- Form of viral conjunctivitis that causes keratitis in addition to conjunctivitis
- Caused by adenovirus infection that is highly contagious and tends to occur in epidemics
- Ranges from subclinical conjunctivitis to severe disease with superimposed bacterial infection and systemic symptoms.
- Can be preceded by prodrome of cough, fever, malaise, myalgias, nausea/vomiting
- Worsening foreign body sensation (starts near medial canthus and spreads laterally), followed by:
- Lid swelling
- Blurred vision
- Conjunctival injection
- Papillae of inf palpebral conjunctiva
- Ipsilateral pre-auricular lymphadenopathy
- Slit lamp exam - diffuse, superficial keratitis but no corneal ulceration
- Viral conjunctivitis
- Bacterial conjunctivitis
- Allergic conjunctivitis
- Caustic keratoconjunctivitis
- Clinical diagnosis
- Artifical tears
- Cool compresses
- Cycloplegics if photophobia is severe
- Rigorous hand hygiene to prevent transmission
- Discharge with rapid ophtho follow-up.
- Meyer-Rüsenberg B, Loderstädt U, Richard G, Kaulfers P-M, Gesser C. Epidemic Keratoconjunctivitis: The Current Situation and Recommendations for Prevention and Treatment. Deutsches Ärzteblatt International. 2011;108(27):475-480. doi:10.3238/arztebl.2011.0475.
- Park SJ, Jang YS, Koh TH, Kwon YA, Song SW. Development of EKC after Eximer Laser Photorefractive Surgery and Subsequent Recurrence of EKC-like Keratitis. Korean Journal of Ophthalmology : KJO. 2011;25(6):443-446. doi:10.3341/kjo.2011.25.6.443.