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Etiological
Clinical
Etiological Classification
Infective Conj.
• Bacterial
• Chlamydial
• Viral
• Fungal
• Parasitic
Etiological Classification
Allergic Conj.
Irritative Conj.
Kerato Conj.
Traumatic Conj.
Unknown itiology
BACTERIAL CONJUCTIVITIS
ETIOLOGY
*PREDISPOSING FACTOR
Bacterial conj., poor hygienic condition,
hot dry climate, poor sanitation,
dirty habits
CAUSATIVE ORGANISM
Staphylococcus aureus
Staphylococcus epidermidis
Streptococcus pneumoniae
Streptococcus pyogens
Haemophilus influenza
Cornibacterium diptheriae
Neisseria gonorrhoea etc..
MODE OF INFECTION
1. Exogenous infection
2. Local spread
3. Endogenous infections
PATHOLOGY
Symptoms
Discomfort / F.B.sensation
Mild photophobia
Mucopurulent discharge
Sticking
Blurred of vision
colored halos
Acute mucopurulent conj.
Signs
Conj. Congestion
Chemosis
Petechial haemorrhages
Flakes of mucopus
cilia – matted – yellow crusts.
Acute mucopurulent conj.
pnemococcus
Adult - purulent conj.
Clinical picture
Stage of infiltration -4-5 days
painful, tender eyeball
Bright red velvety chemosed conj.
Discharge – watery
Pre auricular lymph nodes - enlarged
Adult - purulent conj.
Stage of Blenorrhea
starts at 5th day, lasts for several days
frankly purulent , copious, thick
discharge trickling down – cheeks
tenderness is less
Adult - purulent conj.
Complications -corneal
ulcers,prforation
Iridocyclitis- rare
Systemic – arthritis,endocarditis ,
septicaemia
Management
Systemic medicine
Topical antibiotics
Irrigation
Etiology
Cornebacterium diphtheriae
Strepto coccus
Acute Membranous conj.
Stage of infiltration
scanty discharge & severe pain
lids swollen
conj. Red, covered with thick grey
yellow membrane. The membrane –
tough , firmly adherent, bleeds on
removing
Acute Membranous conj.
Corneal ulceration
MANAGEMENT
Systemic treatment