Conjunctivitis, bacterial

H10.0

DESCRIPTION

Clinical features:

  • It may be either unilateral or bilateral.
  • There is matting of lashes in the morning with the eyelids stuck shut.
  • There is a mucopurulent discharge throughout the day.
  • The eyelids may be swollen.

MEDICINE TREATMENT

During the day:

  • Chloramphenicol 1%, ophthalmic ointment 8 hourly for 5 days.

LoEIII [1]

OR

  • Fluoroquinolone ophthalmic drops as second-line treatment, e.g.:
    • Ciprofloxacin 0.3%, ophthalmic drops, instil 1 drop 2 hourly for 2 days.
      • Then reduce frequency to 1 drop 4 hourly during waking hours for 5 days.

LoEII [2]

REFERRAL

No response to treatment.