Conjunctivitis

- By
GOVARTHINI
GOWTHAMAN
GURUKAVIYAN
 Classification of conjunctivitis
• Infectious Viral
Bacterial Hyper acute
Acute
Chronic

• Non infectious Allergic, Toxins/Chemicals, Foreign Body, Trauma,

Neoplasm
 PATHOLOGY
• Bacilli secrete the proteolytic ferment which macerate the epithelium
.

• This ferment is inhibited by tears and so the lesions occur only in those
places which are not bathed in tears.

• Accumulation of chronic inflammatory cells, mainly plasma cells in the sub

epithelial tissue.

• Typical eczematous changes occurs in the suurounding skin.

 CHRONIC BACTERIAL
CONJUNCTIVITIS
Most common etiology: Staphylococcus
species
More common in adults and patients with acne rosacea
or facial seborrhea

Presentation : redness, itching, burning, foreign-body sensation,

flaky debris, blepharitis(common), eyelash loss

Concurrently see styes and chalazia of the lid margin from chronic
inflammation of the Meibomian glands
 COMPLICATIONS
 Corneal involvement frequent as the bacteria can invade the
intact k epithelium. It may occur in the form of diffuse haze
and edema, central necrosis, corneal ulceration or even
perforation.
 Iridocyclitis may also occur.
 Systemic complications, though rare, include gonorrhea
arthritis, endocarditis and septicemia.