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    Diagnosis of Conjuctivitis: Ahsan Ali ROLL NO: 260

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    Farhan Afzal
    This document summarizes the different types of conjunctivitis, including infective types (bacterial, viral, fungal, chlamydial) and non-infective types (allergic, autoimmune). For each type, the causes, clinical features, staining/testing methods, and culturing/biopsy details are provided. The main types discussed are bacterial, viral, chlamydial, allergic, and autoimmune conjunctivitis.

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    Diagnosis of Conjuctivitis: Ahsan Ali ROLL NO: 260

    Uploaded by

    Farhan Afzal
    24 views9 pages
    This document summarizes the different types of conjunctivitis, including infective types (bacterial, viral, fungal, chlamydial) and non-infective types (allergic, autoimmune). For each type, the causes, clinical features, staining/testing methods, and culturing/biopsy details are provided. The main types discussed are bacterial, viral, chlamydial, allergic, and autoimmune conjunctivitis.

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    For Medical Students

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    Conjunctivitis detailed

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    This document summarizes the different types of conjunctivitis, including infective types (bacterial, viral, fungal, chlamydial) and non-infective types (allergic, autoimmune). For each type, the causes, clinical features, staining/testing methods, and culturing/biopsy details are provided. The main types discussed are bacterial, viral, chlamydial, allergic, and autoimmune conjunctivitis.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    24 views9 pages

    Diagnosis of Conjuctivitis: Ahsan Ali ROLL NO: 260

    Uploaded by

    Farhan Afzal
    This document summarizes the different types of conjunctivitis, including infective types (bacterial, viral, fungal, chlamydial) and non-infective types (allergic, autoimmune). For each type, the causes, clinical features, staining/testing methods, and culturing/biopsy details are provided. The main types discussed are bacterial, viral, chlamydial, allergic, and autoimmune conjunctivitis.

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    DIAGNOSIS OF

    CONJUCTIVITIS
    AHSAN ALI
    ROLL NO: 260
    • TYPES OF CONJUNCTIVITIS:
    1. INFECTIVE CONJUNCTIVITIS
    • BACTERIAL
    • VIRAL
    • FUNGAL
    • CHLAMYDIAL
    • 2. NON INFECTIVE CONJUNCTIVITIS
    • ALLERGIC - Acute or Chronic
    - Seasonal or Perineal Conjunctivitis
    - Vernal keratoconjunctivitis
    - Atopic Conjunctivitis
    • AUTOIMMUNE – Cicatricial pemiphegoid
    - Stevens Johnson Syndrome
    1. BACTERIAL CONJUNCTIVITIS-
    CAUSES
    • Staph. Aureus, Strep. Pnemoniae , Hemophillus influenza, Gonorrhea,
    Corynaebacterium diph.
    STAINING: Gram Staining
    CULTURING: Mannitol Salt Agar medium, Blood Agar, Theyer Martin, Loeffler medium
    OTHERS: Caltalase positive , Coagulase positive , On Microscopy grape like structures.
    Optochin sensitive ,alpha hemolytic, On Microscopy lancit shaoe diplococci.
    Metachromatic granules are seen. On Microscopy club shape bacilli.

    CLINICAL FEATURES: Redness, Burning Sensation, Sticking Of eyelids, Mucopurulant


    discharge.
    In gonococcal Conjunctivitis, there is purulant discharge , preauricular
    Lymphadenopathy, Preocular edema ,chemosis and corneal ulceration
    In Diphtherioid Conjunctivitis, Serous discharge, True Whitish Membrane on
    palpebral and forniceal conjunctiva.

    2. VIRAL CONJUNCTIVITIS:
    CAUSES:
    Adenovirus , Picornavirus, Herpes Simplex
    STAINING: Giemsa Staining show Mononuclear cells ,
    Immunoglobulins( increased titre) ,FAT to detect Antigens.
    IMMUNOFLUORESENCE TEST

    CLINICAL FEATURES:In EKC:Redness, Watery discharge , Photophobia, Follicles


    in Tarsal and Forniceal Conjuctiva, Keratitis follows by Subepithelial
    Opacities,Chemosis, Pseudomembrane Formation, Lymphadenopathy
    In Pharyngeocinjunctival fever, Same clinical features with fever and
    Pharyngitis.
    In Herpes Simplex Conjunctivitis, Keratitis without Subepithelial
    Opacities which progress to Multiple Dendritic Figures , Decreased
    Corneal Sensation.
    In Molluscum Contagiosum, Mucoid discharge with Unilateral nodules
    on Iris.
    3. CHLAMYDIAL CONJUNCTIVITIS:
    STAINING: Giemsa Staining for Inclusion bodies,
    Microimmunofluorescence Test, On Histology, Large multinucleated cells(
    Leber Cells).
    PCR
    ELISA
    CULTURING: McCoy culture
    Clinical Features: Stage1: Subclinical stage
    Stage 2: Follicles, Papillae, Corneal Pannus , Keratitis
    Stage 3: Conjunctival Scarring , Follicle necrosis, Herbert Pits, Arlt’s Lines
    Stage 4: Inactive Stage
    4. ALLERGIC CONJUNCTIVITIS:
    In Acute Allergic, Acute Itching of Eyes , Watering .
    In seasonal or perennial , signs and symptoms present in spring and
    summer and throughout the year respectively.
    In Vernal Conjunctivitis, occurs in Young boys . It is of three types
    1. Palpebral form: Diffuse papillary hypertrophy, Cobblestone app.
    Ropy secretions , Hyperemia and Ptosis may occur.
    2. Limal form: Gelatinous Papillae, Trantas Dots.
    3. Mixed Form: Features of both above forms with Keratoconus,
    corneal erosion and scarring occur.
    In Atopic Conjunctivitis, Similar to VKC features but more severe and
    in chronic form. It can also occur in adulthood .
    5. AUTOIMMUNE CONJUNCTIVITIS:
    In Cicatricial pemiphegoid Conjunctivitis
    STAINING: Immunohistochemical staining
    BIOPSY: Conjunctival biopsy is done.
    CLINICAL FEATURES: Red eye, Subepithelial Bullae leading to fibrosis
    which appear as fine grey white linear opacities, dry eye,
    symblepheron,corneal vascularization and keratinization,
    blepharitis,trichiasis and entropion.
    In Steven Johnson Syndrome, Redness, Watery discharge, papillary
    reaction , Pseudomembrane, keratopathy, hemorrhagic crusting in lid
    margins. Systemic signs are Bullae and erosions always present in oral
    mucosa . On lips there is characteristic hemmorhagic crusting . Target
    lesions on Skin.
    Thanks

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