Conjunctivitis

Question 1

Bacterial Conjunctivitis symptoms

Answer 1

• in both eyes (one eye first)
• sticky and pussy discharge
• red
• gritty feeling

Question 2

Viral Conjunctivitis symptoms

Answer 2

• both eyes
• watery discharge
• red
• gritty feeling
• cold/flu symptoms

Question 3

Allergic Conjunctivitis symptoms

Answer 3

• both eyes
• clear and watery discharge
• red
• itchy
• hayfever

Question 4

Referral of Conjunctivitis

Answer 4

• Eye pain
• affected vision
• photophobia
• contact lenses
• foreign body in eye
• eye/head trauma
• laser surgery in past 6 months
• inflammation from rash
• dry eye syndrome
• treatment failure after 48 hours

Question 5

3 eye conditions that need referral

Answer 5

• Glaucoma
• Keratitis
• Uveitis

Question 6

Glaucoma symptoms

Answer 6

• sudden severe eye pain
• nausea and vomiting
• cloudy eye
• blurred vision/halos
• headache

Question 7

Keratitis symptoms

Answer 7

• severe eye pain
• loss of vision
• photophobia
• redness around iris

Question 8

Uveitis symptoms

Answer 8

• Affects 1 eye
• irregular shaped pupil
• Photophobia
• pupil un reactive to light

Question 9

First line for conjunctivitis

Answer 9

Chloramphenicol (2+ years)
— Eye drops
every 2 hours for 48 hours then every 5 hours from waking time for 5 days

— Eye ointment
apply 3-4 times daily for 5 days

Question 10

Chloramphenicol contraindications

Answer 10

• family history of blood dyscrasias
• history of myelosuppression (bone marrow suppression) with chloramphenicol use

Question 11

Second line conjunctivitis

Answer 11

Propamidine Isetionate

Question 12

Conjunctivitis advice

Answer 12

• bathe eye lids in lukewarm water to remove discharge
• regular hand washing
• avoid pillow sharing
• avoid contact lenses during and 24 hours after treatment