Unit 9: Red Eye
4: Chlamydial Conjunctivitis
Symptoms
- Acute or sub acute onset of red eye
- Consider if viral or bacterial conjunctivitis lasts > 3 weeks
- Irritation
- Mucopurulent discharge
- Typically unilateral then bilateral
Source: EyeRounds.org. Contributor: Jordan M. Graff, M.D., University of Iowa.
Signs
- Eyelids normal appearance
- Conjunctival injection
- Well developed follicles
- Palpable preauricular lymph nodes
- Cornea may have peripheral infiltrates
- Chemosis
Diagnosis
- Fluorescent antibody stain, enzyme immunoassay tests
- Giemsa stain: Intracytoplasmic inclusion bodies in epithelial cells, polymorphonuclear leukocytes and lymphocytes.
Management
Refer to Genito-urinary medicine
| Oral | Tetracycline; Azithromycin; Amoxicillin and erythromycin or Doxycycline |
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| Topical | Erythromycin; Tetracycline |
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