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You are here: Home / Resources / SystmOne Resource Centre / SystmOne Specialties / Ophthalmology

Ophthalmology

Acute Conjunctivitis Template

The Acute Conjunctivitis template can be used to record full consultations or be used as a reference to look up information about diagnosis and management. 

The Acute Conjunctivitis Template can be accessed by pressing F12, or using the search bar in the lower left-hand corner of the main screen, and type Acute Conjunctivitis into the search box then click Search.

The Home page has a short menu with links to tabs for the common forms of acute conjunctivitis.  Each page has simple guidance regarding diagnosis and management as well as links to more detailed guidance at CKS and quick links to patient information leaflets. 

Conjunctivitis I Infective Persistent ConjuncWitis 
Acute Conjunctivitis 
Acute infective 
Persistent Infective 
Neonatal 
Allergic 
Resources 
Neonatal
Conjunctivitis Infectivel Persistent ConjuncWitis Neonatal 
Infective Conjunctivits 
Acute conjunctivtis 
History 
Examination findings 
Considerserious eye disease if: 
Moderate of severe eye pain or photophobia 
Marked redness of the eye 
Reduced acuity 
Consider superficial corneal injury if recent trauma or FB 
Infection more likely than allergy if 
• Hx of contact with same illness 
• LIRTI symptoms present 
• Eyes glued together after sleep 
• Mucopurulent discharge 
• Stans in one eye and spreads to the other 
• Enlarged lymph node in front of the ear 
REMOVE CONTACT LENSES 
For most people do not offer antibiotics 
CONSIDER antibiotics if the conjunctivitis is severe 
Allergic 
Resources 
CKS Conjunctivitis- Infectix 
PIL Infective Conjunctivitis 
NB 10% of those treated with antibiotics will have adverse reactions 
If antibiotics needed use chloramphenicol (first line) or fucidic acid 
Most cases last 1-2 weeks 
It is not necessary to exclude a child from school or childcare unless recommended by 
nilhlir health
Persistent Conjunctivitis 
Persistent is defined as conjunctivitis lasting more than 2 weeks 
Ensure contact lenses have been removed 
Consider irritant or allergic conjunctivitis 
Consider blepharitis 
• Swollen eyelids 
• Inflammed lid margins 
• Altered eyelash appearance - crusting: misdirection: loss 
• Altered eyelid surfaces - scaly: oily: greasy 
Consider blocked tear duct in infants - usually managed conservatively 
If cause remains uncertain consider swab for bacteria and chlamydia 
CKS Conjunctivitis - Infective - persisten 
PIL Blocked Tear Duct In Infants
conjunctivitis I 
Neonatal 
lnTectlve I 
Persistent 
conjunctvltls I 
I Resourcesl 
Acute conjunctivtis 
History 
Examination findings 
Urgently refer infants in the first 28d of life for same day assessment of conjunctivitis 
This only applies to children with inflamed and red conjunctiva: not just a sticky ey4 
A simple sticky eye can be managed conservativeli/ Consider blocked tear duct 
CKS Conjunctivitis- Infectix 
PIL Infective Conjunctivitis 
PIL Blocked Tear Duct In Infants 
Neonatal conjunctivitis may result in a severe and rapidly progressive eye infection: or be associated with a potentially serious systemic infection: 
both ofwhich require urgent investigation and management in secondary car4 
Chlamydia is a common cause of neonatal conjunctivitis An infant born to a mother with chlamydia has a 30-40% chance of developing 
conjunctivitis: and a 10-20% chance of developing pneumonia 
Gonorrhoea infection typically results in a rapidly developing severe conjunctivitis associated with a profuse purulent discharge within 48 hours of 
birltm Corneal ulceration and perforation may occur
Conjunctivitis Infective Persistent ConjuncWitis 
Allergic Conjunctivits 
Atopic conjunctivtis 
History 
ixamination findings 
Considerserious eye disease if: 
Moderate of severe eye pain or photophobia 
Marked redness of the eye 
Reduced acuity 
Neonatal 
I Allergic I 
Consider superficial corneal injury if recent trauma or FB 
Infection more likely than allergy if 
• Hx of contact with same illness 
• LIRTI symptoms present 
• Eyes glued together after sleep 
• Mucopurulent discharge 
• Stans in one eye and spreads to the other 
• Enlarged lymph node in front of the ear 
REMOVE CONTACT LENSES 
Rapid relief- oral or ocular antihistamine 
Prolonged control - oral or ocular antihistamine or cromoglicate OR 
antihistamine (oral or ocular) AND cromoglicate if needed 
Resource 
CKS Conjunctivitis- Allerai 
PILAlleraic Conjunctivitis
onjunctivitisl Infectivel Persistent ConjuncMtis I Neonatall Allergicl Resources I 
esources 
RCGP Coniunctivitis patient Poster 
PIL Infective Conjunctivitis 
CKS Conjunctivitis - Infecti\ 
CRS Coniunctivitis - Infective persisten 
CKS Conjunctivitis - Allergi 
PIL Conjunctivitis 
PIL 810cked Tear Duct In Infants

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