conjunctivitis%20-%20viral%20(pediatric)
CONJUNCTIVITIS - VIRAL (PEDIATRIC)

Viral conjunctivitis is the inflammation of the conjunctiva that may be caused by adenovirus, herpses simplex or Molluscum contagiosum.
Infection may cause unilateral or bilateral eye redness, foreign body sensation and follicular conjunctival reaction.

 

Prevention

Adenovirus

  • Infected individuals should be taught to wash hands frequently, use separate towels & to avoid close contact with others during the period of contagion (usually 7 days after onset of symptoms; some studies suggest contagion lasts 10 -14 days)
  • Disinfect exposed surfaces & equipment with any appropriate disinfectant

Herpes Simplex Virus

  • Infected individuals should be taught to wash hands frequently, use separate towels & to avoid close contact with others during the period of contagion
  • Disinfect exposed surfaces & equipment with Na hypochlorite or any other appropriate disinfectant

Follow Up

Adenovirus

  • Patients with severe disease who have membranous conjunctivitis should be re-evaluated within the week
  • Other patients should be instructed to return in 1-2 weeks if they continue to experience symptoms of red eye, decreased vision or eye pain
  • Interval history, visual acuity & slit lamp exam are done
  • Follow-up may be extended longer as the clinical picture improves (eg decrease in conjunctival reaction & discharge)
  • Patients on corticosteroid therapy must also be seen every 4-8 weeks; interval history, slit lamp exam & testing of visual acuity are done
    • Measure intraocular pressure (IOP) & pupillary dilation at baseline & periodically
  • Patients requiring repeat short-term topical corticosteroid therapy should be informed of its possible complications

Herpes Simplex Virus

  • Patients should be re-evaluated within 1 week
  • Subsequent follow-up may be extended longer as the clinical picture improves
  • Interval history, visual acuity & slit lamp examination are done on each visit
  • Advice of possibility of recurrence of the disease in the future, in the form of conjunctivitis, blepharitis or keratitis. This can be brought about by stress or immunocompromised state

Molluscum Contagiosum

  • Follow-up until conjunctivitis resolves 

Referral to Ophthalmologist

Herpes Simplex Virus

  • The potential sequelae & recurrent nature of the disease warrants a specialist referral; particularly if there is corneal involvement

Molluscum Contagiosum

  • For surgical management of the disease in symptomatic patients
  • Conjunctivitis may require weeks to resolve after removal of lesions
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