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Conjuctivitis: 1. Bacterial

This document summarizes different types of conjunctivitis including bacterial, viral, and chlamydial conjunctivitis. It describes symptoms and treatments for various conditions such as simple bacterial conjunctivitis, gonococcal keratoconjunctivitis, adenoviral keratoconjunctivitis, molluscum contagiosum conjunctivitis, herpes simplex conjunctivitis, adult inclusion conjunctivitis, neonatal chlamydial conjunctivitis, and trachoma. Complications from some untreated conditions can include corneal ulceration, perforation, and endophthalmitis. Treatments involve antibiotics, antivirals, steroids, or systemic antibiotics depending on the

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Diana Tiganuc
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153 views11 pages

Conjuctivitis: 1. Bacterial

This document summarizes different types of conjunctivitis including bacterial, viral, and chlamydial conjunctivitis. It describes symptoms and treatments for various conditions such as simple bacterial conjunctivitis, gonococcal keratoconjunctivitis, adenoviral keratoconjunctivitis, molluscum contagiosum conjunctivitis, herpes simplex conjunctivitis, adult inclusion conjunctivitis, neonatal chlamydial conjunctivitis, and trachoma. Complications from some untreated conditions can include corneal ulceration, perforation, and endophthalmitis. Treatments involve antibiotics, antivirals, steroids, or systemic antibiotics depending on the

Uploaded by

Diana Tiganuc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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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

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