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Conjunctiva - Etiology
Normal Bacterial Flora
Acute mucopurulent conjunctivitis
Ophthalmia neonatorum
a.Resident flora
· Coagulase negative staphylococci(mc)
· Micrococci
· Haemophilus
· Corynebacterium
b.Transient flora
· Staphylococcus aureus
· Pneumococcus
· Streptococcus viridans
· Pseudomonas
· Bacillus
· Propionibacterium
· Staph.aureus
· Pneumococcus
· Strp.pyogenes
· N.gonorrhoeae
· H.influenza
· H.aegyptiacus
(koch-weeks bacillus)
Adult inclusion conjunctivitis
· Chlamydia
Trachomatis D-K
Common
· Gonococcus
· Chlam.trachomatis D-K
· HSV
Others
· Staph.aureus
· Pneumococcus
· Pseudomonas
· Serratia
· Klebsiella
Chemical
· Silver nitrate
· Antibiotic prophylaxis with silver nitrate
Angular conjunctivitis
Pseudomembranous conjunctivitis
Viral conjunctivitis
· Moraxella axenfeld(m.lacunata)(mc)
· Staph.aureus(lc)
Acute membranous conjunctivitis
-
Coryne.diphtheriae
-
Strp.hemolyticus(lc)
Trachoma
-
Chlamydia trachomatis A,B,Ba,C
a.Bacteria
· C.diphtheriae
· Staphylococcus
· Streptococcus
· N.gonorrhoeae
· H.influenza
b.Virus
· HSV
· Adenovirus
c.Chemical
· Acids
· Ammonia
· Lime
· Silver nitrate
· Copper sulphate
-
HSV
-
Adenovirus
-
picornavirus(entero-70,coxsackie A24)
-
VZV
-
Measles
-
paramyxo(mumps,new castle conjunctivitis)
-
Molluscum conjunctivitis
Acute Hemorrhagic Conjunctivitis
-
Picorna virus(entero 70(mc),coxsackie A24)
-
Adeno type II(lc)
Phlyctenular KeratoConjunctivitis
Follicular Conjunctivitis
-
Delayed HSR(IV) to endogenous microbial proteins
-
Staph. proteins(mc)
-
TB proteins
-
M. axenfeld proteins
-
Certain parasitic proteins
a.Acute
-
All viral(HSV,epidemic keratoconjunctivitis,pharyngo conjunctival fever,new castle conjunctivitis)
-
Trachoma
-
Adult inclusion conjunctivitis
b.Chronic
-
Molluscum contagiosum
-
Chemical fumes,cigar smokes
-
Topical preparations(atropine,mitotics)
-
Chronic allergic follicular conjunctivitis
Normal Bacterial Flora
|
Acute mucopurulent conjunctivitis
|
Ophthalmia neonatorum
|
a.Resident flora
· Coagulase negative staphylococci(mc)
· Micrococci
· Haemophilus
· Corynebacterium
b.Transient flora
· Staphylococcus aureus
· Pneumococcus
· Streptococcus viridans
· Pseudomonas
· Bacillus
· Propionibacterium
|
· Staph.aureus
· Pneumococcus
· Strp.pyogenes
· N.gonorrhoeae
· H.influenza
· H.aegyptiacus
(koch-weeks bacillus)
Adult inclusion conjunctivitis
· Chlamydia
Trachomatis D-K
|
Common
· Gonococcus
· Chlam.trachomatis D-K
· HSV
Others
· Staph.aureus
· Pneumococcus
· Pseudomonas
· Serratia
· Klebsiella
Chemical
· Silver nitrate
· Antibiotic prophylaxis with silver nitrate
|
Angular conjunctivitis
|
Pseudomembranous conjunctivitis
|
Viral conjunctivitis
|
· Moraxella axenfeld(m.lacunata)(mc)
· Staph.aureus(lc)
Acute membranous conjunctivitis
Trachoma
|
a.Bacteria
· C.diphtheriae
· Staphylococcus
· Streptococcus
· N.gonorrhoeae
· H.influenza
b.Virus
· HSV
· Adenovirus
c.Chemical
· Acids
· Ammonia
· Lime
· Silver nitrate
· Copper sulphate
|
Acute Hemorrhagic Conjunctivitis
|
Phlyctenular KeratoConjunctivitis
|
Follicular Conjunctivitis
|
|
a.Acute
b.Chronic
|
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