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fornix reconstruction, optical penetrating keratoplasty and keratoprosthesis
surgeries.

STANDARD OPERATING PROCEDURE

a. In Patient :
 Infants diagnosed to have ophthalmia neonatorum due to gonococci chlamydia
and HSV are admitted as they need systemic evaluation and appropriate systemic
treatment.
 Prolonged persistent conjunctivitis with development of complication like
cicatrization, lid abnormalities, dry eye, symblepharon and punctal anomalies.
 Severe chemical conjunctivitis with limbal ischaemia and suspected intra ocular
penetration of toxic substances.

b. Out Patient: If the patient requires only modification of the topical anti-
infectives, then he/she can be treated as an outpatient.
c. Day Care: not applicable.

d) Referral criteria: not applicable.

V. WHO DOES WHAT? AND TIMELINES

a. Doctor :

 Patient history is taken and a clinical examination performed
 Conjunctival infective material is obtained by scrapping and smear are prepared
and also materials are inoculated directly onto culture media

 Documenting the medical record
 Plan treatment guidelines and perform surgery if necessary. Monitoring,
publication and reporting to department of health if there is an epidemic
conjunctivitis and if there is an emergence of drug resistance pathogen.
 He/she plays a critical role in breaking the chain of transmission of epidemic
adenoviral conjunctivitis, primarily by educating the patient and family about

proper hygiene.
 He/she should also ensure that needy patients receive necessary care directly or
through referral to appropriate persons and facilities that will provide such care,
and he or she supports activities that promote health and prevent disease.
b. Nurse/Technician:

 Prepare Slide, Media for smear and culture.

 To monitor the patients who are admitted.
 To maintain separate inpatient and outpatient record.
 To maintain lab reports.

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