Conjunctivitis: viral or bacterial? Antibiotic or no antibiotic?
Case scenario History. A 26-year-old Indian furniture factory worker was seen at the outpatient department with the complaint of redness and discomfort of his right eye for one day associated with yellowish sticky discharge worse in the morning.
Physical findings. The conjunctiva of the right eye was red and edematous. The left eye is normal. Both pupils were 3 mm in diameter and equal in size. Visual acuity, visual field, accommodation, pupillary light reflex were normal for both eyes.
Diagnosis and management. He was diagnosed with bacterial conjunctivitis of the right eye. Chloramphenicol eye drop was prescribed. He was also counselled on proper hygiene.
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Pasternak A. Ophthalmologic infections in primary care. Clinics in Family Practice. 2004;6:19-21.
Rietveld RP, Weert H, Bindels PJE. Diagnostic impact of signs and symptoms in acute infection conjunctivitis: systemic literature search. BMJ. 2003;327:789-90.
Rietveld RP, ter Riet G, Bindels PJ, et al. Predicting bacterial cause in infectious conjunctivitis. Cohort study on informativeness of combinations on signs and symptoms. BMJ. 2004;329:206-10.
Sheikh A, Hurwitz B, Cave J. Antibiotics versus placebo for acute bacterial conjunctivitis. The Cochrane Database of Systematic Reviews 2000, Issue 1.