Thursday, 24 November 2016

Conjunctiva Etiology

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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







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