Conjunctivitis: Difference between revisions
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##Itching, watery eyes, rhinnorrhea | ##Itching, watery eyes, rhinnorrhea | ||
#Treatment | #Treatment | ||
##Avoidance of triggers | |||
##NSAIDs | |||
##oral antihistamines (e.g loratidine) | ##oral antihistamines (e.g loratidine) | ||
##Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen) | ##Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen) |
Revision as of 21:09, 30 July 2011
Background
- Number 1 cause of acute red eye
Diagnosis
- Limbic sparing
DDx
Viral Conjunctivitis
naphazoline or ketorolac drops
Bacterial Conjunctivitis
- Purulent Discharge
- adults: sulfacetamide or gent; cipro if pseudomonas; drops 10D OU
Allergic Conjunctivitis
- Diagnosis
- Itching, watery eyes, rhinnorrhea
- Treatment
- Avoidance of triggers
- NSAIDs
- oral antihistamines (e.g loratidine)
- Consider histamine-blocking drops (e.g. olopatadine, pemirolast, or ketotifen)
- Outpt ophtho
Chemical (Contact) Conjunctivitis
- Topical Meds or Cosmetics
- irrigate, naphazoline drops, outpt for tx failure
See Caustic Keratoconjunctivitis
Chlamydia Conjunctivitis
- PO erythromycin x 14D; CTX for gonorrhea
See Also
Source
- Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.