Conjunctivitis secondary prevention
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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
There is no established method for secondary prevention of conjunctivitis except among newborns. Secondary prevention strategies following allergic conjunctivitis include Educating patients about disease process and precipitating factors is very important.There is no established method for secondary prevention of allergic conjunctivitis. however, identify the allergen and avoid the offending [[antigen] is very important. In keratoconjunctivitis sicca (dry eye syndrome) and superior limbic keratoconjunctivitis, educating patients about disease process and precipitating factors may be help prevent the progression of disease and possible morbidity.
Secondary Prevention
Routine use of 0.5% erythromycin, or 1% tetracycline ophthalmic ointments or drops instilled into each eye after delivery effectively prevents gonococcal ophthalmia. However, none of these agents prevents chlamydial ophthalmia neonatorum; povidone iodine 2.5% drops may be effective against chlamydia and gonococci but is not available in the US.[1]
There is no established method for secondary prevention in other subtypes of conjunctivitis. however, it may be helpful to consider following secondary prevention strategies such as:
- Discontinued contact lens wear (infective conjunctivitis and allergic conjunctivitis)
- Identify the allergen and avoid the offending antigen (allergic conjunctivitis)
- Avoid very dry environments (keratoconjunctivitis sicca)
- Use a humidifier (keratoconjunctivitis sicca)
- Avoid dusty and smoky areas (keratoconjunctivitis sicca)
- Avoid prolonged visual tasks such as staring at a computer screen, driving, watching television, and reading (keratoconjunctivitis sicca)
- Promptly use artificial tears (keratoconjunctivitis sicca)
- Educating patient about disease process (keratoconjunctivitis sicca (dry eye syndrome) and superior limbic keratoconjunctivitis)