Which condition might require the use of topical steroids?

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Topical steroids are often used in the treatment of allergic conjunctivitis because they help reduce inflammation and alleviate the associated symptoms, such as redness, itching, and swelling of the conjunctiva. In this condition, the immune system overreacts to allergens, leading to inflammation. Topical steroids can effectively decrease this inflammatory response and provide relief, especially in acute exacerbations.

In contrast, while topical steroids are important for some conditions, they are generally not recommended for corneal abrasions, as they can delay healing and increase the risk of infection. For viral infections, such as those caused by herpes simplex, antiviral medications are preferred, as steroids can exacerbate the infection. Chronic dry eye is primarily managed with lubricating agents and anti-inflammatory medications rather than steroids, unless there's significant inflammation that hasn't responded to other treatments. Overall, the primary use of topical steroids in this context is to manage the inflammation seen in allergic conjunctivitis.

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