CONJUNCTIVITIS Flashcards
Etiology
Viral (MC)
Bacterial
Allergic
Caustic
Clinical Features: Bacterial Conjunctivitis
Painless
Unilateral or Bilateral
Mucopurulent discharge
Adherence of the eyelids on awakening
Conjunctival injection
Chemosis
Cornea is clear without fluoresein staining
ALWAYS CHECK WITH FLUORESCEIN FOR DENTRITE
Etiology: Bacterial Conjunctivitis
Staph
Strep
Pseudomonas (contact lense)
Acanthamoeba (contact lense)
Treatment: Bacterial Conjunctivitis no contact lense
Erythromycin ointment
1/2 inch ribbon applied to lower eyelids 4 times daily
7 days
Adults = Pediatric
OR
Polytrim Solution (Polymyxin b sulfate, trimethroprim sulfate)
1 Drop q 4 hrs
7 days
Adults = Pediatric
Treatment: Bacterial Conjunctivitis Contact Lense
Ciloxan (Ciprofloxacin)
Solution:1-2 drops q 2 h x 2 days then 1-2 drops q 4 hrs x 5 days
Ointment: 1/2 inch ribbon to lower eyelid tid x 2 days then tid x 5 days
Tobrex (Tobramycin)
0.3 % Solution: 1-2 drops q 4 h
0.3 % Ointment: 1/2 inch ribon to lower eyelid tid
7 days
Etiology: Viral
Adenovirus (MCC)
Herpes Symplex (Keratoconjunctivitis)
Herpes Zoster (Keratoconjunctivitis)
Clinical Features: Viral
Unilateral or bilateral
Painless unless keratitis
Watery discharge
Conjunctival injection
+/- Chemosis
Preauricular lymphadenopathy
ALWAYS CHECK WITH FLUORESCEIN FOR DENTRITE
A/w
cough
fever
malaise
myalgias
Management: Viral
Cool Compress
Naphcon-A Solution
1-2 drops qid
Adult = Pediatric > 6 yrs old
Clinical Features: Allergic
Itching
Watery discharge
Swollen eyelids
Conjunctival injection
Edematous Conjunctiva
a/w
Sneezing
Runny Nose
Management: Allergic
Cool Compress qid
Natural tears 1-2 drops PRN
Pataday (Olopatadine)
0.2% Solution
1 drop per eye od
2.5 ml bottle
Ketorolac 0.5 % Solution
1 drop qid
3-4 days
10 ml bottle
Clinical Features: Gonococcal
Severe purulent discharge
Hyper acute onset (12 - 24 hrs)
Management: Gonococcal
Emergent Optho consult
Culture
Cetriaxone
Saline irrigation
