the symptoms of infectious conjunctivitisWhat are the symptoms of infectious conjunctivitis?

Bacterial Conjunctivitis

Usually affects both eyes. Symptoms and signs tend to be smaller, if no complications, and these are:

- Discomfort in the eyes

- Red eye

- Stinging or foreign body (sand)

- Watery discharge from the beginning and after mucous or muco-pus, which can glue the eyes on waking in the morning.

- There is significant pain, and vision is preserved when removing secretions.

- If there really pain or decreased vision, one must suspect that there is a complication or another different diagnosis.Viral conjunctivitis

- Eyes appear red, sometimes with bleeding under the conjunctiva.

- Signs and symptoms are often similar to those of bacterial, usually watery secretions in the context of upper respiratory tract catarrh.

- There may be lymphadenopathy (enlarged lymph nodes) with the ears or the neck.

- This type of conjunctivitis may also spread and affect the cornea (keratitis), implying decreased vision and more severe signs, causing a slower evolution.

Chlamydial conjunctivitis

- The eyes are red with secretions that can glue the eyelids.

- The cornea can also get to be affected.

- Infectious conjunctivitis in children

Children can develop severe forms of conjunctivitis, because of their weak immune system. Conjunctivitis of the newborn occurs when contracting during passage through the birth canal, an infection caused by organisms such as gonococcal or chlamydial. To avoid this kind of infection is customary in many countries routinely administer antibiotic eye drops or ointment to all newborns.

Some babies born with incomplete development of the lacrimal pathways (nasolacrimal duct obstruction). These children often show red eyes, but usually the situation is normalized by itself within months.

Infectious conjunctivitis in children produce red eyes and swollen eyelids, and sometimes bleeding under the conjunctiva. The cornea may be affected, and in some cases cause permanent eye problems. Early assessment should be performed with power conjunctival swab for culture, so that it can be administered as soon as possible treatment.

credit to: Dr. Ignacio Jáuregui Presa, Dr. Michel Maille

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