The allergic eye: recommendations about pharmacotherapy and recent therapeutic agents

Curr Opin Allergy Clin Immunol. 2020 Aug;20(4):414-420. doi: 10.1097/ACI.0000000000000669.

Abstract

Purpose of review: Ocular allergies affect an estimated 40% of the population, 98% of which are because of allergic conjunctivitis. With the current advent of both repurposed drugs for ocular allergies, as well as novel drugs and methods of administration, there is a need for an updated review of current available medications. A clear characterization of each treatment will ultimately allow treating physicians to restore patients' quality of life and decrease burden of disease.

Recent findings: Currently, there are a number of reformulated antihistamines, with cetrizine being the most recent ophthalmic solution available. Nevertheless, there is ongoing research in the field of immunotherapy, steroids, flavonoids, cannabis, and drug-delivery systems.

Summary: Although dual-activity agents remain the keystone for treatment, newer drugs and drug-delivery systems offer other novel directions for delivering appropriate relief with minimal adverse effects.

Publication types

  • Review

MeSH terms

  • Administration, Ophthalmic
  • Anti-Allergic Agents / administration & dosage*
  • Cetirizine / therapeutic use
  • Conjunctivitis, Allergic / drug therapy*
  • Conjunctivitis, Allergic / immunology
  • Drug Delivery Systems / methods
  • Drug Delivery Systems / standards
  • Drug Repositioning
  • Histamine Antagonists / administration & dosage*
  • Humans
  • Immunotherapy / methods*
  • Immunotherapy / standards
  • Ophthalmic Solutions / administration & dosage*
  • Practice Guidelines as Topic
  • Treatment Outcome

Substances

  • Anti-Allergic Agents
  • Histamine Antagonists
  • Ophthalmic Solutions
  • Cetirizine