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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