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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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Bacterial (Staph,Pneumococcus,Hemophilus)
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Time of onset- 2-5 days.
Pain,tenderness,Mucopurulent discharge,Swollen lids,Chemosis,Conjunctival hyperemia.
Management-topical erythromycin,tobramycin,fluoroquinolone.
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Neisseria gonorrhoeae
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Time of onset - 24-48 hrs.
B/L,copious purulent discharge,chemosis,lid edema,corneal ulceration & perforation.
Treatment - IV Ceftriaxone,penicillin + Saline lavage.
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Chlamydia trachomatis D-K
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Time of onset - 5-14days.
uni/bilateral,mucopurulent discharge,conjunctival hyperemia.
Unlike adults,no follicles in newborn till 8 weeks(lack lymphoid tissue).
Treated with oral & topical erythromycin.
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Herpes simplex virus
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Time of onset - 6-14days.
Watery blepharoconjunctivitis,cornea involved.
Systemic manifestations present.
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Chemical
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Time of onset - first 36hrs.
Secondary to the use of silver nitrate(crede's method),povidone iodine,erythromycin.
B/L,minimal/no edema,serous/mucoid/watery discharge,Conjunctival Hyperemia.
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Crede’s method(outdated) - 1% silver nitrate.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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