Viral conjunctivitis is caused by several viruses and is characterized by inflammation of the conjunctiva. The most common type is adenovirus conjunctivitis. Clinical presentations include acute serous conjunctivitis, which involves minimal congestion and watery discharge; acute hemorrhagic conjunctivitis, seen with adenovirus and involving multiple conjunctival hemorrhages; and acute follicular conjunctivitis, associated with marked follicular hyperplasia. Epidemic keratoconjunctivitis is caused most commonly by adenovirus types 8, 19, and 37 and involves stages of acute serous conjunctivitis, follicular conjunctivitis, and pseudomemb

1. VIRAL CONJUNCTIVITIS
BY,
ROUF ABDUR
GROUP NO 7
8TH SEMESTER

2. Conjunctivitis
• Inflammation of conjunctiva.
• Conjunctival hyperaemia.
• Associated with discharge – watery , mucoid , mucopurulent or
purulent.
• Also known by names : Pink Eye OR Madras Eye.

3. Viral conjunctivitis
•Common in all age groups.
•Most common cause :
Adenovirus
•Most problematic cause:
Herpes simplex virus.
•Mostly , epithelium is
affected (both of cornea &
conjunctiva) so, typical viral
lesion is
Keratocunjunctivitis.

4. ETIOLOGY
• Adenovirus conjunctivitis
• Herpes simplex
keratoconjunctivitis
• Pox virus conjunctivitis
• Myxovirus conjunctivitis
• Paramyxovirus conjunctivitis
• Arbovirus conjunctivitis

5. Clinical presentations
•Acute Serous Conjunctivitis
•Acute Haemorrhagic Conjunctivitis
•Acute Follicular Conjunctivitis

6. Acute serous conjunctivitis
Etiology :
• Mild grade viral infection with no
follicular response.
Clinical Feature :
• Minimal degree of congestion
• Watery discharge
• Boggy swelling of conjunctival mucosa
Treatment:
• self limiting
• Broad spectrum antibiotics for 7days to
prevent secondary infection.

7. Acute haemorhagic conjunctivitis
• Acute inflammation of conjunctiva
characterized by :
a) Multiple Conjunctival Haemorrhages
b) Conjunctival Hyperaemia
c) Mild Follicular Hyperplasia.
• Etiology :
• Picornavirus (enterovirus type 70)
• Contagious.
• Clinical Picture :
• Incubation period : short (1-2 days).
• Symptoms : Pain , Redness , Watering
,Mild Photophobia , Transient Blurring
of Vision & Lid Swelling.

8. • Signs :
- Conjunctival Congestion
- Chemosis – swelling of conjunctiva
- Multiple Haemorrhages in Bulbar Conjunctiva
- Mild Follicular Hyperplasia
- Lid Oedema
- Preauricular Lymphadenopathy
• Corneal involvement in form of Fine Epithelial
Keratitis .
• Treatment :
• No specific curative treatment known.
• Prophylactic measures important.
• Broad spectrum antibiotic eye drops used for 5-7 days
to prevent secondary bacterial infection.

9. Acute follicular conjunctivitis
• Acute catarrhal conjunctivitis.
• Associated with marked follicular
hyperplasia especially of lower fornix &
lower palpebral conjunctiva.
Etiological Types :
Adult Inclusion Conjunctivitis
Epidemic Keratoconjunctivitis
Pharyngoconjunctival Fever
Newcastle Conjunctivitis
Acute Herpetic Conjunctivitis

10. • Epidemic Keratoconjunctivitis :
• Etiology :
- Most commonly associated serotypes include adenovirus 8, 19, and 37.
- Less frequently, serotypes 2-5, 7, 9, 10, 11, 14, 16, 21, and 29.
- Epidemics tend to occur in closed institutions (eg, schools, hospitals,
camps, nursing homes, workplaces).
- Direct contact with eye secretions is the major mode of transmission.
Clinical Picture :
•Incubation Period : about 8 days & virus is shed off in 2-3
weeks.
•Clinical Stages :
First phase – Acute Serous Conjunctivitis
Second phase – Typical Acute Follicular Conjunctivitis
Third phase – Acute Pseudomembranous Conjunctivitis
(severe cases)
Corneal involvement in form of Superficial Punctate
Keratitis
Preauricular Lymphadenopathy.

11. Clinical Picture :
•Incubation Period : about 8 days & virus is shed off
in 2-3 weeks.
•Clinical Stages :
First phase – Acute Serous Conjunctivitis
Second phase – Typical Acute Follicular
Conjunctivitis
Third phase – Acute Pseudomembranous
Conjunctivitis (severe cases)
Corneal involvement in form of Superficial
Punctate Keratitis
Preauricular Lymphadenopathy.

12. • Newcastle Conjunctivitis :
• Etiology :
- Rare
- Caused by Newcastle Virus.
- Contact with diseased Owls & Chickens .
- Mainly affects poultry workers.
• Clinically :
- Similar to Pharyngoconjunctival Fever.
• Diagnosis
 Through clinical features
 Culture , Smear & Stain
 Virus Isolation
• Medication
 Topical artificial tears - 4-8 times per day, for
1-3 weeks
 Topical vasoconstrictor/antihistamine - 4
times per day, for severe itching
 Topical steroids - For pseudomembranes and
subepithelial infiltrates
 Topical antibiotic - To prevent bacterial
superinfection
 Topical antiviral agents - For HSV infection
 Oral acyclovir - For VZV infection
Prevention
• Hygiene
• Avoid close contact with patients
• Patients should avoid rubbing eyes
• Vaccination against Adenovirus is
effective.