Ver el código de «Conjunctivitis»

{{Adult top}} [[conjunctivitis (peds)]]
==Background==
*Most common cause of [[acute red eye]]
*Viral infection is usual etiology

{{Conjunctivitis DDX}}

==Clinical Features==
*Injected conjunctiva with peri-limbal sparing
*Rarely painful; more irritated

{{Conjunctivitis images}}

==Differential Diagnosis==
{{Unilateral red eye DDX}}
{{Bilateral Red Eyes}}

==Evaluation==
*Typically clinical
{{Clinical diagnosis of conjunctivitis}}

==Management==
*Viral infections - most common cause of conjunctivitis, but difficult to differentiate viral from bacterial 
*Some clinicians treat all presentations as bacterial conjunctivitis
*Treatment considerations:
**Ointments - soothing effect, but interfere with vision
**Drops - no interference with vision

===[[Antibiotics]] for Bacterial Causes===
*Treatment for bacterial organisms is targeted toward [[S. aureus]], [[S. pneumoniae]], [[H. influenzae]], [[Pseudomonas]], [[N. gonorrhea]], [[C. trachomatis]]
*Contact lens wearers should be given coverage for [[Pseudomonas]] with one of the [[fluoroquinolone]] drops.
**Contact lens wearers should be advised to not wear their contacts until asymptomatic

{{Bacterial Conjunctivitis Treatment}}

{{GC Conjunctivitis Treatment}}

===Contraindicated===
*Corticosteroids have no benefit and can cause sight threatening injuries, especially in HSV or fungal causes of red eye
*Eye patching thought to exacerbate the infection

==Disposition==
*Outpatient treatment

==See Also==
*[[Neonatal conjunctivitis]]
*[[Conjunctivitis (Peds)]]
*[[Eye Algorithms (Main)]]

==References==
*Mahmood, Narang. Diagnosis & management of acute red eye. Emerg Med Clin N Am 2008;26

[[Category:Ophthalmology]]
[[Category:ID]]