What is your approach for treating allergic conjunctivitis in a patient who has failed ketotifen and olopatadine?

Agree with Dr. @Dr. First Last - and for in-office treatments, I've been increasingly impressed with Rinsada irrigation in some cases (rinse out the fornix, which seems to trap some allergens there), as well as mitigation and desensitization therapy if the allergist can find specific allergens to fo...

While still young in my career, I have found the following helpful as part of my treatment algorithm.

1. For all patients: avoid touching and rubbing eyes, and use cold compresses. If known/avoidable allergens, try to find ways to avoid (similar to the above threads).
2. Start with cold compresses + topi...

1. Morning, night, and when symptomatic, wash hands thoroughly, splash cold water in and around eyes to dislodge pollens and danders. Ice water compress if chemosis.
2. 1 oral ibuprofen q.a.m.
3. Consider oral montelukast 10 mg per day during symptomatic periods.
4. Remove known allergens from the environment....