Inflammation of both conjunctiva and cornea Red eye, watery Pain on looking at bright Oedema of.

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Presentation transcript:

Inflammation of both conjunctiva and cornea Red eye, watery Pain on looking at bright Oedema of conjunctiva and Subconjunctival haemorrhage

Infectious causes of Bacteria: # S. aureus # H. influenzae # Str. pneumoniae # Chlamydia trachomatis # N. gonorrhoeae # Ps. Fungi: # Candida

@ Viruses: # Adenoviruses # Herpes simplex virus # Varicella-zoster virus # Enteroviruses, e.g. Coxsackie A24 # Parasites: # Acanthamoeba # Onchocerca volvulus

Diagnosis of Viral Collect swabs in viral transport Tissue culture up to 3 Electron microscopy of stool to detect enteric Detection of adenovirus antigens by Serology: A rising titre of antibodies is detected in paired sera.

Investigation of Nosocomial Eye Culture eye swabs and type all Note the collecion dates of eye Determine the community-acquired infections (patients attending hospital for the first Determine the nosocomial infection (patients are reattenders)

Herpes simplex Eye Primary conjunctivitis Acute conjunctivitis and Corneal Chronic keratitis, ulceration, scarring