Viral conjunctivitis: Difference between revisions
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==Background== | ==Background== | ||
*Most common etiology is adenovirus | |||
==Clinical Features== | |||
*Often preceded by URI | |||
*Complaint of "red eye" with mild-moderate, watery discharge | |||
*Usually painless unless there is some degree of keratitis | |||
*Often one eye will be involved initially with other eye involved within days | |||
*Unilateral or bilateral conjunctival injection with perilimbic sparing | |||
*Chemosis and subconj hemorrhages may be present | |||
==Diagnosis== | |||
*Slit Lamp | |||
**Follicles on inferior palpebral conjunctival | |||
**Mild, punctate fluorescein staining of cornea (occasional) | |||
***Must differentiate from herpetic dendrite | |||
==DDx== | ==DDx== | ||
| Line 5: | Line 20: | ||
==Treatment== | ==Treatment== | ||
#Artificial tears | #Artificial tears 5-6x per day | ||
#Cold compresses | #Cold compresses | ||
#Consider topical | #Consider topical abx if unable to differentiate from bacterial conjunctivitis | ||
# | #Frequent hand-washing (highly contagious) | ||
==Disposition== | |||
*Follow-up with ophtho if worsening or no improvement in 7 days | |||
==See Also== | ==See Also== | ||
| Line 15: | Line 32: | ||
==Source== | ==Source== | ||
*Tintinalli | |||
*Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. | *Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. | ||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 18:33, 25 October 2011
Background
- Most common etiology is adenovirus
Clinical Features
- Often preceded by URI
- Complaint of "red eye" with mild-moderate, watery discharge
- Usually painless unless there is some degree of keratitis
- Often one eye will be involved initially with other eye involved within days
- Unilateral or bilateral conjunctival injection with perilimbic sparing
- Chemosis and subconj hemorrhages may be present
Diagnosis
- Slit Lamp
- Follicles on inferior palpebral conjunctival
- Mild, punctate fluorescein staining of cornea (occasional)
- Must differentiate from herpetic dendrite
DDx
Treatment
- Artificial tears 5-6x per day
- Cold compresses
- Consider topical abx if unable to differentiate from bacterial conjunctivitis
- Frequent hand-washing (highly contagious)
Disposition
- Follow-up with ophtho if worsening or no improvement in 7 days
See Also
Source
- Tintinalli
- Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.