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Conj.pptx
- 1. BACTERIAL • Marked conjunctival hyperaemia • Mucopurulent discharge • Foreign body sensation, blurring and redness (sudden onset) • Sticking together of lid margins with discharge during sleep • Slight blurring of vision • Coloured halos Acute – • Hyperacute onset (12-24h) • Pain • Copious purulent discharge • Swelling of eyelids • Mild photophobia • Slight blurring of vision Hyperacute –
- 2. Clinical Course • Burning & grittiness in eyes especially in the evening • Feeling of heat & dryness on the lid margins • Watering • Feeling of sleepiness & tiredness in the eyes • Mild chronic redness & mucoid discharge 3. Chronic – • Irritation, burning sensation in the eyes • History of collection of dirty-white foamy discharge at angles • Redness in angles of eyes 4. Angular –
- 3. VIRAL • Redness of sudden onset associated with profuse watering of eyes • Mild mucoid discharge • Ocular discomfort & foreign body sensation • Marked photophobia when cornea is involved Adenoviral – • Typical form : follicular conjunctivitis + primary lesions like vesicular lesions of face & lids • Atypical form : follicular conjunctivitis without primary lesions • Preaurical lymphadenopathy • Corneal involvement rare Acute Herpetic – • Very short incubation period (1-2 days) • Pain, redness, photophobia, transient blurring of vision & lid swelling. Acute Haemorrhagic –
- 4. ALLERGIC • Intense itching & burning sensation • Watery, mucus, stringy discharge • Mild photophobia Simple – • Periodic seasonal incidence, bilateral, self limiting, resolves at puberty • Marked burning & itching sensation • Mild photophobia, heaviness of lids, stringy discharge • Upper tarsus conjunctiva involved Vernal Keratoconjunctivitis – • Chronic duration, older age • Mucoid discharge • Photophobia, blurred vision • Itching, soreness, dry sensation • Lower tarsus conjunctiva involved Atopic Keratoconjunctivitis –
- 5. Clinical Course • Inflammation of conjunctiva with formation of papillae greater than 0.3mm in diameter • Localised allergic response to a physically rough or deposited surface eg: contact lens, prosthesis, exposed nylon sutures etc • Stringy discharge 4. Giant Papillary Conjunctivitis – • Characteristic nodular lesion in conjunctival & corneal epithelium to some endogenous allergens • Mild discomfort, irritation & watering in the eye 5. Phlyctenular Keratoconjunctivitis – • Involves conjunctiva and skin of lids along with surrounding area of face • Hyperaemic conjunctiva with generalised papillary response affecting more commonly lower fornix and lower palpebral conjunctiva • Weeping eczematous type reaction on skin 6. Contact Dermatoconjunctivitis –
- 6. BIBLIOGRAPHY Comprehensive Ophthalmology by AK Khurana Parsons’ Diseases of the Eye
Hinweis der Redaktion
- History taking can be an important tool r differentiating between viral and allergic conjunctivitis andbacterial conjunctivitis may develop more gradually over several days or weeks. People with bacterial conjfounctivitis may experience more pain compared with other 2. Bacterial conjunctivitis is more contagious than viral conjunctivitis and can be spread through direct contact with the discharge from an infected eye, or through contact with contaminated items such as towels or eye makeup. bacterial conjunctivitis may have symptoms such as fever, swollen lymph nodes, and overall feeling of malaise
- Viral conjunctivitis often develops quickly, with symptoms appearing within a few days. People with viral conjunctivitis may also have cold or flu-like symptoms, such as a runny nose, sore throat, or cough. a watery or clear discharge,
- allergic conjunctivitis may develop more gradually over several days or weeks. llergic conjunctivitis is often seasonal, with symptoms appearing during certain times of the year when certain allergens are present in the air, more common in people with a family history of allergies, such as hay fever or asthma.