Epidemic keratoconjunctivitis

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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