Pages

Tuesday, April 18, 2017

A Brief Discussion On Viral Conjunctivitis

Viral Conjunctivitis. Note the characteristic asymmetric conjunctival injection. Symptoms first developed in the left eye, with symptoms spreading to the other eye a few days later. A thin watery discharge is also seen.

Viral conjunctivitis is a common presentation of the red eye.
Findings are mild and include :

  • a thin watery discharge, 
  • crusting in the morning, 
  • burning or irritation, 
  • conjunctival injection (typically diffuse), and 
  • lid edema. 

The tarsal conjunctiva may appear bumpy secondary to hyperplastic lymphoid tissue (follicles). Preauricular adenopathy may be present. The visual acuity is normal. The infection usually begins in one eye, but both eyes usually become involved due to autoinoculation.
There are few to no systemic complaints.

 Adenovirus is the most common virus. A point of care test now available may aid clinicians to avoid empiric antibiotic therapy.

Epidemic keratoconjunctivitis (EKC) is a severe and highly contagious adenovirus infection that also involves the cornea. Additional features may include:


  • foreign body sensation,
  • photophobia, and 
  • pseudomembranes overlying the palpebral conjunctiva. 
  • By the eighth day, a painful punctate keratitis that stains with fluorescein may develop; 
  • by the end of the second week, these are replaced by white macular subepithelial infiltrates located in the central cornea (that no longer stain). 
  • These may cause a decrease in visual acuity, but eventually resolve spontaneously.

Pharyngoconjunctival fever, usually caused by adenovirus type 3, is highly contagious and should be considered if there is associated upper respiratory tract infection and fever.

Management: 
1. Viral conjunctivitis is self-limited and usually mild.
2. Warm or cool compresses may be helpful.
3. Careful hand washing by patient and staff is important.
4. Over-the-counter topical antihistamines may provide symptomatic relief.
5. The eye irritation and discharge should improve after 5 to 7 days, but may take 2 to 3 weeks for complete resolution of all symptoms.
6. Antivirals and antibiotics are ineffective.
7. Patients with keratitis should follow up with an ophthalmologist.

Points To Remember: 
1. A nonspecific adenovirus conjunctivitis will improve after 5 to 7 days and resolve in 10 to 14 days, but a virulent adenovirus causing EKC will peak in 5 to 7 days and may last 3 to 4 weeks.
2. Consider and rule out serious causes of red eye (acute ACG, iritis).
3. Frequent hand washing and the use of separate linens are advised for patients and family members.
4. Fastidious hand and equipment hygiene is necessary to prevent nosocomial transmission, as adenovirus can be recovered for extended periods of time from these surfaces.

2 comments:


  1. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
    I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
    Honestly speaking Dr. Akpu power his a great and gifted herbalist,His destined to herbs.
    He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
    Contact Dr.akpu for all kids of sickness@
    Dr.akpupowerherbscenter@gmail.com

    ReplyDelete
  2. Thank you so much all the way for taking your time to share this unique articles, testimonies and videos about herpes cure.
    It's my first time to share my feelings publicly, but I made a vow to accomplish it this way so through me others can be safe to reach out Dr. Odey Abang for any cure to their viruses/ Diseases
    I'm David Mark. I had this feelings that they could be a cure to all this deathly and common Diseases. My case was admitted after a ran for my reqular monthly checkup and was shocked when I was tested Herpes Simplex Virus.
    I thought this could be a way the wants be to keep patronizing them, Encouraging me to be taking in the antibiotics, the Acyclovir medicine, but wasn't comfortable living on drugs, the case was getting out of hand, affecting my job and life , sore keeps reappearing lots of nightmare thinking about my cure.
    Had to engage myself seacking for means online since I'm and information technologist.
    I made lots of reaserches seeing Dr. Odey Abang, curing people
    Yes, I never met him before,but when I did contact him from the email given, he fulfilled his promise as said and sent me the Herpes medicine together with the powder and instructions on how to apply, two weeks later it finished and was allowed to go for test, then I was confirmed negative.
    Have been to different hospitals and the results still shows negative, in me I knew it works and the confidence in me made my friends who where both Herpes carrier where very curious and they all got their cures.
    Don't think your not saved with what you have, God has saved us, Dr. Odey Abang can cure you from HIV/Aids/Cancer/Diabetes/Sickle cell/And most dangerous sickness.
    Contact him
    odeyabangherbalhome@gmail.com
    Or Whatsapp
    +2349015049094

    ReplyDelete