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Conjunctivitis also called pink eye or
madras eye refers to inflammation of the
  conjunctiva the outermost layer of the
eye and the inner surface of the eyelids. It
  is most commonly due to an infection,
 usually viral, but sometimes bacterial or
            an allergic reaction.
SIGNS AND SYMPTOMS:
• red eye (hyperaemia)
• irritation (chemosis)
• watering (epiphora) of the eyes
TREATMENT:
• cool water poured over the face
   with the head inclined downward
   constricts capillaries, and artificial
   tears sometimes relieve
   discomfort in mild cases. In more
   severe cases, non-steroidal anti-
   inflammatory medications and
   antihistamines may be
   prescribed. Persistent allergic
   conjunctivitis may also require
   topical steroid drops.
SIGNS AND SYMPTOMS:
• often associated with an
   infection of the upper respiratory
   tract
• watery discharge
• variable itch
TREATMENT:
• symptomatic relief may be
    achieved with cold compresses
    and artificial tears. People are
    often advised to avoid touching
    their eyes or sharing towels and
    washcloths
SIGNS AND SYMPTOMS:
• grittiness/irritation
• stringy, opaque, greyish or yellowish
   mucopurulent discharge
• severe crusting of the infected eye
   and the surrounding skin
TREATMENT:
• Antibiotics, eye drops, or ointment
   are thus only needed if no
   improvement is observed after 3
   days. In patients receiving no
   antibiotics recovery was in 4.8 days,
   immediate antibiotics 3.3 days,
   delayed antibiotics 3.9 days. No
   serious effects were noted either
   with or without treatment.
Transmission occurs through direct contact with the
secretions from an infected eye, or contact with
objects or surfaces that have been contaminated
with these secretions. The virus or bacteria can be
transmitted when an infected person touches their
eye and then touches another surface. Symptoms
tend to develop one to three days after transmission
occurs.
A person can spread conjunctivitis during
the course of active infection.
Depending upon the cause of the
infection, communicability may be
longer, i.e. up to 14 days after onset. It is
infectious while there is discharge.
Everyone is susceptible to infection
and repeated attacks due to the
same or different bacteria are
possible. Maternal infection does
not confer immunity to the child.
•   Practicing good hygiene is the best way to control
    the spread of pink eye.
•   Avoid touching your eyes or the area near your eyes
    with your hands.
•   Wash your hands regularly with disinfectants.
•   Don't share washcloths, towels or pillowcases with
    anyone else, and wash these items after each use.
•   Disinfecting surfaces like counter tops, sinks, and
    door knobs can also help prevent the spread of
    infectious pink eye.
Conjunctivitis due to bacterial infection may
be difficult to distinguish clinically from
allergic or viral conjunctivitis or that due to
physical irritation. Therefore, empirical
antibiotic therapy is often used. Patients with
significant eye pain, loss of vision or
photophobia require immediate referral to an
ophthalmologist.
In mild cases propamidine eye drops are the usual
treatment.

In moderate and severe cases a combination of
treatments may be used. Consult the current
version of Therapeutic guidelines: antibiotic
(Therapeutic Guidelines Limited). An eye ointment
may be used at bedtime. Soiled articles should be
discarded or disinfected. Rigorous hand washing
before and after eye examinations and toilets is
important in preventing further transmission.
Children should not attend school and child care
settings until discharge from the eyes has ceased.
the EYE is the WINDOW
 to the SOUL; so keep it
        HEALTHY.

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primary health care (conjunctivitis)

  • 1.
  • 2. Conjunctivitis also called pink eye or madras eye refers to inflammation of the conjunctiva the outermost layer of the eye and the inner surface of the eyelids. It is most commonly due to an infection, usually viral, but sometimes bacterial or an allergic reaction.
  • 3.
  • 4. SIGNS AND SYMPTOMS: • red eye (hyperaemia) • irritation (chemosis) • watering (epiphora) of the eyes TREATMENT: • cool water poured over the face with the head inclined downward constricts capillaries, and artificial tears sometimes relieve discomfort in mild cases. In more severe cases, non-steroidal anti- inflammatory medications and antihistamines may be prescribed. Persistent allergic conjunctivitis may also require topical steroid drops.
  • 5. SIGNS AND SYMPTOMS: • often associated with an infection of the upper respiratory tract • watery discharge • variable itch TREATMENT: • symptomatic relief may be achieved with cold compresses and artificial tears. People are often advised to avoid touching their eyes or sharing towels and washcloths
  • 6. SIGNS AND SYMPTOMS: • grittiness/irritation • stringy, opaque, greyish or yellowish mucopurulent discharge • severe crusting of the infected eye and the surrounding skin TREATMENT: • Antibiotics, eye drops, or ointment are thus only needed if no improvement is observed after 3 days. In patients receiving no antibiotics recovery was in 4.8 days, immediate antibiotics 3.3 days, delayed antibiotics 3.9 days. No serious effects were noted either with or without treatment.
  • 7. Transmission occurs through direct contact with the secretions from an infected eye, or contact with objects or surfaces that have been contaminated with these secretions. The virus or bacteria can be transmitted when an infected person touches their eye and then touches another surface. Symptoms tend to develop one to three days after transmission occurs.
  • 8. A person can spread conjunctivitis during the course of active infection. Depending upon the cause of the infection, communicability may be longer, i.e. up to 14 days after onset. It is infectious while there is discharge.
  • 9. Everyone is susceptible to infection and repeated attacks due to the same or different bacteria are possible. Maternal infection does not confer immunity to the child.
  • 10. Practicing good hygiene is the best way to control the spread of pink eye. • Avoid touching your eyes or the area near your eyes with your hands. • Wash your hands regularly with disinfectants. • Don't share washcloths, towels or pillowcases with anyone else, and wash these items after each use. • Disinfecting surfaces like counter tops, sinks, and door knobs can also help prevent the spread of infectious pink eye.
  • 11. Conjunctivitis due to bacterial infection may be difficult to distinguish clinically from allergic or viral conjunctivitis or that due to physical irritation. Therefore, empirical antibiotic therapy is often used. Patients with significant eye pain, loss of vision or photophobia require immediate referral to an ophthalmologist.
  • 12. In mild cases propamidine eye drops are the usual treatment. In moderate and severe cases a combination of treatments may be used. Consult the current version of Therapeutic guidelines: antibiotic (Therapeutic Guidelines Limited). An eye ointment may be used at bedtime. Soiled articles should be discarded or disinfected. Rigorous hand washing before and after eye examinations and toilets is important in preventing further transmission. Children should not attend school and child care settings until discharge from the eyes has ceased.
  • 13. the EYE is the WINDOW to the SOUL; so keep it HEALTHY.