Ophthalmology Book

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Conjunctivitis in NewbornsAka: Neonatal Conjunctivitis, Ophthalmia Neonatorum

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  1. See Also
    1. Conjunctivitis
  2. Causes
    1. Chemical Conjunctivitis (most common)
      1. Mild palpebral edema and clear, sterile Eye Discharge
      2. Onset <24 hours within eye prophylaxis at birth
      3. Resolves within 48 hours of birth
    2. Gonorrheal Conjunctivitis
      1. Onset within 2-4 days of life
      2. Severe lid edema, Chemosis, and purulent exudates
    3. Chlamydia Conjunctivitis
      1. Onset within 7-14 days of birth
      2. Initial mild watery discharge
      3. Progresses to copious and purulent discharge
    4. HSV Conjunctivitis
      1. Onset within 14 days of birth
      2. Up to 20% of HSV infected infants are affected
      3. Risk of disseminated Herpes Simplex Virus
      4. Findings
        1. Keratitis or Cataracts
        2. Chorioretinitis
        3. Optic Neuritis
  3. Prevention
    1. Erythromycin ophthalmic ointment in first hour of life
  4. References
    1. Yanoff (1999) Ophthalmology, Mosby, p. 1.7
    2. Fuloria (2002) Am Fam Physician 65(1):61

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