Conjunctivitis: Difference between revisions
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#adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU
#adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU


===Allergic Conjunctivitis===
===[[Allergic Conjunctivitis]]===
#Diagnosis
##Itching, watery eyes, rhinnorrhea
#Treatment
##Avoidance of triggers
##NSAIDs
##oral antihistamines (e.g loratidine)
##Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
##Outpt ophtho


===Chemical (Contact) Conjunctivitis===
===Chemical (Contact) Conjunctivitis===

Revision as of 22:05, 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

  1. Treatment
    1. Artificial tears
    2. Cold compresses
    3. Consider topical antibiotics (e.g. erythromycin ophtho) if unable to differentiate from bacterial conjunctivitis
    4. Strict hand/general hygiene
    5. Follow up with ophtho if worsening or no improvement in 7 days

Bacterial Conjunctivitis

  1. Purulent Discharge
  2. adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU

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.
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