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inclusion conjunctivitis
Etiology:
- Chlamydia trachomatis
Epidemiology:
- sexually active young adults
History:
- sexual activity
- previous sexually transmitted disease
Clinical manifestations:
- chronic indolent conjunctivitis [2]
- acute or subacute in onset
- ocular irritation
- foreign body sensation
- lacrimation
- mucopurulent discharge
- sticking of the lids
- often unilateral
- red eye
- eyelid edema or chemosis
- pre-auricular lymphadenopathy
- corneal subepithelial infiltrates
- mild superficial keratitis
- conjunctival follicles
- urethritis, cervicitis, vaginitis, dysuria
Laboratory:
- Genprobe for GC/chlamydia
Complications:
- corneal neovascularization &/or conjunctival scaring
- conjunctival follicles or corneal infiltrates may persist for months
Differential diagnosis:
- Mycobacterium genitalium (urethritis in men)
- Neisseria gonorrhoeae
- hyperacute conjunctivitis, mucopurulent discharge, ophthalmologic emergency
Management:
- combined topical & systemic antibiotics are necessary
- doxycycline or tetracycline
- azythromycin (pregant)
- treat sexual contact
- prognosis: signs & symptoms usually improve over 2-4 weeks
General
conjunctivitis
eye infection (ocular infection)
bacterial infection
References
- Digital Reference of Ophthalmology
Cornea & External Diseases: Infectious
http://dro.hs.columbia.edu/inclusionconj.htm
- NEJM Knowledge+ Ophthalmology