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'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
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{| class="infobox" style="float:right;"
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| [[File:Siren.gif|30px|link=Conjunctivitis resident survival guide]]|| <br> || <br>
| [[Conjunctivitis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}


{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
   Name        = Conjunctivitis |
   Name        = Conjunctivitis |
  ICD10          = {{ICD10|H|10||h|10}} |
  ICD9          = {{ICD9|372.0}}-{{ICD9|372.3}} |
  ICDO          = |
   Image          = Pink_eye.jpg |
   Image          = Pink_eye.jpg |
   Caption        = An eye with viral conjunctivitis |
   Caption        = An eye with viral conjunctivitis |
  OMIM          = |
 
  MedlinePlus    = 001010 |
  eMedicineSubj  =  |
  eMedicineTopic =  |
  DiseasesDB    = 3067 |
}}
}}
{{CMG}}
{{Conjunctivitis}}
{{Conjunctivitis}}
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{CMG}} {{AE}} {{SaraM}}
{{SK}} Madras eye; Pink eye; Pinkeye; Inflammation of conjunctiva; Conjunctiva inflamed; Infective conjunctivitis; Acute Hemorrhagic Conjunctivitis; Hyperacute Bacterial Conjunctivitis (HBC); Koch-Weeks conjunctivitis


==[[Conjunctivitis overview|Overview]]==
==[[Conjunctivitis overview|Overview]]==


==[[Conjunctivitis historical perspective|Historical Perspective]]==
==[[Conjunctivitis historical perspective|Historical Perspective]]==
==[[Conjunctivitis classification|Classification]]==


==[[Conjunctivitis pathophysiology|Pathophysiology]]==
==[[Conjunctivitis pathophysiology|Pathophysiology]]==


==[[Conjunctivitis epidemiology and demographics|Epidemiology & Demographics]]==
==[[Conjunctivitis causes|Causes]]==
 
==[[Conjunctivitis differential diagnosis|Differentiating Conjunctivitis from other Diseases]]==
 
==[[Conjunctivitis epidemiology and demographics|Epidemiology and Demographics]]==


==[[Conjunctivitis risk factors|Risk Factors]]==
==[[Conjunctivitis risk factors|Risk Factors]]==
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==[[Conjunctivitis screening|Screening]]==
==[[Conjunctivitis screening|Screening]]==


==[[Conjunctivitis causes|Causes]]==
==[[Conjunctivitis natural history|Natural History, Complications and Prognosis]]==
 
==[[Conjunctivitis differential diagnosis|Differentiating Conjunctivitis]]==
 
==[[Conjunctivitis natural history|Complications & Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Conjunctivitis history and symptoms|History and Symptoms]] | [[Conjunctivitis physical examination|Physical Examination]] | [[Conjunctivitis staging|Staging]] | [[Conjunctivitis laboratory tests|Laboratory tests]] | [[Conjunctivitis electrocardiogram|Electrocardiogram]] | [[Conjunctivitis x ray|X Rays]] | [[Conjunctivitis CT|CT]] | [[Conjunctivitis MRI|MRI]] [[Conjunctivitis echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Conjunctivitis other imaging findings|Other images]] | [[Conjunctivitis other diagnostic studies|Alternative diagnostics]]
[[Conjunctivitis history and symptoms|History and Symptoms]] | [[Conjunctivitis physical examination|Physical Examination]] | [[Conjunctivitis laboratory tests|Laboratory Findings]] | [[Conjunctivitis chest x ray|Chest X Ray]] | [[Conjunctivitis CT|CT]] | [[Conjunctivitis MRI|MRI]] | [[Conjunctivitis other imaging findings|Other Imaging Findings]] | [[Conjunctivitis other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
[[Conjunctivitis medical therapy|Medical therapy]] | [[Conjunctivitis surgery|Surgical options]] | [[Conjunctivitis primary prevention|Primary prevention]] | [[Conjunctivitis secondary prevention|Secondary prevention]] | [[Conjunctivitis cost-effectiveness of therapy|Financial costs]] | [[Conjunctivitis future or investigational therapies|Future therapies]]
[[Conjunctivitis medical therapy|Medical Therapy]] | [[Conjunctivitis surgery|Surgery]] | [[Conjunctivitis primary prevention|Primary Prevention]] | [[Conjunctivitis secondary prevention|Secondary Prevention]] | [[Conjunctivitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]]
 
 
 
 
 
 
===Investigations===
These are done infrequently because most cases of conjunctivitis are treated empirically and (eventually) successfully, but often only after running the gamut of the common possibilities.
 
Swabs for bacterial culture are necessary if the history & signs suggest bacterial conjunctivitis, but there is no response to topical [[antibiotic]]s. Research studies indicate that many bacteria implicated in low-grade conjunctivitis are not detected by the usual culture methods of medical microbiology labs, so negative results are common. Viral culture may be appropriate in epidemic case clusters.  Conjunctival scrapes for [[cytology]] can be useful in detecting [[chlamydial]] and [[fungal]] infections, [[allergy]] and [[dysplasia]], but are rarely done because of the cost and the general lack of laboratory staff experienced in handling ocular specimens.  Conjunctival incisional [[biopsy]] is occasionally done when granulomatous diseases (e.g., [[sarcoidosis]]) or [[dysplasia]] are suspected.
 
==Treatment and management==


Conjunctivitis sometimes requires medical attention. The appropriate treatment depends on the cause of the problem. For the allergic type, cool water constricts capillaries, and artificial [[tears]] sometimes relieve discomfort in mild cases. In more severe cases, [[NSAID|non-steroidal anti-inflammatory medications]] and [[antihistamine]]s may be prescribed. Some patients with persistent allergic conjunctivitis may also require topical steroid drops.
==Case Studies==


Bacterial conjunctivitis is usually treated with [[antibiotic]] eye drops or ointments that cover a broad range of bacteria ([[chloramphenicol]] or [[fusidic acid]] used in UK). However evidence suggests that this does not affect symptom severity and gains only modest reduction in duration from an average of 4.8 days (untreated controls) to 3.3 days for those given immediate antibiotics. Deferring antibiotics yields almost the same duration as those immediately starting treatment with 3.9 days duration, but with half the two-week clinic reattendance rate.<ref>{{cite journal | author=Hazel A Everitt, Paul S Little, Peter W F Smith | title=A randomised controlled trial of management strategies for acute infective conjunctivitis in general practice | journal=BMJ | month=July 16 | year=2006 |id= {{doi|:10.1136/bmj.38891.551088.7C}} | url=http://bmj.bmjjournals.com/cgi/content/short/bmj.38891.551088.7Cv1?etoc}}</ref>
[[Conjunctivitis case study one|Case #1]]
 
Although there is no cure for viral conjunctivitis, symptomatic relief may be achieved with cool compresses and artificial tears. For the worst cases, topical corticosteroid drops may be prescribed to reduce the discomfort from inflammation. However prolonged usage of corticosteroid drops increases the risk of side effects. Antibiotic drops may also be used for treatment of complementary infections. Patients are often advised to avoid touching their eyes or sharing towels and washcloths. Viral conjunctivitis usually resolves within 3 weeks. However in worst cases it may take over a month.
 
Conjunctivitis due to burns, toxic and chemical require careful wash-out with [[saline (medicine)|saline]], especially beneath the lids, and may require topical steroids. The more acute chemical injuries are medical emergencies, particularly alkali burns, which can lead to severe scarring, and intraocular damage. Fortunately, such injuries are uncommon.
 
==Footnotes==
{{reflist|2}}
 
==External links==
* [http://www.nei.nih.gov/health/cornealdisease/index.asp Facts About the Cornea and Corneal Disease] The National Eye Institute (NEI).
* [http://www.statuseyecare.com/category/conjunctivitis/ All About Conjunctivitis]  


{{Eye pathology}}
{{Eye pathology}}


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[[Category:Overview complete]]
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Latest revision as of 14:04, 10 September 2020




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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Synonyms and keywords: Madras eye; Pink eye; Pinkeye; Inflammation of conjunctiva; Conjunctiva inflamed; Infective conjunctivitis; Acute Hemorrhagic Conjunctivitis; Hyperacute Bacterial Conjunctivitis (HBC); Koch-Weeks conjunctivitis

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Conjunctivitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy

Case Studies

Case #1


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