8/17/2019 Conjunctival Infections

1/11

 

1. Bacterial•  Simple bacterial conjunctivitis

•  Gonococcal keratoconjunctivitis

2. Viral•

  Adenoviral keratoconjunctivitis•  Molluscum contagiosum conjunctivitis

•  Herpes simplex conjunctivitis

•  Adult clam!dial keratoconjunctivitis

•  "eonatal clam!dial conjunctivitis

•

  #racoma

$. %lam!dial

%&"'("%#)VA* )"+,%#)&"S

8/17/2019 Conjunctival Infections

2/11

 

Simple bacterial conjunctivitis

%rusted e!elids and conjunctivalinjection

Subacute onset o- mucopurulentdiscarge

#reatment broadspectrum topical antibiotics

Signs

8/17/2019 Conjunctival Infections

3/11

8/17/2019 Conjunctival Infections

4/11

 

Adenoviral 0eratoconjunctivitis

1. ar!ngoconjunctival -ever

•  Adenovirus t!pes $ and

•  #!picall! a--ects cildren

2. ,pidemic keratoconjunctivitis

•  (pper respirator! tract in-ection

•  0eratitis in $34 usuall! mild

•  Adenovirus t!pes 5 and 16•  Ver! contageous

•  "o s!stemic s!mptoms

•  0eratitis in 534 o- cases ma! be severe

8/17/2019 Conjunctival Infections

5/11

 

Signs o- conjunctivitis

(suall! bilateral/ acute 7ater!discarge and -ollicles

Subconjunctival aemorrages andpseudomembranes i- severe

#reatment s!mptomatic

8/17/2019 Conjunctival Infections

6/11

 

Signs o- keratitis

#reatment

•  +ocal/ epitelial keratitis• +ocal/ subepitelial keratitis

•  Ma! persist -or monts

topical steroids i- visual acuit!

  diminised b! subepitelial keratitis

•  #ransient

8/17/2019 Conjunctival Infections

7/11

 

Molluscum contagiosum conjunctivitis

#reatment

•  8ax!/ umbilicated e!elid nodule

•  Ma! be multiple

•  )spilateral/ cronic/ mucoid

  discarge•  +ollicular conjuntivitis

destruction o- e!elid lesion

Signs

8/17/2019 Conjunctival Infections

8/11

 

Herpes simplex conjunctivitis

#reatment

  (nilateral e!elid vesicles Acute -ollicular conjunctivitis

topical antivirals to prevent keratitis

Signs

8/17/2019 Conjunctival Infections

9/11

 

Adult clam!dial keratoconjunctivitis

#reatment

•  )n-ection 7it Chlamydia trachomatis serot!pes 9 to 0 

•  %oncomitant genital in-ection is common

Subacute/ mucopurulent -ollicular

conjunctivitis

Variable periperal keratitis

topical tetrac!cline and oral tetrac!cline

or er!trom!cin

8/17/2019 Conjunctival Infections

10/11

 

"eonatal clam!dial conjunctivitis

#reatment

•

  Ma! be associated 7it otitis/ rinitis and pneumonitis

•  resents bet7een : and 16 da!s a-ter birt

Mucopurulent papillar! conjunctivitis

topical tetrac!cline and oral er!trom!cin

8/17/2019 Conjunctival Infections

11/11

 

#racoma

#reatment s!stemic a;itrom!cin

•  )n-ection 7it serot!pes A/ B/ Ba and % o- Chlamydia  trachomatis•  +l! is major vector in in-ectionrein-ection c!cle

Acute -ollicularconjunctivis

%onjunctivalscarring