Clinical Features

Older children with conjunctivitis may complain of photophobia, ocular pain or pruritus, a sensation of a foreign body in the eye, crusting of the eyelids, or conjunctival erythema. Infants and young children are usually brought by their parents for "pink eye" or crusting. The duration of symptoms with infectious conjunctivitis is most often 2 to 4 days but may be longer in cases which are untreated or resistant to therapy.

As with any ocular complaint, the physician should perform a thorough examination of the structure and function of both eyes, including, when age appropriate, examination of visual acuity, visual fields by confrontation, extraocular muscle function, periorbital area, eyelids (with eversion), conjunctivae, cornea with fluorescein staining, pupillary reflex, anterior chamber, and fundus. Erythema and increased secretions characterize conjunctivitis. Chemosis may be seen. Intense erythema and purulent discharge are more common with an infectious rather than an allergic cause. The cornea does not stain with fluorescein in children with conjunctivitis unless an associated keratitis has developed, as with herpes simplex or adenoviruses. Most importantly, visual acuity is normal.

Fever and/or other systemic symptoms do not occur with isolated conjunctivitis. However, conjunctivitis may be only one manifestation of a viral upper respiratory tract infection, in which case the temperature may be elevated.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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