Ophtalmia Neonatorum A

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Ophtalmia Neonatorum A

  1. 1. . Department of Family Medicine (Paediatrics) NATIONAL HOSPITAL ABUJA. May,2009 Dr Fagboungbe Bisoye. F
  2. 11. <ul><li>Local spread (preceded with URI) </li></ul><ul><li>Acute eyelid Erythema and edema </li></ul><ul><li>Pain, Epiphora </li></ul><ul><li>± fever, conjunctivitis </li></ul><ul><li>leukocytosis </li></ul>In this Patient <ul><li>Mild eyelid edema </li></ul><ul><li>No Hx of URI, hordeolum, bug bite, trauma </li></ul><ul><li>Discharge more prominent than swelling </li></ul>Malinow I, Powell KR: Periorbital cellulitis. Pediatr Ann 1993 Apr; 22:241-6 ,
  3. 12. <ul><li>Onset 2-4 wk </li></ul><ul><li>Tenderness & swelling in medial canthal region </li></ul><ul><li>Epiphora most prominent </li></ul><ul><li>± purulent D/C from puncta, cellulitis, conjunctivitis, </li></ul><ul><li>Epiphora was not eminent </li></ul><ul><li>No tenderness & swelling in medial canthal region </li></ul>In this patient Lang, Gerhard K., Ophthalmology: a short textbook, 2000 Georg Thieme Verlag, Germany
  4. 13. Causes Clinical symptoms Associated findings Neonatal conjunctivitis Maternal infection Discharge, conjunctivitis Maternal STD Neonatal dacryocystitis Obstruction of lacrimal system Epiphora, tenderness at epicanthal region Nasal diseases Periorbital cellulitis Local spread Marked eyelid edema URI
  5. 15. Provisional diagnosis
  6. 20. PROPHYLAXIS. Red Book: 2006 Report of the Committee on Infectious Diseases. 27th ed.

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