Conjunctivitis (peds) - Revision history

Rossdonaldson1: /* Background */

2026-02-04T17:02:09Z

Background

← Older revision		Revision as of 17:02, 4 February 2026
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	==Background==		==Background==
	*Most common cause of [[acute red eye]]		*Most common cause of [[acute red eye]]
	*One review with limited evidence found that bacterial conjunctivitis was more common than viral conjunctivitis in children.		*One review with limited evidence found that bacterial conjunctivitis was more common than viral conjunctivitis in children.<ref>Johnson D, et al. "Does This Patient With Acute Infectious Conjunctivitis Have a Bacterial Infection" The Rational Clinical Examination Systematic Review. JAMA.2022;327(22):2231-2237. doi:10.1001/jama.2022.7687</ref>

	{{Conjunctivitis DDX}}		{{Conjunctivitis DDX}}

2026-02-04T17:00:45Z

← Older revision		Revision as of 17:00, 4 February 2026
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	==Background==		==Background==
	*Most common cause of [[acute red eye]]		*Most common cause of [[acute red eye]]
	*~~Viral infection is usual etiology~~		*One review with limited evidence found that bacterial conjunctivitis was more common than viral conjunctivitis in children.

	{{Conjunctivitis DDX}}		{{Conjunctivitis DDX}}

2026-02-04T16:55:01Z

Evaluation

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	[[File:Conjunctivitis.jpg\|thumb\|Conjunctivitis with limbus sparing]]		[[File:Conjunctivitis.jpg\|thumb\|Conjunctivitis with limbus sparing]]
	*Typically clinical		*Typically clinical
			**However, a literature review attempting to differentiate bacterial vs viral concludes: '''No single symptom or sign differentiated the two conditions with high certainty'''.<ref>Johnson D, et al. "Does This Patient With Acute Infectious Conjunctivitis Have a Bacterial Infection" The Rational Clinical Examination Systematic Review. JAMA.2022;327(22):2231-2237. doi:10.1001/jama.2022.7687</ref>

	{{Clinical diagnosis of conjunctivitis}}		{{Clinical diagnosis of conjunctivitis}}

2022-10-04T16:10:23Z

Clinical Features

← Older revision		Revision as of 16:10, 4 October 2022
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	==Clinical Features==		==Clinical Features==
			*Can have pain, itching, photophobia, visual disturbance, tearing, edema, discharge, fever <ref name="Kneen"> Lindsay Kneen; Red Eye/Pinkeye. Quick References 2022; 10.1542/aap.ppcqr.396107</ref>
	*Injected conjunctiva with perilimbal sparing		*Injected conjunctiva with perilimbal sparing
	*Rarely painful; more irritated		*Rarely painful; more irritated

2020-09-26T19:25:46Z

Clinical Features

← Older revision		Revision as of 19:25, 26 September 2020
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	*Injected conjunctiva with perilimbal sparing		*Injected conjunctiva with perilimbal sparing
	*Rarely painful; more irritated		*Rarely painful; more irritated

			{{Conjunctivitis images}}

	==Differential Diagnosis==		==Differential Diagnosis==

2020-01-06T23:09:30Z

Disposition

2020-01-06T23:08:59Z

Management

← Older revision		Revision as of 23:08, 6 January 2020
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	==Management==		==Management==
			*Viral infections - most common cause of conjunctivitis, but difficult to differentiate viral from bacterial
			*Some clinicians treat all possible viral presentations as bacterial conjunctivitis
			*Treatment considerations:
			**Ointments - soothing effect, but interfere with vision
			**Drops - no interference with vision

	===Bacterial Causes===		===Bacterial Causes===
	Newborn, see [[Neonatal conjunctivitis]]		Newborn, see [[Neonatal conjunctivitis]]
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	*Herpetic: [[Acyclovir]], ophto referral		*Herpetic: [[Acyclovir]], ophto referral

	===[[~~allergic~~ conjunctivitis\|Allergic]]===		===[[Allergic conjunctivitis\|Allergic]]===
	*Artificial tears and avoidance of allergens		*Artificial tears and avoidance of allergens
	*Consider topical [[antihistamines]] for severe symptoms		*Consider topical [[antihistamines]] for severe symptoms

	====[[Antihistamines]]====		====[[Antihistamines]]====
	*Ketotifen 1 drop q8-12hr '''OR'''		*Ketotifen 1 drop q8-12hr '''OR'''

2019-10-05T16:27:58Z

← Older revision		Revision as of 16:27, 5 October 2019
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	===Viral Causes===		===Viral Causes===
	*Non-herpetic: supportive care		*Non-herpetic: supportive care
	*Herpetic: Acyclovir, ophto referral		*Herpetic: [[Acyclovir]], ophto referral

	===Allergic===		===[[allergic conjunctivitis\|Allergic]]===
	*Artificial tears and avoidance of allergens		*Artificial tears and avoidance of allergens
	*Consider topical ~~anti-histamines~~ for severe symptoms		*Consider topical [[antihistamines]] for severe symptoms
	====~~Anti-Histamines~~====		====[[Antihistamines]]====
	*Ketotifen 1 drop q8-12hr '''OR'''		*Ketotifen 1 drop q8-12hr '''OR'''
	*Olopatadine 1-2 drop daily		*Olopatadine 1-2 drop daily
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]
			[[Category:ID]]

2017-12-24T16:31:35Z

2017-12-24T16:31:06Z

Bacterial Causes

← Older revision		Revision as of 16:31, 24 December 2017
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	==Management==		==Management==
	===Bacterial Causes===		===Bacterial Causes===
	{{Newborn ~~Conjunctivitis Treatment}}~~		Newborn, see [[Neonatal conjunctivitis]]

	{{GC Conjunctivitis Treatment}}		{{GC Conjunctivitis Treatment}}

	{{Bacterial Conjunctivitis Treatment}}		{{Bacterial Conjunctivitis Treatment}}

	===Viral Causes===		===Viral Causes===
	*Non-herpetic: supportive care		*Non-herpetic: supportive care