Conjunctivitis: Difference between revisions

Line 9: Line 9:


==DDx==
==DDx==
===Viral Conjunctivitis===
===[[Viral Conjunctivitis]]===
#Treatment
##Artificial tears
##Cold compresses
##Consider topical antibiotics (e.g. erythromycin ophtho) if unable to differentiate from bacterial conjunctivitis
##Strict hand/general hygiene
##Follow up with ophtho if worsening or no improvement in 7 days


===[[Bacterial Conjunctivitis]]===
===[[Bacterial Conjunctivitis]]===

Revision as of 22:30, 30 July 2011

Background

  • Number 1 cause of acute red eye

Diagnosis

  • Rarely painful, more irritated
  • Limbic sparing
  • viral keratoconjucitivis assoc with URI and adeno
  • watery viral/discharge bacterial/consider chlamydia

DDx

Viral Conjunctivitis

Bacterial Conjunctivitis

Allergic Conjunctivitis

Chemical (Contact) Conjunctivitis

  1. Topical Meds or Cosmetics
    1. irrigate, naphazoline drops, outpt for tx failure

See Caustic Keratoconjunctivitis

Chlamydia Conjunctivitis

  1. PO erythromycin x 14D; CTX for gonorrhea

Herpes Zoster Ophthalmicus

  • HZV Conjunctivitis

HSV Conjunctivitis

See Also

Source

  • Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.