Conjunctiva
Case Presentation
A 50-year-old male complaining of red eyes. He wake up with the lids stuck together. No history of pain or photophobia or itching. Visual acuity of both eyes 6/6. Examination showed discharge in the inferior fornix of each eye; Bulbar conjunctiva showed injection more pronounced towards the fornices and less near the limbus, conjunctival odema. No preauricular lymphadenopathy. Ocular tension 14mmhg in both eyes.
1- What is diagnosis?
Bacterial conjunctivitis (mucopurulent)
2- Differential diagnosis
- Bacterial: Purulent, Mucoupurulent discharge
- Viral: watery discharge, LNs enlargement, redness
- Allergic conjunctivitis: watery discharge, Itching
- Acute red eye - blephritis - kertitis - scleritis - glaucoma - dry eye - iritis
3- Clinical Examination & Investigations
Clinical Exam Full ophthalmic examination
- Slit lamp VA
Investigations
- Conjunctival swab; AB sen; culture in some cases we have to take conjunctiva swap and send it to culture sensitivity examination
4- Treatments
- Lid hygiene means removal of any discharge
- Topical Antibiotics in form of eye drops & ointment