Chlamydia conjunctivitis

Background

Types

  • Trachoma
    • Serotypes A through C
    • Chronic keratoconjunctivitis
    • Most common form of preventable blindness in the world
  • Inclusion conjunctivitis
    • Serotypes D through K
    • Common, primarily sexually transmitted disease
    • Affects both newborns and adults

Clinical Features

Chlamydial conjunctivitis.

Newborns

  • Tearing
  • Conjunctival inflammation
  • Eyelid swelling
  • Moderate discharge
  • Starting 5-12 days after birth

Adults

  • Infection can be subacute or chronic
  • Most common in young, sexually active persons aged 18 to 30 years
  • Unilateral or bilateral redness
  • Foreign body sensation
  • Mucopurulent discharge
  • Pre-auricular adenopathy

Differential Diagnosis

Conjunctivitis Types

Evaluation

Management

Adult

Neonatal

Inclusion conjunctivitis

  • Systemic antibiotics
  • Topical antibiotics
  • Consultation with ophthalmology
    • Special cultures may be required

Disposition

  • Discharge with ophtho follow-up.

See Also

References