Conjunctivitis/Pink Eye/Madras Eye
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Acute Mucopurulent Conjunctivitis
MC type of bacterial conjunctivitis
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Acute Mucopurulent Conjunctivitis
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MC causative organism
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Staphylococcus aureus
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CF
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Discomfort or foreign body sensation,
Mucopurulent discharge,
Sticky eyes,
Matted lashes,
Slight blurring of vision,
Colored halos(sometimes)
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o/e
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Conjunctival congestion,
Chemosis,
Petechial hemorrhage(pneumococcal conjunctivitis
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Complications
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Marginal corneal ulcers,
Superficial keratitis,
Blepharitis,
dacryocystitis
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Management
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Topical antibiotics
No bandage,No steroids
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Ophthalmia Neonatorum/Neonatal Conjunctivitis
Age of onset
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First month of life.
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Acquired during
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Birth from infected birth canal(MC),
After birth
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Infective form
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Pain,tenderness
Mucopurulent discharge
Swollen lids
Chemosis
Conjunctival hyperemia
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Chemical form
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Watery discharge
minimal/no edema
Self limited(1 to 2days postpartum)
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Prophylaxis
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0.5% Erythromycin & 1% Tetracycline Ointment.
Crede’s method(outdated) - 1% silver nitrate.
im/iv single Ceftriaxone to infants of mothers with untreated gonococcal infection.
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Chlamydia trachomatis D-K cause
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Inclusion conjunctivitis
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Ophthalmia neonatorum can cause
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blindness
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Adult Inclusion Conjunctivitis/Swimming pool granuloma
Etiology
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Chlamydia trachomatis D-K
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Age
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Sexually active young adults
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Type
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Follicular conjunctivitis
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course
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Benign
May progress to chronic follicular conjunctivitis
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Angular Conjunctivitis/Diplobacillus Conjunctivitis
Management
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Tetracycline ointment,
Zinc sulphide eye drops
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Acute Membranous Conjunctivitis
In acute membranous conjunctivitis, membrane is formed especially on
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Palpebral conjunctiva
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True membrane
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Firmly adherent
Bleeds on peeling
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Liguinious conjunctivitis
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Recurrent membrane formation due to deficiency of plasminogen
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Pseudomembranous Conjunctivitis
d/t
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Coagulation of fibrinous exudates
Easily peeled off
Leaves intact epithelium
Pseudomembrane
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Viral Conjunctivitis
Typical viral lesion is
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Viral KeratoConjunctivitis
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Adenoviral : Follicular conjunctivitis
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Adenoviral : Subepithelial infiltrates
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Molluscum eyelid lesion
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Follicular conjunctivitis with a molluscum lesion
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