Objective 5d Conjunctivitis

Question 1

Acute Bacterial Conjunctivitis

Answer 1

Highly contagious
S: Itchy, sticky, gritty
O: Redness, purilant discharge, hyperemia, lacrimation dilated vessels that move up and down with blink
A: record 
P:  Refer / Sanitize everything

Question 2

Chronic Bacterial Conjunctivitis

Answer 2

Highly contagious usually caused by ectropion, entropion, blepharitis and chronic dacryocytitis.
Same signs and symptoms and plan as bacterial conjunctivitis.

Question 3

Acute Viral Conjunctivitis

Answer 3

Highly contagious usually caused by Adenovirus.
S: Irritation, photophobia and watery discharge
O: Usually accompanied with common cold or other systemic viral infections. May need culture to defferentate between bacterial and viral.
A: Record
P: Refer and sanitize

Question 4

Chronic Viral Conjunctivitis

Answer 4

Same as accute just lasting 4 or more weeks

Question 5

Hayfever Conjunctivitis

Answer 5

Acute onset of bilateral itching, redness, tearing and lid edema after exposure to an allergen. Allergic conjunctivitis can produce a response on the palpebral conjunctivia like Giant Papillary conjunctivitis

Question 6

Vernal Kerato-conjunctivitis (VKC)

Answer 6

Recurrent inflammatory disease that occurs seasonally. Rare most commonly found in males 3-20
S: Photophobia, intense itching, mucous discharge
O: Hard cobblestone like bumps on the upper eyelid
P: referral

Question 7

Atopic Keratoconjunctivitis

Answer 7

Result of a condition ocalled Atopy. Genetic/ immune response to allergins. Year round but worsens in winter. Appears in late adolescence and early adulthood. Men more often than women
S: Photosensitivity, itching, burning, tearing, red “hardened” eyelids
O: Conjunctiva lining of eyelids are red and swollen. Lower more than upper.
P: refer

Question 8

Giant Papillary conjunctivitis (GPC)

Answer 8

S: Intense itching, CL awareness, blurred vision
O: Papillae greater than 1mm, hypremia of palpebral conjunctivia, increased lens movement, mucus discharge.
P: Cease lens wear until cleared, referral

Question 9

Medication Conjunctivitis

Answer 9

Allergic reaction to medications - sudden reaction in which often includes chemosis (conjunctival swelling) and intense itching.
Toxic Papillary reactions result in chronic red eye. Usually after 1 week of medication used. Allergic contact reactions from topical medications are slower to onset.
Referral/ Discontinue

Question 10

Environmental Conjunctivitis

Answer 10

Allergic reaction triggered by the px environment eg: hayfever in the country sided, cholrine poolside…