Conjunctivitis history and symptoms
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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:
Pharyngoconjunctival Fever
- High fever
- Pharyngitis
- Bilateral conjunctivitis
- Periauricular lymphadenopathy
- Itchy eyes
- Tearing
- Minimal pain level
- Light sensitivity (with corneal involvement)
Epidemic Keratoconjunctivitis
- Watery discharge
- Hyperemia
- Chemosis
- Ipsilateral lymphadenopathy
- Itchy eyes
- Tearing
- Minimal pain level
Acute Hemorrhagic Conjunctivitis
- Chemosis
- 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
- Chemosis
- Tearing
- Redness
- Eye pain
- Decreased vision
- Severe purulent discharge
- Preauricular lymphadenopathy
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
- Photophobia (with corneal involvement)
- Foreign body sensation
Keratoconjunctivitis Sicca
Symptoms of keratoconjunctivitis sicca (dry eye syndrome) may include the following:
- Foreign-body sensation
- Grittiness
- Hyperemia
- Mucoid discharge
- Excessive tearing (secondary to reflex secretion)
- Photophobia
- Itchy eye
- Fluctuating] blurry vision
Superior Limbic Keratoconjunctivitis
Symptoms of superior limbic keratoconjunctivitis may include the following:
- Foreign body sensation
- Photophobia
- Excessive blinking
- Burning sensation
- Itchy eye
- Dry eye sensation