Transcript Conjunctivitis

Conjunctivitis
Adenoviral
Vernal
Bacterial
Follicular - chlamydia
Follicles consist of hyperplastic lymphoid
tissue & appear as elevated lesions
encircled by blood vessels. Typically seen
in reaction to topical agents, adenoviral &
chlamydial disease
Papillae consist of hyperplastic
conjunctival tissue full of inflammatory
cells, normally seen in the palpebral
conjunctiva. Associated with bacterial,
and allergic conjunctivitis
SAC / PAC
Acute / Toxic
Allergic
Conjunctivitis
Atopic
Vernal
Herpes simplex conjunctivitis
Signs
Unilateral eyelid vesicles
Treatment
Acute follicular conjunctivitis
- topical antivirals to prevent keratitis
Epislceritis
Scleritis
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Normally idiopathic
33% of cases – systemic link
Acute onset
Mild ache
Normally unilateral
Can recur
Radial vascular hyperemia
Will ‘bleach’ with 2.5% Phenylephrine Hyd
•Sight threatening disease
•Ocular emergency
•Deep irregular vascular pattern of
hyperemia
Flashes & Floaters
Take a history to determine other causes of floaters e.g. vitreous bleed or
inflammation of the eye (cyclitis or posterior uveitis) and rarely asteroid hyalosis.
Examine the patient on the slit lamp for:
- Tobacco dust in anterior vitreous? (high mag / small slit – ant vitreous)
- Then using a 60D or similar lens through a dilated pupil look for Weis ring
(definite signs of posterior vitreous detachment)