ACUTE BACTERIAL CONJUNCTIVITIS

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ACUTE BACTERIAL CONJUNCTIVITIS:

ACUTE BACTERIAL CONJUNCTIVITIS

DEFINITION:

Acute bacterial conjunctivitis is characterised by marked conjunctival hyperaemia and mucopurulent discharge from the eye . DEFINITION

ETIOLOGY:

Predisposing factors :- Flies Poor hygienic conditions Hot dry climate Poor sanitation Dirty habits ETIOLOGY

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Causative organisms :- Staph. aureus Koch-Weeks Bacillus Pneumococcus Streptococcus

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Mode of infection :- Exogenous infections: directly, vector transmission, material transfer. Local spread: infected lacrimal sac, lids and nasopharynx . Endogenous infections: blood

CLINICAL FEATURES:

Symptoms : Discomfort and foreign body sensation, Mild photophobia, Hyperaemia and Mucopurulent discharge, Sticking together of lid margins, Slight blurring of vision, Coloured halos. CLINICAL FEATURES

Congestion, hyperaemia and oedematous eyelids:

Congestion, hyperaemia and oedematous eyelids

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Signs : Flakes of mucopus seen at fornices , canthi and lid margins, Conjunctival congestion, Chemosis , Papillae of fine type seen, Oedematous eyelids, Petechial hemorrhages, Matted cilia with yellow crusts.

COMPLICATIONS:

Superficial punctate epitheliopathy , Marginal corneal ulceration, Superficial keratitis , Blepharitis , Dacryocystitis . COMPLICATIONS

DIFFERENTIAL DIAGNOSIS:

DIFFERENTIAL DIAGNOSIS

TREATMENT:

Topical Antibiotic Therapy: chloramphenicol (1%) gentamycin (0.3%) tobramycin (0.3%) framycetin (0.3%) ofloxacin (0.3%) TREATMENT

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Irrigation of conjunctival sac Dark goggles No bandage No steroids Anti-inflammatory and analgesics drugs.

PREVENTION:

Frequently wash hands using antiseptic soap. Use single-use towels during the disease to prevent spreading the infection. Avoid chemical irritants and known allergens. PREVENTION

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If in an area where welding occurs, use the proper protective eye wear and screens to prevent damaging the eyes. Use a clean tissue to remove discharge from eyes, and wash hands to prevent the spread of infection.

REFERENCES:

Text book of Ophthalmology, A.K. Khurana . Gale Medical Encyclopedia. Internet. REFERENCES

THANK YOU:

THANK YOU Amarnath.A