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Viral Conjunctivitis
Typical viral lesion is
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Viral KeratoConjunctivitis
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CF
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Watery discharge,Subconjunctival hemorrhage,follicles,pre auricular lymphadenopathy.
Lasts longer
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Management
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Cold compresses,lubricant eye drops,antibiotic drops(for sec. Bacterial infection)
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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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Adenoviral Keratoconjunctivitis
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Occupational hazard for ophthalmologists.
Epidemic keratoconjunctivitis - serotypes 8,19,37.
Can lead to anterior stromal infiltrates(fade over months).
Topical steroids are used here.
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Giant papillary conjunctivitis
d/t
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Mechanical trauma(exposed sutures,prosthesis,filtering bleb) or
Hypersensitivity to contact lens wear(soft CLs>Rigid Hard lens)
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Giant papillae
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>1 mm diameter
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management
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Remove mechanical irritation,
change/refit lenses,topical antiallergics/corticosteroids
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Superior limbic Keratoconjunctivitis
a/w
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Graves disease
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CF
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Pain,redness,watering,superior bulbar conjunctival congestion,corneal pannus,filamentary keratitis
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Management
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Lubricant eye drops,
Cyclosporine eye drops,
Silver nitrate on cotton bud for 1-2 sec followed by thorough irrigation and antibiotic ointment
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Parinaud's oculoglandular conjunctivitis
Age
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MC in children
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CF
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U/L,granulomatous nodules & follicles on palpebral conjunctiva,fever,swollen preauricular & submandibular nodes
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Etiology
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Bartonella henselae - cat scratch disease(MC),
tularemia,TB<lymphoma,sarcoid,syphilis
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Management
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Treat cause
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A.israelii conjunctivitis
CF
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Chronic u/l congestion at medial angle of eye with infection of lacrimal system.
Pressure on canaliculus express whitish granular matter.
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