.
   • Severe side effects: Rare, but may include eye pain or vision changes.
   • Drug interactions: Minimal drug interactions.
   • Warning: Remove contact lenses before using the eye drops.
4. Corticosteroid eye drops (e.g., Prednisolone, Dexamethasone):
   • Cost: $20-$50 per bottle.
   • Contraindications: Hypersensitivity to the medication, certain eye infections.
   • Side effects: Increased risk of eye infections, cataracts, or glaucoma with long-term use.
   • Severe side effects: Rare, but may include increased eye pressure or vision changes.
   • Drug interactions: Minimal drug interactions.
   • Warning: Long-term use should be monitored by an eye care professional.
5. Oral antihistamines (e.g., Loratadine, Cetirizine):
   • Cost: $5-$20 per bottle.
   • Contraindications: Hypersensitivity to the medication, certain medical conditions (e.g., glaucoma, urinary retention).
   • Side effects: Drowsiness, dry mouth, or dizziness.
   • Severe side effects: Rare, but may include allergic reactions or liver problems.
   • Drug interactions: Minimal drug interactions.
   • Warning: May cause drowsiness, avoid driving or operating machinery.

Alternative Drugs:

• Immunomodulators (e.g., Cyclosporine): Used for severe or chronic allergic conjunctivitis that does not respond to other treatments. Cost: $100-$200 per bottle.
• Topical decongestants (e.g., Phenylephrine): Provide temporary relief of redness and swelling. Cost: $5-$15 per bottle.
• Artificial tears: Provide lubrication and relief of dryness. Cost: $5-$20 per bottle.
• Topical NSAIDs (e.g., Ketorolac): Used for short-term relief of pain and inflammation. Cost: $15-$40 per bottle.
• Topical antihistamines (e.g., Azelastine): Provide relief of itching and redness. Cost: $10-$30 per bottle.

Surgical Procedures:

• Surgical procedures are not typically necessary for the treatment of allergic conjunctivitis.

Alternative Interventions

• Cold compress: Applying a cold compress to the eyes can help reduce redness and swelling. Cost: Free.
• Eye wash: Rinsing the eyes with saline solution can help remove allergens and provide relief. Cost: $5-$10 per bottle.
• Avoidance of allergens: Identifying and avoiding specific allergens can help prevent allergic reactions in the eyes. Cost: Varies.
• Herbal remedies: Some herbal remedies, such as chamomile or calendula, may provide relief of symptoms. Cost: Varies depending on the specific remedy.
• Acupuncture: May help reduce inflammation and improve overall eye health. Cost: $60-$120 per session.

Lifestyle Interventions

• Eye hygiene: Practicing good eye hygiene, such as washing hands before touching the eyes and avoiding rubbing the eyes, can help prevent further irritation. Cost: Free.
• Allergen control: Taking steps to reduce exposure to allergens, such as keeping windows closed, using air purifiers, and regularly cleaning bedding, can help minimize symptoms. Cost: Varies depending on the specific interventions.
• Sunglasses: Wearing sunglasses can help protect the eyes from allergens and reduce symptoms. Cost: $10-$50.
• Artificial tears: Using artificial tears can help lubricate the eyes and provide relief from dryness. Cost: $5-$20 per bottle.
• Dietary modifications: Some individuals may find that certain dietary changes, such as avoiding dairy or increasing omega-3 fatty acid intake, can help reduce symptoms. Cost: Varies depending on dietary choices.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – F71 Conjunctivitis allergic (ICD-10:H10.1)

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Use the Mirari Cold Plasma device to treat Conjunctivitis allergic effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Conjunctivitis allergic. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. La Rosa, M., Lionetti, E., Reibaldi, M., Russo, A., Longo, A., Leonardi, S., … & Reibaldi, A. (2013). Allergic conjunctivitis: a comprehensive review of the literature. Italian Journal of Pediatrics, 39(1), 18.
2. Rathi, V. M., & Murthy, S. I. (2017). Allergic conjunctivitis. Community eye health, 30(99), 57.
3. World Organization of Family Doctors (WONCA). (2005). International Classification of Primary Care (ICPC-2). Retrieved from http://www.ph3c.org/PH3C/docs/27/000496/0000908.pdf
4. Bundesministerium für Gesundheit. (n.d.). ICD-10 code: H10.1 Acute atopic conjunctivitis. Retrieved from https://gesund.bund.de/en/icd-code-search/h10-1
5. Ono, S. J., & Abelson, M. B. (2005). Allergic conjunctivitis: update on pathophysiology and prospects for future treatment. Journal of Allergy and Clinical Immunology, 115(1), 118-122.
6. Rathi, V. M., & Murthy, S. I. (2017). Allergic conjunctivitis. Community eye health, 30(99), 57.
7. Medscape. (n.d.). Allergic Conjunctivitis Clinical Presentation. Retrieved from https://emedicine.medscape.com/article/1191467-clinical
8. Rathi, V. M., & Murthy, S. I. (2017). Allergic conjunctivitis. Community eye health, 30(99), 57.
9. Merck Manuals. (n.d.). Allergic Conjunctivitis. Retrieved from https://www.msdmanuals.com/home/eye-disorders/conjunctival-and-scleral-disorders/allergic-conjunctivitis
10. Medscape. (n.d.). Allergic Conjunctivitis Clinical Presentation. Retrieved from https://emedicine.medscape.com/article/1191467-clinical