Conjunctivitis

Question 1

The patient has purulent discharge from his eyes and his eyes are stuck together in the morning?

Answer 1

Bacterial conjunctivitis

Question 2

The patient has serous discharge from his eyes, a recent URTI and preauricular lymph nodes.

Answer 2

Viral Conjunctivitis

Question 3

Bilateral symptoms
Itch is prominent
May be history of atopy
May be seasonal (due to pollen) or perennial (due to dust mite, washing powder or other allergens)

Answer 3

Allergic Conjunctivitis

Question 4

What is the management of infrective conjuncitvitis?

Answer 4

• Usually self limiting and settles in 1-2 weeks.
• Topical antibitiocs - Chloramphenicol
• Don’t wear contact lenses
• Do not share towels

Question 5

What is the school exclusion criteria for conjunctivitis of any variety?

Answer 5

No exclusion

Question 6

What antibiotic eye drops should be used in pregnancy instead of chloramphenicol?

Answer 6

Fusidic acid

Question 7

What is the management of allergic conjunctivitis?

Answer 7

1. First line - Topical or systemic antihistamines
2. Second line - Topical mast-cell stabilisers
   
   1. ​Sodiumcromoglicate
   2. Nedocromil.