Gonorrheal conjunctivitis

Background

• Caused by Neisseria gonorrhoeae
• Usually spread from genital-hand-eye contact in the young sexually active population
• Neonates can acquire it from the birth canal

Diagnosis

1. Abrupt onset
2. Copious purulent discharge (reforms quickly after wiping away)
3. Marked conjunctival injection/chemosis
4. lid swelling, globe

Neonates

• 3-5 days postpartum (bilateral) discharge

DDx

Eye Algorithm (Main)

See Also

• Conjunctivitis

Source

Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. [{Category:ID]]