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					  Col Sameer Shahid Amin
Associate Professor AM College.
CLASSIFICATION
BASED ON DURATION OF ONSET

 ACUTE
 SUBACUTE
 CHRONIC
  CLASSIFICATION
BASED ON TYPE OF EXUDATE

 SEROUS-     VIRAL,ALLERGIC,TOXIC.
 CATARRHAL-       ALLERGIC
 PURULENT-        BACTERIAL,CHLAMYDIAL
 MEMBRANOUS-      BACTERIAL
 PSEUDOMEMBRANOUS-BACTERIAL
  CLASSIFICATION - AETIOLOGY
 INFECTIOUS      • NON-INFECTIOUS
    BACTERIAL     • ALLERGIC
    VIRAL         • IRRITANTS
    CHLAMYDIAL    • ENDOGENOUS OR
    FUNGAL        AUTOIMMUNE
    PARASITIC     • DRY EYE
                   • TOXIC (CHEMICAL OR DRUG-
                   INDUCED)
                   • SELF INFLICTED/FACTITIOUS
                   • IDIOPATHIC
SIGNS OF CONJUNCTIVITIS

 CONJ. INJECTION




 SUBCONJ.
  HAEMORRHAGE
 FOLLICULAR
 REACTION




 PAPILLARY
 REACTION
 ODEMA ( CHEMOSIS )
OTHER SIGNS
 CONJ. SCARRING




 MEMB. FORMATION
  ALLERGIC INFLAMMATIONS


 VERNAL KERATOCONJUNCTIVITIS


 ATOPIC KERATOCONJUNTIVITIS
VERNAL KERATOCONJUNCTIVITIS
 ONE OF THE COMMONEST PRESENTATION IN
 OUTDOOR

 RECURRENT, BILATERAL, EXTERNAL, OCULAR
 INFLAMMATION

 BOYS AND YOUNG ADULTS IN WARM, DRY
 CLIMATES

 AN ALLERGIC DISORDER WHERE IgE AND CELL
 MEDIATED IMMUNE MECHANISMS PLAY AN
 IMPORTANT ROLE
 VERNAL KERATOCONJUNCTIVITIS
 ONSET USUALLY AFTER AGE OF 5 YEARS
 USUALLY RESOLVES AROUND PUBERTY
 TYPES
   LIMBAL
   PALPEBRAL
   MIXED
VERNAL KERATOCONJUNCTIVITIS
 PALPEBRAL VKC
  DIFFUSE PAPILLARY HYPERTROPHY
  COBBLESTONE PAPPILAE
  GIANT PAPPILAE
 LIMBAL VKC
  MUCOID NODULES AROUND LIMBUS
  TRANTAS DOTS
SYMPTOMS
 PAIN & FOREIGN BODY SENSATION
 ITCHING
 LACRIMATION
 IRRITATION
 PHOTOPHOBIA
 STINGING & BURNING
    MILD VERNAL
KERATOCONJUNCTIVITIS
COBBLESTONE PAPILLAE IN VERNAL
    KERATOCONJUNCTIVITIS
GIANT PAPILLAE IN VERNAL
 KERATOCONJUNCTIVITIS
LIMBAL NODULES WITH TRANTAS DOTS IN VERNAL
          KERATOCONJUNCTIVITIS
VERNAL KERATOCONJUNCTIVITIS

 KERATOPATHY
  PUNCTATE EPITHELIAL EROSIONS
  SHIELD ULCERATION
  PLAQUE FORMATION
SHIELD-LIKE CORNEAL ULCERATION IN VERNAL
          KERATOCONJUNCTIVITIS
CORNEAL PLAQUE IN VERNAL
  KERATOCONJUNCTIVITIS
 VERNAL KERATOCONJUNCTIVITIS

 TREATMENT
   TOPICAL
       ANTIHISTAMINES
             In early phase

             No prophylactic role

             2 types of receptors

             H1 ….itching

             H2 ….redness , vasodilatation

       STEROIDS
             Rapid onset

             Inhibits modulators of inflammation

             Not to be used for prolonged duration

       MAST CELL STABILIZERS
               For long duration use
BACTERIAL CONJUNCTIVITIS
 CAUSATIVE ORGANISMS:
    Staph Epidermidis
    Staph Aureus
    Strep Pneumonia
    H Influenza
    Moraxella Lacunata
BACTERIAL CONJUNCTIVITIS
 SYMPTOMS:
    Common, self limiting disease
    Redness, grittiness, burning and discharge
    Eye lids stuck together
BACTERIAL CONJUNCTIVITIS
 SIGNS:
   Crusted and edematous
      eye lids
     Mucopurulent discharge
     Velvety beefy red
      conjunctiva
     Inflammatory membranes
      in severe cases
     PEE and peripheral
      corneal infiltrates (rare)
BACTERIAL CONJUNCTIVITIS
 TREATMENT:
  Resolves within 10-14 days
  Antibiotic drops:-
    Fusidic acid

    Chloramphenicol

    Others (Ciprofloxacin, Ofloxacin, Gentamicin,Tobramycin,
     Neomycin)
  Antibiotic ointments:-
    Gives higher conc for longer durations but blurs the vision

    Chloramphenicol, Polyfax, Tetracycline

				
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