2. layer with b ifbar a d palpebral port'oi s
• Bulbălr 1'lies the Oniez surface of the globe
to the 1'inbus (ju ci on ot sclera and cOrnea)
• f'alpebral: covers the inside oí the cycl'ds
• Two layers: ep' theI uni substant a £
O 1'a
3.
4. V'R
AL
• łnfect'ous —
› Hyperac ite
Bactei al —
› i
• NOn'nfectious —
› Allerg'c, Toxins
Chem cals Fore'gn body, Trauma
Neoplaslv
5.
6. • Most coJniaion viral cause is adeiiovii-us
(E TE OV' US
HSV)
• Occr rs in community epidcmics(schools,
workplaces, physician s offices)
• Usual iaiodes of tiansiaiissiOi : cOntaii inated
Angers, red cal iiistru rents, swr
' r ' n g pool
+wtcr
8. • Common causes 'n neonates: ChW
antydia
i ucho aiis Neisseria gono rlioeae
• In ch'ldren: Hae oohil s i // e zae (80o o),
St eptococc s p ei inoniae (20º o), and
Moraxella cala hulis. Concurrent OM seen
'n 25’o.
• In adults: Stațihylor'o cus n ct s
9. B1LA ERAI, RED
EYE.
ni copriruleia1or p innlent
d1scI ai-ge continuously
by d‹rectco 1tact or by
so›umzizwdo v
r
l
s
10. PROGRESSIVE SYMPTOJRS OF RA KCD COJ JRJRCT VAT INJECIIOR,
initaI oI, tenderness top:IjJafion, chcnlosis, Ïi‹J sweìİing,
• Sexual1y ac ive tee is: aiasiritted fro n genifat a io liaiiõs
to eyes, commonly see coi ct ”iemI tJJetlirihis
11. • Most coJniuoø ctiology: Stnpmi lococ c' .s species
• More common in adults and patients with acne
fosacea or fac'al seboiil ea
• Presentation var'es: reõ tess, 'tching, burn'ng
foreign-body sensat'o i, flaky debrls, blepharitis
(corn+no n), cyclasla Ioss
• Concurrently sec styes auld chalazia of the Iid
margin from chronic inflainination of the
me'boinian glands
12. • PrescJalaI on: bilateral,
• IBE nediatccl
piccip ta ed by smal1
13.
14. • If focal pathology (1ordeoluin, cancerous les'on or
blepharitis), conj iictivit s s reactive rather than
• If redness is localizcõ rather than d lfusc, consider
foreign body, pteryg' mm or- episcIei-itis
15.
16. • NOt necessi y fOl' il4itİi1d'agnos is a d
THERAP} OÏ ACUTE CON
JUNCT V I'S
• WI e to c It ie:
1. NeOiiates
2. Hyperac ite purule t coiij nctivit's
(i1r1red'ate Gra u sta' 'ng)
3. Chron'c or i•ecunent conju ctivit's
17. • Bactei 'al conjiinct'v'tis is aISO1'kely iO be
selí-I'm'ted b it abx treat sent sliOrtensthe
C
O itse, reduces perSOli-to-perso i spread,
and lowers the r'sk ot s'glit-threatening
CO1TI IİCFI(İOłlS
18. • Topical anfibiutics nof nccessaiy because
SECONDARY BACTERIAL'NFECT'OIA 'S
UNCOININON
• Reass rance that the sxs ia ay get worse fo 3-5d
before gett'i g bette and pers'st for 2-3 weeks
• Some Teliet troin cold compresses and topical
antihisła flints dccongcstants
• Do not use topica1 col-ticostcroids d e to risk of
s't,ht-threatening comp licat ion. (scarring, corneal
melting, pefforai'or ) espec'ally ï et OIOgș is
herpes s’nplex v so bacter’atkeratit s
19. • Topica1 broad-s p c r us an1ibiotics: ei-yth o layc1n
oinI weit, bacítracíi1-po yiJ yxi î B ointitem ('o lyspo+i î),
iri oetlii-opi la-poIyiryxi1 B Po1ytrim), s dfa drops
' Sriïü drups (BI m
p
h
-10):1cs effectivc and care siJc cErect
of Steve s-.lo1 nsor sy droia e
• Rx: 1 2 oinlJrent iiiside 1owed 1id oJ 1-2 drops Q1D foi- 5-
? days (rcspoiise seen T
ypically within 1-2d)
• Uselmsion Conj inct1vi1is of 1lie Ne vborn:1rea1 w1th 2 week
course or eiythroinyciJl (5Oing kg d po divided QID) oJ
si Ifisoxazoìe(I ô0nJv kç ‹1po di ded ğl D), opical
unnecessary witli systen ic
20. • 1m mcdiate opl lhalnaic referra1
• Sys eJa ic a iI biotic oI choi e due to pe ilci11in-resista iI N
gono 'ficede is siJJglc-do c Cc ftrJaxo c (25-oOirg kg 1V or
( 100 ging IV ur IM) in neoriater
• lf veiaerea1 disease present ia teens, also heat with si iule-
dose of azithronayci i (1uJ becaUse ove 30ᵉ »oI hese
patients wi11 have conerJrre iI ch1ait ydia disease
• AAA' aî rl CDC recoil nlcndalio 1s for presen ioiJ of
opll foal laia neonatoJ-ti I si1›e i itrate I» aqrJeotJs soIutioø
(siõe effect of che tical coiaj iiictivitisJ. eiytla oinycii 0.5%
oph Hal tic ointi le It, tetiacyc1iwe 1
% opllthahasic oiJltilaent
21. • r
Sel'
f-t1 ' e d
• Allergeii avo'dance cOld COicpresses
i ot use foi g eater than 2 weeks), ai4ific'al
tears tOp'cal NSAIDS (low eíf cacy)
• ł’i•opliyIax's: oi•al a t'h'Stair' es (onset Of
act'oii=days), roast cell stab'lizers (onset Oï
act'o1i=5-14d)
24. • Red Book 3003. Except w
1c 4viral oï baclcrial
coiJjui clivitis is accompaJ ied by systemic signs of i11ness,
infected ct 1ldren st ould be atlow d to en ai in schoo1
h hamor ssuch tllnt c osc c‹Jntact wíth other st dccI
ca hoot be avoided. LacIude fi-oJr dayeare if pui-t let d c.
• Sa test approach for a chIId w1thbacicJ-I 1co jug ctivi is is
to slay loooe tintï
1 there s to tolger pui-rilen1 discha 2ᵉ I-
2daftei-Rx starte‹I).
28. KERAT
IT'S
• Presentaiion: severe pain, corneal swel1ink, cJotidirig,
1iAbus ei-ylItema, hypopyoii, h o contac1lens use
• Tx: speci fic abxs; kev top asty; acyc1or ii- for HSV
