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Conjunctivitis, Pediatric

Shonul A. Jain, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

An inflammatory process of the conjunctiva, the membrane covering the eye and inside of the eyelids, manifested by erythema and edema, frequently with tearing and discharge. Also kno...

DIAGNOSIS

HISTORY

  • Ophthalmia neonatorum

    • Gonococcus: typically presents 2 to 4 days after birth with mucopurulent discharge

    • Chlamydia: typically presents 4 to 14 days after birth with mucopurulent dischar...

TREATMENT

GENERAL MEASURES

  • Ophthalmia neonatorum

    • Hospitalization for suspected gonococcal conjunctivitis for workup for sepsis

    • For suspected chlamydial infection, topical and oral therapy is usually appr...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Daily follow-up is necessary for gonococcus, Chlamydia, and HSV.

  • No office follow-up is recommended for routine conjunctivitis as long as symptom...

ADDITIONAL READING

  • American Academy of Ophthalmology. Conjunctivitis. Preferred Practice Pattern. San Francisco, CA: American Academy of Ophthalmology; 2013. [View Abstract on OvidInsights]

  • Azari AA,...

CODES

ICD9

  • 372.30 Conjunctivitis, unspecified

  • 077.99 Unspecified diseases of conjunctiva due to viruses

  • 771.6 Neonatal conjunctivitis and dacryocystitis

  • 098.40 Gonococcal conjunctivitis (neonatorum)

  • 372.05...

FAQ

  • Q: Is conjunctivitis contagious?

  • A: All infectious conjunctivitis is contagious but to varying degrees. Viral or epidemic keratoconjunctivitis (EKC) is the most contagious. Careful handling of secr...

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