conjunctivitis

Question 1

what are the features of allergic conjuctivitis

Answer 1

1. Bilateral symptoms conjunctival erythema, conjunctival swelling (chemosis)
2. itch is prominent
3. eyelids may also be swollen
4. May be a history of atopy
5. May be seasonal (due to pollen) or perennial (due to dust mite, washing powder or other allergens)

Question 2

describe management of allergic conjuctivitis

Answer 2

first-line: topical or systemic antihistamines

second-line: topical mast-cell stabilisers, e.g. Sodium cromoglicate and nedocromil

Question 3

what are the features of infective conjuctivitis

Answer 3

characterised by sore, red eyes associated with a sticky discharge

bacterial vs viral

Question 4

features of bacterial conjuctivitis

Answer 4

Purulent discharge
Eyes may be ‘stuck together in the morning)

Question 5

features of viral conjuctivitis

Answer 5

Serous discharge
Recent URTI
Preauricular lymph nodes

Question 6

describe management of infective conjuctivitis

Answer 6

infective conjunctivitis - self limiting condition settles without treatment 1-2 weeks

topical abx chloramphenicol

topical fusidic acid alternative snd should be used for pregnant women (x2 daily)