Epidemic keratoconjunctivitis
Revision as of 18:08, 26 January 2015 by Rossdonaldson1 (talk | contribs)
Background
- Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis
- Vision-threatening
- Caused by adenovirus infection that is highly contagious and tends to occur in epidemics
Clinical Features
- Often preceded by cough, high fever, malaise, myalgias, N/V
- Usual symptoms of viral conjunctivitis plus:
- Foreign body sensation
- Photohobia
- Chemosis
- Papillae of inf palpebral conjunctiva
- Ipsilateral preauricular LAD
Diagnosis
- Slit Lamp
- Diffuse, superficial keratitis but no corneal ulceration
Treatment
- Artifical tears
- Cool compresses
- Cycloplegics if photophobia is severe
Disposition
- Referral to ophthalmologist to confirm dx and decide if pt requires course of steroids
See Also
Source
- Tintinalli
- Mahmood, Narang. Diagnosis and management of acute red eye. Emerg Med Clin N Am 2008;26