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Revisiting Ocular Allergy: Evaluating Symptoms,Benzalkonium Chloride and Efficacy of Topical Ketotifen 0.025%
Authors:Kostas G Boboridis  Nikolaos Kozeis  Anastasios GP Konstas
Institution:1. 3rd Ophthalmology Department, Aristotle University of Thessaloniki, Thessaloniki, Greecekosbob@otenet.grORCID Iconhttps://orcid.org/0000-0002-0471-0371;3. Ophthalmica Institute of Ophthalmology &4. Microsurgery, Thessaloniki, Greece;5. 3rd Ophthalmology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
Abstract:ABSTRACT

This interesting study raises a scientific issue for revisiting three important elements on diagnosis, use of preservatives and selection of the appropriate topical treatment. Itchy feeling can be encountered in other ophthalmic conditions misdiagnosed as allergy, benzalkonium chloride is responsible for surface toxicity resulting in reduced efficacy and tolerability of topical allergy medications and it should be avoided on the management of ocular allergy. Unpreserved ketotifen 0,025% has been shown to be the least toxic formulation being the optimum option for efficacy and tolerability on the management of ocular allergy.
Keywords:ketotifen  allergy  dry eye  BAK  benzalkonium  preservatives  MGD
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