Gonorrheal conjunctivitis

Background

  • Caused by Neisseria gonorrhoeae
  • Usually spread from genital-hand-eye contact in the young sexually active population
  • Neonates can acquire it from the birth canal

Diagnosis

  1. Abrupt onset
  2. Copious purulent discharge (reforms quickly after wiping away)
  3. Marked conjunctival injection/chemosis
  4. lid swelling, globe


Neonates

  • 3-5 days postpartum (bilateral) discharge



DDx

Eye Algorithm (Main)

Diagnosis

Treatment

See Also

Source

Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. [{Category:ID]]