CONJUNCTIVA
BY DR. MUNAWAR HUSSAIN
• The conjunctiva is a thin, transparent, vascularized mucous membrane that covers
the posterior surface of the eyelids, reflects forwards on the eye at the fornix, to cover
theanterior sclera
BACTERIAL CONJUNCTIVITIS
• Bacterial conjunctivitis is a common type of pink eye, caused by bacteria that infect the
eye through various sources of contamination. The bacteria can be spread through
contact with an infected individual, exposure to contaminated surfaces or through other
means such as sinus or ear infections.
BACTERIAL CONJUNCTIVITIS
TREATMENT OF BACTERIAL CONJUNCTIVITIS
• Bacterial conjunctivitis generally last 1-2 weeks and is usually self-
limiting. The mainstay oftreatment for bacterial conjunctivitis is
topical antibiotic therapy, with the intent of significantly reducing the
duration of symptoms and likelihood of contagion.
VIRAL CONJUNCTIVITIS
• Viral conjunctivitis is a highly contagious
acuteconjunctival infection usually caused by adenovirus. Symptoms
include irritation, photophobia, and watery discharge. Diagnosis is
clinical; sometimes viralcultures or immunodiagnostic testing is
indicated
VIRAL CONJUNCTIVITIS
SIGNS AND SYMPTOMS OF VIRAL
CONJUNCTIVITIS
OPHTHALMIA NEONATORUM
• Neonatal conjunctivitis, also known as ophthalmia neonatorum, is a form of
conjunctivitis and a type of neonatal infection contracted by newborns during delivery.
The baby's eyes are contaminated during passage through the birth canal from a mother
infected with either Neisseria gonorrhoeae or Chlamydia trachomatis.
CAUSES OF OPHTHALMA NEONATORUM
• Chemical.
• Bacterial. Chlamydia trachomatis. Neisseria gonorrhoeae. Haemophilus species.
Streptococcus pneumoniae. Staphylococcus aureus. Staphylococcus epidermidis.
Streptococcus viridans. Escherichia coli. Pseudomonas aeruginosa. Other.
• Viral. Adenovirus. Herpes simplex virus.
SIGNS AND SYMPTOMS OF OPHTHALMA
NEONATORUM
• Signs and symptoms
• Pain and tenderness in the eyeball.
• Conjunctival discharge: purulent, mucoid or mucopurulent depend
ing on the cause.
• Conjunctiva shows hyperaemia and chemosis, eyelids are
usually swollen.
• Corneal involvement (rare) may occur in herpes simplex ophthalmia
neonatorum.
TREATMENT
• Systemic therapy: Newborns with gonococcal ophthalmia neonatorum should be treated
for 7 days with ceftriaxone, cefotaxime, ciprofloxacin, or crystalline benzyl penicillin.
Other bacterialophthalmia neonatorum should be treated by broad-spectrum antibiotics
drops and ointment for 2 weeks.