Conjunctivitis

Question 1

Conjunctivitis

Answer 1

 The most common eye disorder; inflammation/infection of the conjunctiva resulting from allergies, bacteria, viruses or STD/STI‘s

Question 2

Conjunctivitis signs/symptoms

Answer 2

Itching, burning
Redness
Increased amount of tears
Blurred vision possible
Sensation of a foreign body in the eye
Swelling of eyelid
Eyelids may show a crust of sticky, mucopurulent discharge

Question 3

Chemical conjunctivitis management

Answer 3

Flushing with Saline

Question 4

Bacterial conjunctivitis management

Answer 4

Purulent discharge
Anabiotic drops (Levofloxacin, oflocacin, ciprofloxacin, Tober myosin, gentle myosin ophthalmic solution)

Question 5

Gonococcal conjunctivitis management

Answer 5

Copious, purulent discharge

Ceftriaxone 250 mg IM + azithromycin

Question 6

Chlamydial conjunctivitis management

Answer 6

Ceftriaxone 250 mg IM + azithromycin

Question 7

Allergic conjunctivitis management

Answer 7

Stringy; increase tearing discharge
Oral anti-histamines; refer to allergist/ophthalmologist
**steroids are not ordered and primary care because of possible increased intraocular pressure and activation of herpes simplex virus

Question 8

Viral conjunctivitis management

Answer 8

Watery discharge
Symptomatic care:
Mild: saline drops
Moderate: decongestant/anti-histamines, mast cell stabilizers, NSAIDs
*sulfacetamide 10% off the Malek solution for bacterial prophylaxis

Question 9

Herpetic conjunctivitis management

Answer 9

Bright red and irritated

Refer to ophthalmologist