Cornea and External Disease

Question 1

What is the differential for acute follicular conjunctivitis?

Answer 1

acute inclusion conjunctivitis (chlamydia), adenovial keratoconjunctivtis, HSV or EBV keratoconjunctivitis, and molluscum contagiosum (poxvirus)

Question 2

what is the typical presentation of acute bacterial conjunctivitis?

Answer 2

acute onset red eye with purulent discharge, crusting and stickiness, that often spreads to the other eye in 24-48 hours

Question 3

what are the typical organisms of acute (hours to days) bacterial conjunctivitis?

Answer 3

staphylococcus aureus, haemophilus influenzae, streptococcus pneumoniae,

Question 4

what are the typical organisms of hyperacute (<24h) bacterial conjunctivitis?

Answer 4

neiserria gonorrheae/meningidtidis

Question 5

what are the typical organisms of subacute bacterial conjunctivitis?

Answer 5

enterobacteriaceae, moraxcella lacunata, pseudomonas, staph aureus, proteus spp,

Question 6

What findings increase the likelihood of bacterial conjunctivitis?

Answer 6

lack of itching, no history of conjunctivitis and eyes stuck shut

Question 7

what is the treatment for bacterial conjunctivitis (non-neiserria)?

Answer 7

topical antibiotic drops four times a day for 7 days + topical lubricants and warm compresses