Conjunctivitis Case - Johns

Question 1

A 50 year old man presents with a 1.5 year intermittent case of right eye crusting and eyelid swelling. He has no pain or colds. What is the most likely pathogen associated with this problem?

Answer 1

Staph Epi

Why? It’s chronic!

Question 2

A 24-year-old male presents with a one-day history of right eye redness, eyelid swelling and a copious yellow-green drainage. The most infectious etiology causing these symptoms is:

Answer 2

Neisseria Gonorrhea

Question 3

A 7-yr old presents with three-day history of a red right eye and a one-day history of slight left eye redness. His kindergarten class has several students with the same illness. He has a mild cold and notes some clear drainage of the eye.
How do you treat it?

Answer 3

cold compresses and supportive care

Question 4

Differences in serotypes of Chlamydia causing ocular infections?

Answer 4

Trachoma - serotpyes A-C (less in U.S., and worry about blindness occurring)

Inclusion Conjunctivitis D-K - More common is U.S., less severe

Question 5

How do you treat hyperacute bacterial conjunctivitis

Answer 5

Ceftatriaxone AND a topical eye antibiotic

Question 6

How do you treat chlamydia conjunctivitis infection?

Answer 6

Oral tetracycline, doxycycline, or eythromycin

Question 7

Treatment for viral conjunctivitis?

Answer 7

Cold compress, topical vasoconstrictor

Question 8

antiviral eye drops?

Answer 8

Trifluridine

Question 9

Antibactieral eye drops?

Answer 9

Ertythromycin, bacitracin/polymixinB, gentamycin, sulfacetamide