Epidemic keratoconjunctivitis: Difference between revisions
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==Background== | ==Background== | ||
*Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis | *Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis | ||
*Caused by adenovirus infection that is highly contagious and tends to occur in epidemics | *Caused by adenovirus infection that is highly contagious and tends to occur in epidemics | ||
**Vision-threatening | |||
==Clinical Features== | ==Clinical Features== | ||
*Often preceded by cough, high fever, malaise, myalgias, | *Often preceded by prodrome of cough, high fever, malaise, myalgias, nausea/vomiting | ||
*Usual symptoms of viral conjunctivitis plus: | *Usual symptoms of viral [[conjunctivitis]] plus: | ||
**Foreign body sensation | **Foreign body sensation | ||
**Photohobia | **Photohobia | ||
**Chemosis | **Chemosis | ||
**Papillae of inf palpebral conjunctiva | **Papillae of inf palpebral conjunctiva | ||
**Ipsilateral preauricular | **Ipsilateral preauricular lymphadenopathy | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Conjunctivitis DDX}} | {{Conjunctivitis DDX}} | ||
== | ==Diagnosis== | ||
*Clinical diagnosis | |||
**Slit Lamp - diffuse, superficial keratitis but no corneal ulceration | |||
==Management== | |||
*Artifical tears | *Artifical tears | ||
*Cool compresses | *Cool compresses | ||
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==Disposition== | ==Disposition== | ||
* | *Discharge with rapid ophtho follow-up. | ||
==See Also== | ==See Also== | ||
*[[Conjunctivitis]] | *[[Conjunctivitis]] | ||
== | ==References== | ||
<References/> | |||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 23:09, 18 August 2015
Background
- Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis
- Caused by adenovirus infection that is highly contagious and tends to occur in epidemics
- Vision-threatening
Clinical Features
- Often preceded by prodrome of cough, high fever, malaise, myalgias, nausea/vomiting
- Usual symptoms of viral conjunctivitis plus:
- Foreign body sensation
- Photohobia
- Chemosis
- Papillae of inf palpebral conjunctiva
- Ipsilateral preauricular lymphadenopathy
Differential Diagnosis
Conjunctivitis Types
Diagnosis
- Clinical diagnosis
- Slit Lamp - diffuse, superficial keratitis but no corneal ulceration
Management
- Artifical tears
- Cool compresses
- Cycloplegics if photophobia is severe
Disposition
- Discharge with rapid ophtho follow-up.