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*[[Itchy]] eyes
*[[Itchy]] eyes
*Tearing
*Tearing
*[[Bilateral]] [[redness]]
*[[redness]] (affects only one eye but may spread easily to the other eye)
*Minimal pain level
*Minimal pain level
*Watery discharge
*Watery discharge
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*[[Redness]]
*[[Redness]]
*Minimal eye pain  
*Minimal eye pain  
*[[Purulent]] discharge
*[[Purulent]] discharge (grey or yellowish)
*[[Chemosis]]
*[[Chemosis]]


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====''Chlamydial'' Conjunctivitis====
====''Chlamydial'' Conjunctivitis====
*[Mild [[hyperemia]],  
*Mild [[hyperemia]],  
*Watery or mild mucoid discharge
*Watery or mild mucoid discharge
*[[Eyelid]] [[swelling]]
*[[Eyelid]] [[swelling]]
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*[[Bilateral]] [[redness]]
*[[Bilateral]] [[redness]]
*Watery discharge
*Watery discharge
*[[Light sensitivity]] (with [[corneal]] involvement)
**Photophobia (with [[corneal]] involvement)
*[[Foreign body]] sensation
*[[Foreign body]] sensation


===Keratoconjunctivitis Sicca===
===Keratoconjunctivitis Sicca===
Symptoms of [[keratoconjunctivitis sicca|keratoconjunctivitis sicca (dry eye syndrome)]] may include the following:
*Foreign-body sensation
*[[Grittiness]]
*[[Hyperemia]]
*Mucoid discharge
*Excessive tearing (secondary to reflex secretion)
*Photophobia
*Itching
*Fluctuating or blurry vision


===Superior limbic keratoconjunctivitis===
===Superior Limbic Keratoconjunctivitis===
 
Symptoms of superior limbic keratoconjunctivitis may include the following:
Redness, irritation and watering of the eyes are symptoms common to all forms of conjunctivitis. Itch and the closing of the throat is variable.
*Foreign body sensation
 
*Photophobia
Acute ''allergic conjunctivitis'' is typically itchy. Sometimes distressingly so, and the patient often complains of some lid swelling.  Chronic allergy often causes just itch or irritation, and often much frustration because the absence of redness or discharge can lead to accusations of [[hypochondria]].
*Excessive blinking
 
*Burning sensation
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*Pruritus
''Viral conjunctivitis'' is often associated with an infection of the upper [[respiratory tract]], a common cold, or a sore throat. Its symptoms include watery discharge and variable itch. The infection usually begins with one eye, but may spread easily to the fellow eye.
*Dry eye sensation
 
''Bacterial conjunctivitis'' is due to the common [[pyogenic]] (pus-producing) bacteria. It causes marked grittiness/irritation and a stringy, opaque, grey or yellowish [[mucopurulent discharge]] (''gowl'', ''goop'', "gunk", ''sleep'', or other regional names) that may cause the lids to stick together (''matting''), especially after sleeping. Another symptom that could be caused by Bacterial Conjunctivitis is severe crusting of the infected eye and the surrounding skin. However discharge is not essential to the diagnosis, contrary to popular belief. Many other bacteria (e.g., ''[[Chlamydia]]'', ''[[Moraxella]]'') can cause a non-exudative but very persistent conjunctivitis without much redness. The gritty and/or scratchy feeling is sometimes localised enough for patients to insist they must have a foreign body in the eye.  The more acute [[pyogenic]] infections can be painful. Like viral conjunctivitis, it usually affects only one eye but may spread easily to the other eye.
 
''Irritant'' or ''toxic conjunctivitis'' is irritable or painful when the infected eye is pointed far down or far up. Discharge and itch are usually absent. This is the only group in which severe pain may occur.


==References==
==References==

Revision as of 21:01, 30 June 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Sara Mehrsefat, M.D. [2]

Overview

Eyes with conjunctivitis

The symptoms of conjunctivitis differ based on the cause of the inflammation. Redness, excessive tearing, and irritation are symptoms common to all forms of conjunctivitis. Photophobia, itching, mucopurulent or non-purulent discharge, chemosis, burning eyes, blurred vision and eyelid swelling are variable.



History

Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.

Viral Conjunctivitis

Specific areas of focus when obtaining a history from the patient include:

Bacterial Conjunctivitis

Specific areas of focus when obtaining a history from the patient include:

Neonatal Conjunctivitis

Allergic Conjunctivitis

Keratoconjunctivitis Sicca

Superior limbic keratoconjunctivitis

Symptoms

Viral Conjunctivitis

Acute or subacute onset. Symptoms of viral conjunctivitis may include the following:

  • Sore throat
  • Itchy eyes
  • Tearing
  • redness (affects only one eye but may spread easily to the other eye)
  • Minimal pain level
  • Watery discharge
  • Light sensitivity (with corneal involvement)
  • Fever (pharyngoconjunctival fever)
  • Lymph node enlargement (epidemic keratoconjunctivitis)

Acute Hemorrhagic Conjunctivitis

Bacterial Conjunctivitis

Hyperacute, acute, and chronic onset. Symptoms of bacterial conjunctivitis may include the following:

Hyperacute Bacterial Conjunctivitis

Neonatal Conjunctivitis

Symptoms of neonatal bacterial conjunctivitis|neonatal bacterial conjunctivitis or ophthalmia neonatorum may include the following:[1]

Gonococcal Conjunctivitis

Chlamydial Conjunctivitis

Allergic Conjunctivitis

Symptoms of allergic conjunctivitis may include the following:

Keratoconjunctivitis Sicca

Symptoms of keratoconjunctivitis sicca (dry eye syndrome) may include the following:

  • Foreign-body sensation
  • Grittiness
  • Hyperemia
  • Mucoid discharge
  • Excessive tearing (secondary to reflex secretion)
  • Photophobia
  • Itching
  • Fluctuating or blurry vision

Superior Limbic Keratoconjunctivitis

Symptoms of superior limbic keratoconjunctivitis may include the following:

  • Foreign body sensation
  • Photophobia
  • Excessive blinking
  • Burning sensation
  • Pruritus
  • Dry eye sensation

References

  1. ↑ Mallika P, Asok T, Faisal H, Aziz S, Tan A, Intan G (2008). "Neonatal conjunctivitis - a review". Malays Fam Physician. 3 (2): 77–81. PMC 4170304. PMID 25606121.


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