Pharmacotherapeutic Options for Ophthalmic Conjunctivitis

Conjunctivitis is a common eye condition involving inflammation and in some instances infection of the conjunctiva. In the majority of cases it is caused by adenoviruses and, to a lesser extent, bacteria. Conjunctivitis can also occur secondary to Chlamydial and Gonococcal infections and new-born in...

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Main Author: A. D. van Eyk
Format: Article
Language:English
Published: AOSIS 2019-07-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/4968
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author A. D. van Eyk
author_facet A. D. van Eyk
author_sort A. D. van Eyk
collection DOAJ
description Conjunctivitis is a common eye condition involving inflammation and in some instances infection of the conjunctiva. In the majority of cases it is caused by adenoviruses and, to a lesser extent, bacteria. Conjunctivitis can also occur secondary to Chlamydial and Gonococcal infections and new-born infants can acquire it during the birthing process from infected mothers. Herpes simplex and Herpes zoster are the infective organisms also responsible for conjunctivitis while seasonal pollens are usually the cause for allergic conjunctivitis. Common symptoms and signs are redness, tearing, oedema of the eyelids, sensation of a foreign body and it may be accompanied by itching. Most often a purulent discharge and adherence of eyelids at awakening are indicators of a bacterial infection. Most of the uncomplicated acute cases are self-limiting. There is however a challenge in distinguishing between the various types of conjunctivitis due to the similarity in the symptoms and due to a lack of tests and prediction algorithms, thus antibiotic therapy is often incorrectly initiated. Treatment of acute uncomplicated conjunctivitis caused by adenoviruses and bacteria is mostly symptomatic. Topical eye drops and ointments are preferred to oral agents in the treatment of more severe bacterial and allergic conjunctivitis while oral agents are used in the treatment of conjunctivitis caused by Herpes simplex, Herpes zoster, Chlamydia trachomatis and Neisseria gonorrhoeae.
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spelling doaj-art-c7caa300253d4794bc46bab73c06e9d62025-08-20T04:03:13ZengAOSISSouth African Family Practice2078-61902078-62042019-07-01613465110.4102/safp.v61i3.49683944Pharmacotherapeutic Options for Ophthalmic ConjunctivitisA. D. van Eyk0University of the WitwatersrandConjunctivitis is a common eye condition involving inflammation and in some instances infection of the conjunctiva. In the majority of cases it is caused by adenoviruses and, to a lesser extent, bacteria. Conjunctivitis can also occur secondary to Chlamydial and Gonococcal infections and new-born infants can acquire it during the birthing process from infected mothers. Herpes simplex and Herpes zoster are the infective organisms also responsible for conjunctivitis while seasonal pollens are usually the cause for allergic conjunctivitis. Common symptoms and signs are redness, tearing, oedema of the eyelids, sensation of a foreign body and it may be accompanied by itching. Most often a purulent discharge and adherence of eyelids at awakening are indicators of a bacterial infection. Most of the uncomplicated acute cases are self-limiting. There is however a challenge in distinguishing between the various types of conjunctivitis due to the similarity in the symptoms and due to a lack of tests and prediction algorithms, thus antibiotic therapy is often incorrectly initiated. Treatment of acute uncomplicated conjunctivitis caused by adenoviruses and bacteria is mostly symptomatic. Topical eye drops and ointments are preferred to oral agents in the treatment of more severe bacterial and allergic conjunctivitis while oral agents are used in the treatment of conjunctivitis caused by Herpes simplex, Herpes zoster, Chlamydia trachomatis and Neisseria gonorrhoeae.https://safpj.co.za/index.php/safpj/article/view/4968infective conjunctivitisallergic conjunctivitisviral conjunctivitisbacterial conjunctivitispink eye
spellingShingle A. D. van Eyk
Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
South African Family Practice
infective conjunctivitis
allergic conjunctivitis
viral conjunctivitis
bacterial conjunctivitis
pink eye
title Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
title_full Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
title_fullStr Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
title_full_unstemmed Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
title_short Pharmacotherapeutic Options for Ophthalmic Conjunctivitis
title_sort pharmacotherapeutic options for ophthalmic conjunctivitis
topic infective conjunctivitis
allergic conjunctivitis
viral conjunctivitis
bacterial conjunctivitis
pink eye
url https://safpj.co.za/index.php/safpj/article/view/4968
work_keys_str_mv AT advaneyk pharmacotherapeuticoptionsforophthalmicconjunctivitis