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Epidemic Keratoconjunctivitis

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  1. Epidemiology
    1. Extremely contagious form of Viral Conjunctivitis
    2. Summer outbreaks most common
    3. Virus is shed for 14 days
  2. Causes
    1. Adenovirus subtypes
  3. Symptoms
    1. Marked Conjunctival Hyperemia
    2. Epiphora (Eye tearing)
    3. Onset in one eye that spreads to the other
    4. Eye Pain (if Corneal involvement)
    5. Blurred Vision
  4. Signs
    1. Chemosis (Edema of Conjunctiva around the Cornea)
    2. Superficial viral Corneal infiltrates
  5. Complications
    1. Decreased Visual Acuity if Corneal infiltrates present
  6. Course
    1. Resolution in 2 to 8 weeks
    2. Eye Pain may persist for more than a month
  7. Management
    1. No specific treatment
    2. Corneal infiltrates with Decreased Visual Acuity:
      1. Topical Steroids
      2. Ophthalmology referral for serial exams
    3. Prevent spread to other patients
      1. Wear gloves and wash hands frequently
      2. Wash equipment between eye exams
        1. Wash hand towels in hot water
        2. Clean tonometer carefully
      3. Avoid contamination of ophthalmic solutions

Epidemic keratoconjunctivitis (C0014493)

ConceptsDisease or Syndrome (T047)
ICD9077.1, 077.1
EnglishEKC, EKC - Epidemic keratoconjunctivitis, EPIDEM KERATOCONJUNCTIV, Epidemic keratoconjunctivitis, Shipyard eye, Virus keratoconjunctivitis
Spanishojo de astillero, queratoconjuntivitis epidemica
Parent ConceptsOther diseases of conjunctiva due to viruses and Chlamydiae (C0153109), Keratoconjunctivitis (C0022573), Keratoconjunctivitis due to adenovirus (C0349360)
SourcesDXP, ICD9CM, MTHICD9, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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