Epidemic Keratoconjunctivitis

Epidemic Keratoconjunctivitis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of keratoconjunctivitis epidemica. Family history Are there any individuals in your family/social environment who are currently suffering from infections? Social history Do you go swimming in swimming pools frequently? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any sudden redness … Epidemic Keratoconjunctivitis: Medical History

Epidemic Keratoconjunctivitis: Or something else? Differential Diagnosis

Eyes and ocular appendages (H00-H59). Acute glaucoma attack – acute attack of elevated intraocular pressure (glaucoma). Allergic conjunctivitis (conjunctivitis). Bacterial conjunctivitis (eg, by none in the swimming pool). Herpes conjunctivitis Toxic conjunctivitis Episcleritis – inflammation of the episclera (uppermost layer of the dermis/sclera). (Epi-)Scleritis – inflammation of the sclera of the eye and surrounding tissue. … Epidemic Keratoconjunctivitis: Or something else? Differential Diagnosis

Epidemic Keratoconjunctivitis: Complications

The following are the most important diseases or complications that may be contributed to by keratoconjunctivitis epidemica: Eyes and ocular appendages (H00-H59). Bacterial superinfection Keratitis (corneal inflammation) Keratoconjunctivitis superficialis punctata with epithelial defects. Corneal infiltrates (subepithelial) Visual acuity reduction (reduction in visual acuity) – nummuli (small coin-shaped infiltrates in the superficial corneal stroma) may persist … Epidemic Keratoconjunctivitis: Complications

Epidemic Keratoconjunctivitis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin and mucous membranes Eyes [redness of the eye with annular conjunctival swelling, epiphora (“watering”; lacrimation)] Ophthalmic examination: slit lamp microscopic examination shows: Redness and swelling … Epidemic Keratoconjunctivitis: Examination

Epidemic Keratoconjunctivitis: Drug Therapy

Therapeutic target Freedom from symptoms Therapy recommendations Primarily, only symptomatic therapy with tear substitutes and morning eye cleansing is indicated. To do this, instruct the patient as follows: “Soak a cotton pad with boiled, lukewarm water and gently wipe out eyelid margins and eyelashes from outside to inside. Dispose of cotton pad afterwards, always use … Epidemic Keratoconjunctivitis: Drug Therapy

Epidemic Keratoconjunctivitis: Diagnostic Tests

Obligatory medical device diagnostics. Slit-lamp examination (slit-lamp microscope; viewing of the eyeball under appropriate illumination and high magnification) [for findings, see “Physical examination”]

Epidemic Keratoconjunctivitis: Surgical Therapy

Laser ablation (excimer laser) may be indicated for keratoconjunctivitis with fibrotic changes.

Epidemic Keratoconjunctivitis: Prevention

Behavioral measures To prevent further infection, domestic hygiene measures should be emphasized (separate washing utensils such as soap and towels). Furthermore, use virucidal hand disinfectants (allow to act for 30 seconds).

Epidemic Keratoconjunctivitis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate keratoconjunctivitis epidemica: Leading symptoms Sudden redness of the eye with annular conjunctival swelling. Foreign body sensation (onset: unilateral, originating nasally and progressive). Epiphora (“trickling of tears”; lacrimation). Itching Photophobia (photophobia) Visual acuity reduction (visual acuity reduction) Preauricular (in front of the auricle) lymphadenopathy (lymph node enlargement). The second, … Epidemic Keratoconjunctivitis: Symptoms, Complaints, Signs

Epidemic Keratoconjunctivitis: Causes

Pathogenesis (disease development) Keratoconjunctivitis epidemica is transmitted by smear or droplet infection. Serogroup 8, 19, 37 adenoviruses infect the epithelial cells of the eye. Etiology (Causes) Behavioral causes Infection with the causative agent via smear or droplet infection.

Epidemic Keratoconjunctivitis: Therapy

General measures Observance of general hygiene measures! Important transmission factors are contaminated hands and objects such as towels, door handles, etc.: Thorough hand washing with soap under running water after each contact with the sick person. The sick person should also use towels, washcloths and cosmetics separately. Towels should be washed at least 60 ° … Epidemic Keratoconjunctivitis: Therapy

Epidemic Keratoconjunctivitis: Test and Diagnosis

Laboratory parameters of 2nd order – depending on the results of the history, physical examination. Confirmation of diagnosis: Antigen detection Nucleic acid detection (PCR) Electron microscopy Cultivation in cell culture Specimen collection with a swab – if acute bacterial conjunctivitis is suspected.