Page 39 - NAME OF CONDITION: REFRACTIVE ERRORS

presence of membranes and pseudo membranes may

necessitate a short course of topical steroids.
 Herpetic conjunctivitis to be treated with topical acyclovir
eye ointment.
3]Allergic conjunctivitis  Cold compression and ocular lubricants.
 Topical and systemic anti-histaminics.
 Topical mast-stabiliser
 Topical NSAIDs

 Topical steroids in short pulses
4] Chlamydial conjunctivitis In Neonates
 Topical tetracycline1% or erythromycin ointment twice daily
for 2 months
 Oral tetracycline1.5-2gm daily in divided doses for 2 weeks

or oral azithromycin single dose or erythromycin50mg/kg in
four divided doses for 2weeks
In Adults
 Oral azithromycin 1g single dose or doxycycline100mgBD
for 7 days or tetracycline250mgqid for 7days or
erythromycin 500mg qid for 7 days.
5] Gonococcal conjunctivitis In Neonates
 I M Ceftriaxone 25-50mg/kg single dose

In Adults
 I M Ceftriaxone 1g single dose
 I M Spectinomycin 2g single dose.
 Chloramphenicol 1%eye ointment
 Use normal saline or cooled boiled water.Initially
continuous irrigation will be needed.

6]Chemical conjunctivitis  Stop instilling the substances that has caused the
reaction.
 Lubricant ointment can be soothening.
 Mild topical antibiotics like chloramphenicol will prevent
secondary bacterial infection.

standard operating procedure

a. In Patient :
 Admit patients if they develop complications secondary to conjunctivitis like orbital
cellulitis, keratitis ,scleritis, anterior uveitis ,especially if the patient cannot come for
frequent follow up and who are non compliant.
 Admit patients with hyperacute bacterial conjunctivitis if the entire cornea cannot be

visualized, as there may be an early corneal ulceration.

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