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Conj.pptx
1. BACTERIAL
• Marked conjunctival hyperaemia
• Mucopurulent discharge
• Foreign body sensation, blurring and redness (sudden onset)
• Sticking together of lid margins with discharge during sleep
• Slight blurring of vision
• Coloured halos
Acute –
• Hyperacute onset (12-24h)
• Pain
• Copious purulent discharge
• Swelling of eyelids
• Mild photophobia
• Slight blurring of vision
Hyperacute –
2. Clinical Course
• Burning & grittiness in eyes especially in the evening
• Feeling of heat & dryness on the lid margins
• Watering
• Feeling of sleepiness & tiredness in the eyes
• Mild chronic redness & mucoid discharge
3. Chronic –
• Irritation, burning sensation in the eyes
• History of collection of dirty-white foamy discharge at angles
• Redness in angles of eyes
4. Angular –
3. VIRAL
• Redness of sudden onset associated with profuse
watering of eyes
• Mild mucoid discharge
• Ocular discomfort & foreign body sensation
• Marked photophobia when cornea is involved
Adenoviral –
• Typical form : follicular conjunctivitis + primary
lesions like vesicular lesions of face & lids
• Atypical form : follicular conjunctivitis without
primary lesions
• Preaurical lymphadenopathy
• Corneal involvement rare
Acute Herpetic –
• Very short incubation period (1-2 days)
• Pain, redness, photophobia, transient blurring of
vision & lid swelling.
Acute Haemorrhagic –
5. Clinical
Course
• Inflammation of conjunctiva with formation of
papillae greater than 0.3mm in diameter
• Localised allergic response to a physically rough or
deposited surface eg: contact lens, prosthesis,
exposed nylon sutures etc
• Stringy discharge
4. Giant Papillary Conjunctivitis –
• Characteristic nodular lesion in conjunctival &
corneal epithelium to some endogenous allergens
• Mild discomfort, irritation & watering in the eye
5. Phlyctenular Keratoconjunctivitis –
• Involves conjunctiva and skin of lids along with
surrounding area of face
• Hyperaemic conjunctiva with generalised papillary
response affecting more commonly lower fornix and
lower palpebral conjunctiva
• Weeping eczematous type reaction on skin
6. Contact Dermatoconjunctivitis –
History taking can be an important tool r differentiating between viral and allergic conjunctivitis andbacterial conjunctivitis may develop more gradually over several days or weeks. People with bacterial conjfounctivitis may experience more pain compared with other 2. Bacterial conjunctivitis is more contagious than viral conjunctivitis and can be spread through direct contact with the discharge from an infected eye, or through contact with contaminated items such as towels or eye makeup. bacterial conjunctivitis may have symptoms such as fever, swollen lymph nodes, and overall feeling of malaise
Viral conjunctivitis often develops quickly, with symptoms appearing within a few days. People with viral conjunctivitis may also have cold or flu-like symptoms, such as a runny nose, sore throat, or cough.
a watery or clear discharge,
allergic conjunctivitis may develop more gradually over several days or weeks. llergic conjunctivitis is often seasonal, with symptoms appearing during certain times of the year when certain allergens are present in the air, more common in people with a family history of allergies, such as hay fever or asthma.
