Epidemic keratoconjunctivitis: Difference between revisions
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==Background== | |||
*Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis | *Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis | ||
*Vision-threatening | *Vision-threatening | ||
*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 | ||
==Clinical Features== | |||
*Often preceded by cough, high fever, malaise, myalgias, N/V | *Often preceded by cough, high fever, malaise, myalgias, N/V | ||
*Usual symptoms of viral conjunctivitis plus: | *Usual symptoms of viral conjunctivitis plus: | ||
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**Ipsilateral preauricular LAD | **Ipsilateral preauricular LAD | ||
==Diagnosis== | |||
*Slit Lamp | *Slit Lamp | ||
**Diffuse, superficial keratitis but no corneal ulceration | **Diffuse, superficial keratitis but no corneal ulceration | ||
==Treatment== | |||
*Artifical tears | *Artifical tears | ||
*Cool compresses | *Cool compresses | ||
*Cycloplegics if photophobia is severe | *Cycloplegics if photophobia is severe | ||
==Disposition== | |||
*Referral to ophthalmologist to confirm dx and decide if pt requires course of steroids | *Referral to ophthalmologist to confirm dx and decide if pt requires course of steroids | ||
Revision as of 18:08, 26 January 2015
Background
- Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis
- Vision-threatening
- Caused by adenovirus infection that is highly contagious and tends to occur in epidemics
Clinical Features
- Often preceded by cough, high fever, malaise, myalgias, N/V
- Usual symptoms of viral conjunctivitis plus:
- Foreign body sensation
- Photohobia
- Chemosis
- Papillae of inf palpebral conjunctiva
- Ipsilateral preauricular LAD
Diagnosis
- Slit Lamp
- Diffuse, superficial keratitis but no corneal ulceration
Treatment
- Artifical tears
- Cool compresses
- Cycloplegics if photophobia is severe
Disposition
- Referral to ophthalmologist to confirm dx and decide if pt requires course of steroids
See Also
Source
- Tintinalli
- Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26