CONJUNCTIVA

LEARNING OBJECTIVES

 Classify different types of conjunctiva
 Describe the pathogenesis of Bacterial, Viral,
Allergic Conjunctivitis, Vernal Conjunctivitis,
Trachoma, Opthalmia Neonatorum, Pinguecula,
Pterygium.
CONJUNCTIVA
• MUCOSA
• LINES EYELID INNER SURFACE(palpebral)
• LINES EYE BALL(bulbar)
• PROVIDES MOISTURE
• ANTIBACTERIAL AGENTS
• VITAMIN A
CONJUNCTIVA
• PALPEBRAL
• BULBAR
• FORNICES
CONJUNCTIVITIS
• BACTERIAL
• VIRAL
• ALLERGIC

BACTERIAL CONJUNCTIVITIS
• PAINLESS RED EYE
• STICKY
• LIDS STUCK TOGETHER

BACTERIAL CONJUNCTIVITIS
• PURULENT DISCHARGE
• MATTING OF EYELASHES
BACTERIAL CONJUNCTIVITIS

BACTERIAL CONJUNCTIVITIS
• CHLORAMPHENICOL
• AMINOGLYCOSIDES
• QUINOLONES
VIRAL CONJUNCTIVITIS
• ADENOVIRUS
• UPPER RESPIRATORY TRACT-Pharyngoconjunctival
fever
• ACUTE HAEMORRHAGIC CONJUNCTIVITIS-
COXSACKIE & ENTEROVIRUS
VIRAL CONJUNCTIVITIS
• INFERIOR PALPEBRAL FOLLICULAR
CONJUNCTIVITIS
• TENDER PREAURICULAR LYMPHADENOPATHY
• WATERY DISCHARGE
• CORNEAL OPACITIES
• MEMBRANE/PSEUDOMEMBRANE
VIRAL CONJUNCTIVITIS
• PUNCTATE EPITHELIAL EROSIONS
• ANTERIOR STROMAL INFILTRATES
• DEEP STROMAL INFILTRATES
VIRAL CONJUNCTIVITIS
• FREQUENT HAND WASHING
• FREQUENT EYE WASHING
• AVOID TOUCHING EYES/SHAKING HANDS/SHARING TOWELS
VIRAL CONJUNCTIVITIS
• NO TREATMENT
• ANTIHISTAMINE/VASOCONSTRICTORS
• ANTIBIOTICS
• STEROIDS

ALLERGIC CONJUNCTIVITIS
• SEASONAL
• PERRENIAL
• VERNAL
• BULBAR
• LIMBAL FOLLICLES
• SHIELD ULCER

OPHTHALMIA NEONATORUM
• WITHIN 2 WEEKS OF BIRTH
• INFECTION TRANSMITTED FROM MOTHER
• LACK OF IMMUNITY IN INFANT
• N.GONORRHOAEA
• C.TRACHOMATIS
• STAPH/STREP/H.INF/ENTEROB/HSV
OPHTHALMIA NEONATORUM

PINGUECULA
 PTERYGIUM
• Yellow white deposits on bulbar conjuctiva
• Nasal or temporal limbus
PTERYGIUM
• Triangular fibrovascular subepithelial
ingrowth of degenerative bulbar conjunctiva
onto cornea
• Hot climate/ultraviolet light/dryness
• Irritation
• Astigmatism
• Corneal opacity

PTERYGIUM
• Tear substitutes/topical steroids
• Excision with conjunctival autograft/amniotic
membrane
• Mitomycin C/beta-irradiation

THE END