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Thursday, April 3, 2014

sniff, sniff.....it's beautiful outside....

with all the seasonal allergy stuff in full bloom, consider the following:
Environmental Solutions
If seasonal conjunctivitis is diagnosed, patients may gain at least some control over their discomfort by understanding what contributes to their particular allergies:
  • Avoid the avoidable. “I recommend that patients who have seasonal allergies see an allergist to determine which allergens are affecting them. An allergist can conduct skin-prick tests to accurately isolate the irritating allergens and recommend steps to avoid them,” said Dr. Trattler.
  • Study your geography. Patients can monitor tree, grass, weed and mold spore counts for their particular geographic area through the National Allergy Bureau—which is a section of the American Academy of Allergy, Asthma and Immunology. In addition to linking their symptoms with a potential allergen, which can improve management, patients can determine when it might be best to stay indoors, thus minimizing exposure to the irritating allergens. 
  • Watch the weather. Patients should be advised that the weather also plays a role in pollen count fluctuations. For example, counts tend to be lower during and after rain showers because the pollen gets washed away. Windy days, however, can be irritating because more pollen becomes airborne, increasing the opportunity for contact with the eyes, nose and lungs.
  • Keep an eye on the clock. Diurnal fluctuations can also affect symptom expression. “When the weather starts getting nice in the spring, people tend to leave their windows open at night. Unfortunately, that’s when the allergens have a higher chance to come in and cause problems. Pollen shedding is most common during the early morning hours—between 4 and 6 a.m.,”
    Dr. Trattler pointed out.
  • Be nice to your eyes. When avoidance is not an option, there are still steps that patients can take to reduce the allergen’s impact and increase ocular comfort. Wearing glasses or sunglasses can reduce the chance of pollen entering the eye. Rubbing itchy eyes can cause mast cell degranulation, which maintains the allergic cycle and should be avoided. Instead, “apply artificial tears to flush the pollen from the eyes. Anything you put in the eye for allergic conjunctivitis should be refrigerated. Cool eye masks can also be soothing,” said Dr. Bielory.
  • Curtail the contacts. Contact lens wearers tend to be disproportionately affected by allergy. Even if a patient is a successful contact lens wearer for most of the year, allergy season can make them quite uncomfortable, particularly when contacts are worn for extended periods of time. The airborne allergens tend to accumulate, binding to the contacts, getting trapped and causing discomfort. “Contacts probably should be avoided in patients with seasonal allergic conjunctivitis, particularly when there is evidence of underlying dry eye disease. This does not mean, however, that patients will steer clear of them,” said Dr. Wilson. In general, a combination antihistamine/mast cell stabilizer, when applied before and after removing the lenses should increase the quality of wearing time for these patients.
  • Clear the air. Patients can remove pollens from their environment by using air-conditioning filters designed to trap irritating allergens, which are available for both the home and automobile installation. Cleaning floors with a damp mop, instead of sweeping, keeps allergens that are brought into the home on feet and clothing from becoming airborne, which can exacerbate symptoms.
  • Shower for slumberland. Showering and washing hair at night reduces the chance of prolonged and concentrated exposure to pollens while sleeping. Allergen-resistant pillows can be a tremendous help as well.
Link to Allergy Website

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