Ophthalmology Book

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Viral ConjunctivitisAka: Pink Eye, Adenopharyngitis Associated Conjunctivitis

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  1. See Also
    1. Epidemic Keratoconjunctivitis
    2. Herpes Simplex Conjunctivitis
  2. Epidemiology
    1. Common cause of Swimming Pool Conjunctivitis
    2. Chlorine does not eliminate the virus
  3. Etiology
    1. Adenovirus most common
  4. Symptoms
    1. Associated Upper Respiratory Infection
    2. Severe Pharyngitis
    3. Watery Eye Discharge
    4. Insidious onset over 36 hours
  5. Signs
    1. Marked Conjunctival erythema
    2. Epiphora (Eye tearing)
    3. Preauricular Lymphadenopathy
    4. Mild palpebral Conjunctival follicular response
    5. Multiple small subepithelial Corneal infiltrates
    6. Fever
  6. Differential Diagnosis
    1. Epidemic Keratoconjunctivitis
    2. Bacterial Conjunctivitis
  7. Management
    1. Conditions requiring urgent ophthalmology referral
      1. Herpetic Conjunctivitis
    2. Warm soaks to keep lids and lashes free of debris
    3. Practice good hygiene to prevent contagious spread
    4. Topical lubricant (Methylcellulose)
    5. Antibiotic not indicated in viral Conjunctivitis
      1. See Bacterial Conjunctivitis
  8. Prevention
    1. Frequent hand washing
    2. Do not share towels
    3. Wipe contaminated surfaces with bleach
      1. Adenovirus survives on surfaces for 72 hours
  9. Course
    1. Eye discomfort may persist for up to 10 days
    2. Infectious while excessive eye watering continues
  10. Resources (Include Patient Education)
    1. See Conjunctivitis Resources

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