Conjunctivitis natural history: Difference between revisions
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{{Conjunctivitis}} | {{Conjunctivitis}} | ||
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==Overview== | ==Overview== | ||
The outcome is usually good with [[treatment]]. Conjunctivitis resolves, in 65% of cases, within 2 – 5 days.<ref>{{cite journal |author=Rose P |title=Management strategies for acute infective conjunctivitis in primary care: a systematic review |journal=Expert Opin Pharmacother |volume=8 |issue=12 |pages=1903–21 |year=2007 |month=August |pmid=17696792 |doi=10.1517/14656566.8.12.1903 |url=}}</ref> | The outcome is usually good with [[treatment]]. Conjunctivitis resolves, in 65% of cases, within 2 – 5 days.<ref>{{cite journal |author=Rose P |title=Management strategies for acute infective conjunctivitis in primary care: a systematic review |journal=Expert Opin Pharmacother |volume=8 |issue=12 |pages=1903–21 |year=2007 |month=August |pmid=17696792 |doi=10.1517/14656566.8.12.1903 |url=}}</ref> | ||
== | ===Natural History=== | ||
Most cases of '''viral conjunctivitis''' are [[mild]] and will clear up in 7–14 days without treatment and without any long-term consequences. In some cases, however, viral conjunctivitis can take two or more weeks to resolve, especially if [[complications]] arise. | |||
Mild '''bacterial conjunctivitis''' may get better without [[antibiotic]] treatment and without causing any severe [[complications]]. | |||
'''Allergic conjunctivitis''' usually improves by eliminating or significantly reducing contact with the [[allergen]] ([[pollen]] or [[animal dander]]). | |||
Reinfection within a household or school may occur if you don't follow preventive measures. | Reinfection within a household or school may occur if you don't follow preventive measures. | ||
===Neonatal Conjunctivitis=== | |||
*[[Ocular]] complications | |||
**Pseudomembrane formation | |||
**[[Corneal]] [[edema]] | |||
**Thickened palpebral conjunctiva, | |||
**[[Peripheral]] [[pannus]] formation | |||
**Corneal opacification | |||
**Staphyloma | |||
**[[Corneal perforation]] | |||
**[[Endophthalmitis]] | |||
**Loss of eye and blindness | |||
*[[Systemic]] complications of ''[[chlamydia]]'' conjunctivitis | |||
**[[Pneumonia]] | |||
**[[Otitis]] | |||
**[[Pharyngeal]] and [[rectal]] colonization | |||
*Systemic complications of ''[[gonococcal]]'' conjunctivitis | |||
**[[Arthritis]] | |||
**[[Meningitis]] | |||
**[[Anorectal]] infection | |||
**[[Septicemia]] | |||
**Death | |||
==Prognosis== | |||
Prognosis of '''neonatal conjunctivitis''' is generally considered to be good as long as early diagnosis is made and prompt medical therapy is initiated. Most cases of infectious conjunctivitis respond to appropriate treatment. However, morbidity and mortality increases in cases of systemic involvement requiring hospitalization and intensive monitoring. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Revision as of 14:41, 29 June 2016
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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]
Overview
The outcome is usually good with treatment. Conjunctivitis resolves, in 65% of cases, within 2 – 5 days.[1]
Natural History
Most cases of viral conjunctivitis are mild and will clear up in 7–14 days without treatment and without any long-term consequences. In some cases, however, viral conjunctivitis can take two or more weeks to resolve, especially if complications arise. Mild bacterial conjunctivitis may get better without antibiotic treatment and without causing any severe complications. Allergic conjunctivitis usually improves by eliminating or significantly reducing contact with the allergen (pollen or animal dander). Reinfection within a household or school may occur if you don't follow preventive measures.
Neonatal Conjunctivitis
- Ocular complications
- Pseudomembrane formation
- Corneal edema
- Thickened palpebral conjunctiva,
- Peripheral pannus formation
- Corneal opacification
- Staphyloma
- Corneal perforation
- Endophthalmitis
- Loss of eye and blindness
- Systemic complications of chlamydia conjunctivitis
- Pneumonia
- Otitis
- Pharyngeal and rectal colonization
- Systemic complications of gonococcal conjunctivitis
- Arthritis
- Meningitis
- Anorectal infection
- Septicemia
- Death
Prognosis
Prognosis of neonatal conjunctivitis is generally considered to be good as long as early diagnosis is made and prompt medical therapy is initiated. Most cases of infectious conjunctivitis respond to appropriate treatment. However, morbidity and mortality increases in cases of systemic involvement requiring hospitalization and intensive monitoring.