Which management measure is common to Allergic Conjunctivitis, Atopic Keratoconjunctivitis, and Vernal Keratoconjunctivitis?

• A. Frequent PFATs
• B. Oral steroids
• C. Laser therapy
• D. Contact lens wear

Answer: (A)

Frequent use of preservative-free artificial tears is a common management approach across allergic conjunctivitis, atopic keratoconjunctivitis, and vernal keratoconjunctivitis. Lubricating the ocular surface provides symptomatic relief by diluting and flushing allergens, reducing friction during blinking, and stabilizing the tear film, which helps lessen itch and irritation. Using preservative-free formulations is especially important in inflammatory conditions because preservatives can irritate a already sensitive surface and worsen inflammation. Other options aren’t routinely used across all three conditions: oral steroids are systemic and reserved for more severe or refractory cases; laser therapy has no standard role in these conjunctival inflammations; and contact lens wear is typically avoided because lenses can irritate and aggravate the inflamed surface.