Conjunctivitis

Question 1

Bacterial conjunctivitis

Answer 1

• Starts in one eye but can spread to both

- Thick “pus” yellow, white or green

Question 2

Bacterial conjunctivitis treatment

Answer 2

• Erythromycin 5 mg/gram ointment (1/2 inch qid for 5-7 days)
• Trimethoprim/polymyxin B 0.1%-10,000 units/gram drops (1-2 drops qid for 5-7 days)

Question 3

Viral conjunctivitis (pink eye)

Answer 3

• Contagious

- Starts with one eye, second eye involved within 24-48 hrs

Question 4

Pink eye treatment

Answer 4

• Vasoconstrictor/Antihistamine Combination (Naphazoline/Pheniramine)
• Antihistamine with mast cell stabilizing properties (Azelastine, Ketoifen, Olopatadine)

Question 5

Allergic conjunctivitis

Answer 5

-Intense itching, hyperemia, tearing, chemosis, and eyelid edema

Question 6

Toxic conjunctivitis

Answer 6

• Direct damage to ocular tissues from preservatives or medications
• Redness, edema, mucus discharge, swollen eyelids, thickened eyelids
• Treatment: discontinue topical meds containing preserved topical corticosteroids; use short course loteorednol