Conjunctivitis secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
There is no established method for secondary prevention of conjunctivitis except | There is no established method for secondary prevention of conjunctivitis except among newborns. Secondary prevention strategies following allergic conjunctivitis include | ||
Educating patients about disease process and [[precipitating factors]] is very important.There is no established method for secondary prevention of allergic conjunctivitis. however, identify the [[allergen]] and avoid the offending [[antigen] is very important. In [[keratoconjunctivitis sicca|keratoconjunctivitis sicca (dry eye syndrome)]] and superior limbic keratoconjunctivitis, educating patients about disease process and [[precipitating factors]] may be help prevent the progression of disease and possible [[morbidity]]. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
Routine use of 0.5% erythromycin, or 1% tetracycline ophthalmic ointments or drops instilled into each eye after delivery effectively prevents gonococcal ophthalmia. However, none of these agents prevents ''chlamydial'' [[ophthalmia neonatorum]]; povidone iodine 2.5% drops may be effective against chlamydia and gonococci but is not available in the US.<ref name="pmid24235191">{{cite journal| author=Matejcek A, Goldman RD| title=Treatment and prevention of ophthalmia neonatorum. | journal=Can Fam Physician | year= 2013 | volume= 59 | issue= 11 | pages= 1187-90 | pmid=24235191 | doi= | pmc=3828094 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24235191 }} </ref> | |||
There is no established method for secondary prevention in other subtypes of conjunctivitis. however, it may be helpful to consider following secondary prevention strategies such as: | |||
* Discontinued [[contact lens]] wear (infective conjunctivitis and [[allergic conjunctivitis]]) | |||
* Identify the [[allergen]] and avoid the offending [[antigen]] ([[allergic conjunctivitis]]) | |||
* Identify the [[allergen]] and avoid the offending [[antigen]] | *Avoid very dry environments (keratoconjunctivitis sicca) | ||
*Use a humidifier (keratoconjunctivitis sicca) | |||
*Avoid dusty and smoky areas (keratoconjunctivitis sicca) | |||
*Avoid very dry environments ( | *Avoid prolonged visual tasks such as staring at a computer screen, driving, watching television, and reading (keratoconjunctivitis sicca) | ||
*Use a humidifier ( | *Promptly use [[artificial tears]] (keratoconjunctivitis sicca) | ||
*Avoid dusty and smoky areas | *Educating patient about disease process ([[keratoconjunctivitis sicca|keratoconjunctivitis sicca (dry eye syndrome)]] and superior limbic keratoconjunctivitis) | ||
*Avoid prolonged visual tasks | |||
*Promptly use [[artificial tears]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 17:51, 7 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
There is no established method for secondary prevention of conjunctivitis except among newborns. Secondary prevention strategies following allergic conjunctivitis include Educating patients about disease process and precipitating factors is very important.There is no established method for secondary prevention of allergic conjunctivitis. however, identify the allergen and avoid the offending [[antigen] is very important. In keratoconjunctivitis sicca (dry eye syndrome) and superior limbic keratoconjunctivitis, educating patients about disease process and precipitating factors may be help prevent the progression of disease and possible morbidity.
Secondary Prevention
Routine use of 0.5% erythromycin, or 1% tetracycline ophthalmic ointments or drops instilled into each eye after delivery effectively prevents gonococcal ophthalmia. However, none of these agents prevents chlamydial ophthalmia neonatorum; povidone iodine 2.5% drops may be effective against chlamydia and gonococci but is not available in the US.[1]
There is no established method for secondary prevention in other subtypes of conjunctivitis. however, it may be helpful to consider following secondary prevention strategies such as:
- Discontinued contact lens wear (infective conjunctivitis and allergic conjunctivitis)
- Identify the allergen and avoid the offending antigen (allergic conjunctivitis)
- Avoid very dry environments (keratoconjunctivitis sicca)
- Use a humidifier (keratoconjunctivitis sicca)
- Avoid dusty and smoky areas (keratoconjunctivitis sicca)
- Avoid prolonged visual tasks such as staring at a computer screen, driving, watching television, and reading (keratoconjunctivitis sicca)
- Promptly use artificial tears (keratoconjunctivitis sicca)
- Educating patient about disease process (keratoconjunctivitis sicca (dry eye syndrome) and superior limbic keratoconjunctivitis)