Conjunctivitis history and symptoms: Difference between revisions
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===Neonatal Conjunctivitis=== | ===Neonatal Conjunctivitis=== | ||
*History of [[sexually transmitted disease|sexually transmitted disease (STD)]] in mother | |||
===Allergic Conjunctivitis=== | ===Allergic Conjunctivitis=== | ||
*Family history of atopic disease, such as [[allergic rhinitis]], [[bronchial asthma]], and [[atopic dermatitis]] | |||
===Keratoconjunctivitis Sicca=== | ===Keratoconjunctivitis Sicca=== | ||
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===Neonatal Conjunctivitis=== | ===Neonatal Conjunctivitis=== | ||
Symptoms of neonatal bacterial conjunctivitis|neonatal bacterial conjunctivitis or [[ophthalmia neonatorum]] may include the following:<ref name="pmid25606121">{{cite journal| author=Mallika P, Asok T, Faisal H, Aziz S, Tan A, Intan G| title=Neonatal conjunctivitis - a review. | journal=Malays Fam Physician | year= 2008 | volume= 3 | issue= 2 | pages= 77-81 | pmid=25606121 | doi= | pmc=4170304 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25606121 }} </ref> | Symptoms of neonatal bacterial conjunctivitis|neonatal bacterial conjunctivitis or [[ophthalmia neonatorum]] may include the following:<ref name="pmid25606121">{{cite journal| author=Mallika P, Asok T, Faisal H, Aziz S, Tan A, Intan G| title=Neonatal conjunctivitis - a review. | journal=Malays Fam Physician | year= 2008 | volume= 3 | issue= 2 | pages= 77-81 | pmid=25606121 | doi= | pmc=4170304 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25606121 }} </ref> | ||
====''Gonococcal'' | ====''Gonococcal'' Conjunctivitis==== | ||
*Severe [[bilateral]] [[purulent]] conjunctivitis | *Severe [[bilateral]] [[purulent]] conjunctivitis | ||
*Tearing, | *Tearing, | ||
*[[Eyelid]] [[swelling]] | *[[Eyelid]] [[swelling]] | ||
====''Chlamydial'' | |||
* | ====''Chlamydial'' Conjunctivitis==== | ||
* | *[Mild [[hyperemia]], | ||
*[[Eyelid]] [[swelling]] | *Watery or mild mucoid discharge | ||
*[[Eyelid]] [[swelling]] | |||
===Allergic Conjunctivitis=== | ===Allergic Conjunctivitis=== | ||
Symptoms of [[allergic]] conjunctivitis may include the following: | |||
*[[Itchy]] eyes (most impotant) | |||
*Tearing | |||
*[[Bilateral]] [[redness]] | |||
*Watery discharge | |||
*[[Light sensitivity]] (with [[corneal]] involvement) | |||
*[[Foreign body]] sensation | |||
===Keratoconjunctivitis Sicca=== | ===Keratoconjunctivitis Sicca=== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Sara Mehrsefat, M.D. [2]
Overview
The symptoms of conjunctivitis differ based on the cause of the inflammation. Redness, excessive tearing, and irritation are symptoms common to all forms of conjunctivitis. Photophobia, itching, mucopurulent or non-purulent discharge, chemosis, burning eyes, blurred vision and eyelid swelling are variable.
History
Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.
Viral Conjunctivitis
Specific areas of focus when obtaining a history from the patient include:
- Exposure history
- History of a recent upper respiratory infection (URI)
- Swimming in contaminated pools
Bacterial Conjunctivitis
Specific areas of focus when obtaining a history from the patient include:
- History of sexually transmitted disease (STD)
- Exposure history (contaminated fingers, oculogenital spread, and contaminated fomites)
Neonatal Conjunctivitis
- History of sexually transmitted disease (STD) in mother
Allergic Conjunctivitis
- Family history of atopic disease, such as allergic rhinitis, bronchial asthma, and atopic dermatitis
Keratoconjunctivitis Sicca
Superior limbic keratoconjunctivitis
Symptoms
Viral Conjunctivitis
Acute or subacute onset. Symptoms of viral conjunctivitis may include the following:
- Sore throat
- Itchy eyes
- Tearing
- Bilateral redness
- Minimal pain level
- Watery discharge
- Light sensitivity (with corneal involvement)
- Fever (pharyngoconjunctival fever)
- Lymph node enlargement (epidemic keratoconjunctivitis)
Acute Hemorrhagic Conjunctivitis
- Swelling of the conjunctiva
- Tearing
- Redness
- Severe pain level
- Purulent discharge
- Subconjunctival hemorrhaging
Bacterial Conjunctivitis
Hyperacute, acute, and chronic onset. Symptoms of bacterial conjunctivitis may include the following:
Hyperacute Bacterial Conjunctivitis
- Eyelid swelling
- Tearing
- Redness
- Eye pain
- Decreased vision
- Severe purulent discharge
- Preauricular lymph node enlargement
Neonatal Conjunctivitis
Symptoms of neonatal bacterial conjunctivitis|neonatal bacterial conjunctivitis or ophthalmia neonatorum may include the following:[1]
Gonococcal Conjunctivitis
Chlamydial Conjunctivitis
Allergic Conjunctivitis
Symptoms of allergic conjunctivitis may include the following:
- Itchy eyes (most impotant)
- Tearing
- Bilateral redness
- Watery discharge
- Light sensitivity (with corneal involvement)
- Foreign body sensation
Keratoconjunctivitis Sicca
Superior limbic keratoconjunctivitis
Redness, irritation and watering of the eyes are symptoms common to all forms of conjunctivitis. Itch and the closing of the throat is variable.
Acute allergic conjunctivitis is typically itchy. Sometimes distressingly so, and the patient often complains of some lid swelling. Chronic allergy often causes just itch or irritation, and often much frustration because the absence of redness or discharge can lead to accusations of hypochondria.
Viral conjunctivitis is often associated with an infection of the upper respiratory tract, a common cold, or a sore throat. Its symptoms include watery discharge and variable itch. The infection usually begins with one eye, but may spread easily to the fellow eye.
Bacterial conjunctivitis is due to the common pyogenic (pus-producing) bacteria. It causes marked grittiness/irritation and a stringy, opaque, grey or yellowish mucopurulent discharge (gowl, goop, "gunk", sleep, or other regional names) that may cause the lids to stick together (matting), especially after sleeping. Another symptom that could be caused by Bacterial Conjunctivitis is severe crusting of the infected eye and the surrounding skin. However discharge is not essential to the diagnosis, contrary to popular belief. Many other bacteria (e.g., Chlamydia, Moraxella) can cause a non-exudative but very persistent conjunctivitis without much redness. The gritty and/or scratchy feeling is sometimes localised enough for patients to insist they must have a foreign body in the eye. The more acute pyogenic infections can be painful. Like viral conjunctivitis, it usually affects only one eye but may spread easily to the other eye.
Irritant or toxic conjunctivitis is irritable or painful when the infected eye is pointed far down or far up. Discharge and itch are usually absent. This is the only group in which severe pain may occur.