Search
keratoconjunctivitis
Inflammation of the conjunctiva & cornea.
Etiology:
1) see conjunctivitis
2) allergic
a) vernal: occurs in children within family history of atopy
b) atopic: generally occurs in late teens
3) Neisseria gonorrhoeae & adenovirus prone to cause keratoconjunctivitis
Clinical manifestations:
1) see conjunctivitis
2) membrane formation - epidemic keratoconjunctivitis
3) papillae - vernal keratoconjunctivitis
Management:
epidemic keratoconjunctivitis [2]
- hand hygiene.
- disposable gloves for contact with eye secretions
- disinfect ophthalmologic instruments after every use, or use disposable instruments
- isopropyl alcohol is not sufficient for disinfecting ophthalmologic instruments that contact typically sterile body sites
- ensure patients with suspected conjunctivitis have a separate waiting room, sign-in area, & exam room
- staff members with signs of epidemic keratoconjunctivitis should stay home
Specific
epidemic keratoconjunctivitis; shipyard eye (EKC)
ophthalmia nodosa; nodular conjunctivitis
General
keratitis
conjunctivitis
References
- Saunders Manual of Medical Practice, Rakel (ed),
WB Saunders, Philadelphia, 1996, pg 69-71
- Centers for Disease Control and Prevention (CDC)
Adenovirus-Associated Epidemic Keratoconjunctivitis Outbreaks
- Four States, 2008-2010
August 16, 2013 / 62(32);637-641
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6232a1.htm