Optometric Management

FEB 2017

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F E B R U A R Y 2 0 1 7 • O P T O M E T R I C M A N A G E M E N T . C O M Phoroptor® VRx Digital Refraction System Hand-assembled in USA, with premium components, by the company you've always trusted in refraction. The most advanced Phoroptor ® ever built. © 2017 AMETEK, Inc. & Reichert, Inc. (1-2017) · Made in USA Phoroptor is a registered trademark of Reichert, Inc. · www.reichert.com SECO #1137 · reichert.com/vrx techniques, such as not sleeping with the cat. Provide the patient with a printout of all the al- lergens he or she suffers from, and suggest modify- ing his or her environment to provide allergy relief. For example, indoor modifications might include having one's home duct work cleaned or eliminat- ing carpets and plants in the household. Outdoor changes might include clearing trees and plants. If it is not possible to avoid the antigens or modify your environment, incorporate pharmacological therapy. I start with a prescription combination an- tihistamine/mast cell stabilizer drop. Some of these offer the advantage of once-daily dosing. A topical antihistamine is an option, as well. I also institute an Ocular Allergy Drugs • Antihistamine/mast cell stabilizer: Alaway (Bausch + Lomb) Bepreve (Bausch + Lomb) Elestat (Allergan) Optivar (Meda) Pazeo (Alcon) Patanol (Alcon) Pataday (Alcon) Lastacaft (Allergan) Zaditor (Alcon) • Mast cell stabilizers: Alocril (Allergan) Alomide (Alcon) Crolom (Bausch + Lomb) • Steriods: Alrex (Bausch + Lomb) FML (Allergan) Lotemax (Bausch + Lomb) Pred Forte (Allergan) Vexol (Alcon) • Antihistamines: Emadine (Alcon) • NSAID: Acular (Allergan) • Other Ocular allergy pellets (Natural Ophthalmics) Allergy desensitization eye drops (Natural Ophthalmics) Allergy eye relief (Similasan)

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