conjuctivitis

1. Bacterial
simple bacterial conjuctivitis
gonococcal keratocojuctivitis

2. viral
Adenoviral keratoconjuctivitis

Acute haemorrhagic conjuctivitis

molluscum contagiosum conjuctivitis

3. Chlamydial conjunctivitis
adult inclusion conjuctivitis
neonatal conjunctivitis
trachoma

Simple bacterial conjuctivitis

symptoms

Acute onset with redness, grittiness, burning

discharge, photophobia

On waking the eyelids stuck

together and diffcult to open
as a result of accumulation of
exudate during the night

treatment- Bathe all discharge away, broad spectrum antibiotics

Gonococcal keratoconjuctivitis
symptoms

Hyperacute, extremly profuse and thick

creamy pus leaking from the eye
Chemosis, pseudomembrane formation,
Periocular oedema

complications

Corneal ulceration, perforation

and endophthalmitis

treatment
local bacitracin, gentamicin, erythromicin
sytemic antibiotics cefoxitin, cefotaxime, spectinomycin

Adenoviral keratoconjunctivitis
1. Pharyngoconjuctival fever
Adenovirus type 3 and 7
Typically affected are children
upper airways infection
keratitis developes in 30% of cases

2. Epidemic keratoconjunctivitis
Adenovirus type 8 and 19
viruses spread finger-to-eye contact
without systemic symptoms
keratitis in 80% of cases- severe

Symptoms of viral conjunctivitis

Usually unilateral, follicular response,

subconjuctival haemorrhages,

Chemosis and pseudomembranes

treatment symptomatic

Symptoms of viral keratitis

diffuse punctate epithelial

keratitis
may resolve in 2 weeks

focal white subepithelial

opacities
Anterior stromal infiltrates
they can perisist for months

treatment -Local steroids if visus acuity diminished by

anterior stromal infiltrates

Molluscum contagiosum conjunctivitis

symptoms

follicular conjunctivitis associated with

Molluscum contagiosum

small white pimple

treatment -Involves destruction of the lid lesion by expression, shave

excision, cryotherapy or cauterization

Herpes simplex conjunctivitis

symptoms

unilateral follicles on the eyelid

treatment

acute blepharoconjunctivitis

- local antiviral ointments to avoid keratitis

Adult inclusion conjunctivits TRIC

young adults during sexually active years
Eye lesions present about 1 week following sexuall exposure
Giemsa stain cytology test, direct monoclonal fluorescent antibody,
enzyme immunosorbent assay are currently used tests

Unilateral ,chronic mucopurulent

discharge, prolonged remittent course

treatment

Large follicles in fornices and epithelial

keretitis

-Local tertracycline ointment, systemic doxycyline,tetracycline.

erythromycin

Neonatal chlamydial conjunctivitis

occurs between 5 and 14 days after birth
May be associated with otitis, rhinitis, pneumonitis

Pappilary conjunctival reaction with mucopurulent secretion

treatment- Topical tetracycline, oral erythromycin

trachoma

Infection of A, B, Ba and C serotypes of Chlamydia trachomatis

it is disease of underpriviledged populations with poor conditions of hygine, fly is the major vector
in the infection-reinfection cycle. Trachoma is the leading cause of preventable blindness in the world

Trachomatus follicular
inflammtion

pannus

trachomatus cicatri-zation

Trichiasis

treatment systemic azitromycin 1g once

Herberts pits

entropion