Date of last review: Due to be updated

Differential diagnosis

  • Adenoviral keratoconjunctivitis
  • HSK
  • Molluscum contagiosum

Possible management by Optometrist

Treatment

  • Symptomatic relief with ocular lubricants

Advice

  • Consider if conjunctivitis lasting several weeks
  • Advise against contact lens wear
  • Advise patient that genitourinary infection commonly associated (70% of cases)

Management Category

  • Urgent referral to ophthalmologist and GP for diagnostic conjunctival swab and treatment with Azithromycin, with a view to onward referral to sexual health Clinic

Possible management by Ophthalmologist

  • Conjunctival swabs and genital swabs for chlamydia
  • Liaison with Sexual Health Clinic
  • Treatment with systemic Azithromycin
  • Topical Azithromycin