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  • PedsCases Note Conjunctivitis - 0

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    JENNY MARGOT HIDALGO QUISPE
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    Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva caused by dilation of blood vessels. It can be allergic, irritant, viral, or bacterial in nature. Allergic conjunctivitis presents with bilateral itchy eyes and minimal discharge, while irritant conjunctivitis causes burning and watery eyes. Viral conjunctivitis results in minimal watery discharge and irritation, and may be associated with upper respiratory tract infection symptoms. Bacterial conjunctivitis commonly causes unilateral purulent discharge, irritation, and stinging and can be associated with factors like poor contact lens hygiene. Treatment involves cool compresses, artificial tears, and exposure avoidance for allergic and

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    Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva caused by dilation of blood vessels. It can be allergic, irritant, viral, or bacterial in nature. Allergic conjunctivitis presents with bilateral itchy eyes and minimal discharge, while irritant conjunctivitis causes burning and watery eyes. Viral conjunctivitis results in minimal watery discharge and irritation, and may be associated with upper respiratory tract infection symptoms. Bacterial conjunctivitis commonly causes unilateral purulent discharge, irritation, and stinging and can be associated with factors like poor contact lens hygiene. Treatment involves cool compresses, artificial tears, and exposure avoidance for allergic and

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    6 views1 page

    PedsCases Note Conjunctivitis - 0

    Uploaded by

    JENNY MARGOT HIDALGO QUISPE
    Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva caused by dilation of blood vessels. It can be allergic, irritant, viral, or bacterial in nature. Allergic conjunctivitis presents with bilateral itchy eyes and minimal discharge, while irritant conjunctivitis causes burning and watery eyes. Viral conjunctivitis results in minimal watery discharge and irritation, and may be associated with upper respiratory tract infection symptoms. Bacterial conjunctivitis commonly causes unilateral purulent discharge, irritation, and stinging and can be associated with factors like poor contact lens hygiene. Treatment involves cool compresses, artificial tears, and exposure avoidance for allergic and

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    © All Rights Reserved
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    of 1

    CONJUNCTIVITIS

    “Pink eye”. Inflammation of the conjunctiva: the transparent tissue covering the outer wall of the eye (sclera)
    and the inner surface of the eyelids. Dilation of conjunctival blood vessels causes the pink hue.

    PRESENTATION
    ALLERGIC IRRITANT VIRAL BACTERIAL

    Laterality Bilateral Bilateral Bilateral Unilateral > bilateral


    Discharge Minimal, ropey Watery Minimal, watery Purulent
    Sensation Itchy, gritty, Burning, gritty, Irritation, stinging, Irritation, stinging,
    blurriness blurriness blurriness blurriness
    Associated ▪ Puffy ▪ Chlorine, ▪ Pre-auricular ▪ Sick contacts
    with “allergic shampoo, lymphadeno- ▪ Poor contact lens
    shiners” smoke, pathy hygiene
    ▪ Allergen chemicals ▪ URTI symptoms
    exposure ▪ Sick contacts

    MANAGEMENT
    ALLERGIC IRRITANT VIRAL BACTERIAL

    Cool compress,
    ✔ ✔ ✔ ✔
    Artificial tears
    Antihistamines ✔

    Exposure ✔ ✔

    Frequent hand
    ✔ ✔
    hygiene
    No contact
    ✔ ✔ ✔ ✔
    lenses until
    resolved
    Topical Non-contact lens users: Erythromycin or Bacitracin/Polymyxin B
    antibiotics for ● Covers: H. influenzae, S. pneumoniae, M. catarrhalis, Staphylococcus spp.
    bacterial only Contact lens users: fluoroquinolones (Moxifloxacin or Ciprofloxacin)
    ● Covers: Pseudomonas in addition to the above

    Red flags for urgent ophthalmology referrals


    HSV infection Unilateral vesicular rash or ++ pain Empiric acyclovir
    Gonococcal Hyperacute, hyperpurulent, severe Empiric ceftriaxone + azithromycin
    Ophthalmia Neonatorum Conjunctivitis in ≤30 days of life All the above to cover HSV and CT/NG

    October 2023
    Kimberly Papp (Medical Student C2024, University of Alberta), Dr. Matthew Benson (Ophthalmologist,
    University of Alberta) for www.pedscases.com

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