Treatment: Management is aimed at minimizing inflammation until the disease naturally subsides. Pharmacologic therapy is the mainstay of treatment. Topical treatments are more effective than systemic. The first-line of treatment is a topical mast cell stabilizer, antihistamine or mast cell stabilizer/antihistamine combination (olopatadine or lodoxamide). These classes of drugs are safely used long-term for moderate to severe cases and should be taken one month prior to the seasonal onset of symptoms. Steroid use is limited to severe inflammation and corneal shield ulcers to minimize iatrogenic harm. Cases not responding to steroids can be treated with cyclosporine. Nonsteroidal anti-inflammatory eye drops are used as a safe alternative in mild cases. Environmental strategies of therapy include: avoidance of allergens and triggering factors, cold compresses and moving to a cooler climate.