Viral conjunctivitis: Difference between revisions
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==Background== | ==Background== | ||
*Most common etiology is adenovirus | *Most common etiology is adenovirus | ||
*Often preceded by URI | |||
==Clinical Features== | ==Clinical Features== | ||
*Complaint of "red eye" with mild-moderate, watery discharge | *Complaint of "red eye" with mild-moderate, watery discharge | ||
*Usually painless unless there is some degree of keratitis | *Usually painless unless there is some degree of keratitis | ||
*Often one eye will be involved initially with other eye involved within days | *Often one eye will be involved initially with other eye involved within days | ||
*Unilateral or bilateral conjunctival injection with | *Unilateral or bilateral conjunctival injection with perilimbal sparing | ||
*Chemosis and subconj hemorrhages may be present | *Chemosis and subconj hemorrhages may be present | ||
Revision as of 18:37, 25 October 2011
Background
- Most common etiology is adenovirus
- Often preceded by URI
Clinical Features
- Complaint of "red eye" with mild-moderate, watery discharge
- Usually painless unless there is some degree of keratitis
- Often one eye will be involved initially with other eye involved within days
- Unilateral or bilateral conjunctival injection with perilimbal sparing
- Chemosis and subconj hemorrhages may be present
Diagnosis
- Slit Lamp
- Follicles on inferior palpebral conjunctival
- Mild, punctate fluorescein staining of cornea (occasional)
- Must differentiate from herpetic dendrite
DDx
Treatment
- Artificial tears 5-6x per day
- Cold compresses
- Consider topical abx if unable to differentiate from bacterial conjunctivitis
- Frequent hand-washing (highly contagious)
Disposition
- Follow-up with ophtho if worsening or no improvement in 7 days
See Also
Source
- Tintinalli
- Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.