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 construc...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2011
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/21883
- Acceso en línea:
- https://doi.org/10.1590/S0004-27492011000600016
https://repository.urosario.edu.co/handle/10336/21883
- Palabra clave:
- Conjunctivis
alergia
Queratoconjuntivitis
Adrenal cortex hormonas
Inmunosupresivos
Incidencia & prevención de la enfermedad
Questionários
Consenso
Conjuntivite alérgica
Ceratoconjuntivite
Corticosteroides
Imunossupressores
- Rights
- License
- http://purl.org/coar/access_right/c_abf2
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dc.title.none.fl_str_mv |
Ocular allergy latin american consensus Consenso latino americano de alergia ocular |
title |
Ocular allergy latin american consensus |
spellingShingle |
Ocular allergy latin american consensus Conjunctivis alergia Queratoconjuntivitis Adrenal cortex hormonas Inmunosupresivos Incidencia & prevención de la enfermedad Questionários Consenso Conjuntivite alérgica Ceratoconjuntivite Corticosteroides Imunossupressores |
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 |
dc.subject.none.fl_str_mv |
Conjunctivis alergia Queratoconjuntivitis Adrenal cortex hormonas Inmunosupresivos Incidencia & prevención de la enfermedad Questionários Consenso Conjuntivite alérgica Ceratoconjuntivite Corticosteroides Imunossupressores |
topic |
Conjunctivis alergia Queratoconjuntivitis Adrenal cortex hormonas Inmunosupresivos Incidencia & prevención de la enfermedad Questionários Consenso Conjuntivite alérgica Ceratoconjuntivite Corticosteroides Imunossupressores |
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. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011 2020-05-07T02:42:26Z |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/review |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_efa0 |
dc.identifier.none.fl_str_mv |
https://doi.org/10.1590/S0004-27492011000600016 0004-2749 https://repository.urosario.edu.co/handle/10336/21883 |
url |
https://doi.org/10.1590/S0004-27492011000600016 https://repository.urosario.edu.co/handle/10336/21883 |
identifier_str_mv |
0004-2749 |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000600016 |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
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http://purl.org/coar/access_right/c_abf2 |
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application/pdf |
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instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR |
instname_str |
Universidad del Rosario |
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Universidad del Rosario |
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Repositorio Institucional EdocUR |
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Repositorio Institucional EdocUR |
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1803710513041899520 |
spelling |
Ocular allergy latin american consensusConsenso latino americano de alergia ocularConjunctivisalergia Queratoconjuntivitis Adrenal cortex hormonas InmunosupresivosIncidencia & prevención de la enfermedadQuestionáriosConsensoConjuntivite alérgicaCeratoconjuntiviteCorticosteroidesImunossupressoresPurpose: 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.Objetivo: Estabelecer a definição, classificação e estadiamento e desenvolver recomendações para o diagnóstico e tratamento da alergia ocular, usando o método Delphi de consenso. Métodos: Dez especialistas em alergia ocular da América Latina participaram do painel. Quatro rodadas de questionários foram respondidas pelos painelistas. Consenso foi definido quando houve 2/3 ou mais de concordância. Os aspectos principais avaliados foram: definição, classificação, estadiamento e recomendações para diagnóstico e tratamento da alergia ocular. Resultados: “Alergia Ocular” foi proposto como termo geral para descrever as doenças alérgicas oculares. Consenso sobre classificação não foi atingido. Sinais e sintomas foram considerados extremamente importantes para o diagnóstico. Consenso foi atingido sobre a necessidade de se estabelecer um sistema de estadiamento baseado na gravidade da doença. Controle ambiental e de exposição a alérgenos e o uso de lágrimas artificiais foram considerados tratamento de primeira linha e o uso tópico de anti-histamínicos, estabilizadores de membranas de mastócitos e drogas de ação múltipla, como tratamento de segunda linha. Anti-inflamatórios não hormonais tópicos e vasoconstrictores não foram recomendados. Corticosteroides tópicos foram estabelecidos como terceira linha de tratamento para casos graves de ceratoconjuntivite. Consenso não foi obtido em relação ao uso sistêmico de corticosteróides e imunossupressores. Abordagem cirúrgica e tratamentos não convencionais não foram recomendados de rotina. Conclusão: O desafio de criar recomendações para diversos aspectos da alergia ocular mostrou-se muito complexo, muitos deles permanencendo ainda controversos. Consensos mais amplos podem ser necessários para melhorar as recomendações atuais referentes a importantes aspectos da alergia ocular.20112020-05-07T02:42:26Zinfo:eu-repo/semantics/reviewhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_efa0application/pdfhttps://doi.org/10.1590/S0004-274920110006000160004-2749https://repository.urosario.edu.co/handle/10336/21883instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURenghttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492011000600016http://purl.org/coar/access_right/c_abf2Serapiáo Dos Santos, MyrnaRuíz Alves, MiltonFreitas, Denise deBarbosa de Sousa, LucieneWainsztein, RicardoKandelman, SérgioLozano, FranciscoLozano, MauricioBeltrán, FranciscoBaça Lozada, OscarSantacruz, ConcepciónGuzzo, GiovanniZaccarelli Filho, Carlos AlbertoPereira Gomes, José Álvarooai:repository.urosario.edu.co:10336/218832020-05-13T14:49:34Z |