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Introduction
  • conjunctivitisAn acute conjunctival inflammation caused by bacteria, viruses, or allergy
  • Often accompanies
    • the common cold
    • exanthems
    • measles
  • Extremely contagious
  • Does not cause vision or pupil changes
 
Bacterial Conjunctivitis
  • Introduction
    • caused by
      • S. pneumoniae 
      • Staph
      • N. gonorrhoaeae
      • Chlamydia trachomatis
  • Presentation
    • symptoms
      • minimal pain
      • purulent discharge
    • physical exam
      • normal pupillary light response
      • normal IOP
  • Evaluation
    •  discharge culture and gram stain
  • Treatment
    • medical
      • topical erythromycin
Viral
  • Introduction
    • caused by
      • adenovirus
      • HSV
      • Varicella
  • Presentation
    • symptoms
      • similar bacterial conjuctival
      • except watery discharge instead of purulent
  • Treatment
    • self limited
    • warm compresses for symptomatic relief
    • no medical treatment
Allergic conjunctivitis
  • Introduction
    • caused by allergen
  • Presentation 
    • symptoms
      • painless
      • marked puritis
      • bilateral watery eyes
  • Treatment
    • medical
      • antihistamines
      • steroid drops
 

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