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Pearl · 05 of 06

Check eyes in everyone starting a biologic for atopic dermatitis

Ask about eye symptoms before starting and at each review of atopic dermatitis treatment.

Conjunctivitis and other ocular surface problems are well-known with some atopic dermatitis treatments, and atopic disease itself affects the eyes. A one-line question about red, itchy, sticky or light-sensitive eyes before starting and at each review catches problems early, and a patient with eye pain or reduced vision needs prompt ophthalmology review.

  • Ask about eye symptoms before starting treatment.
  • Repeat the question at every review.
  • Eye pain or reduced vision needs urgent ophthalmology referral.
  • Keep a note of any eye symptoms present at baseline.

Why it matters

Eye problems are a common reason treatment stops, and they are easy to miss in a skin clinic.

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