Definition and treatment of ophthalmia neonatorum

What’s your diagnosis and what’s the treatment of this case?
This a case of ophthalmia neonatorum and treatment will be discuss in this post in details..
Firstly, what’s the ophthalmia neonatorum?
It is any Counjunctivitis occurring during frist month of life.
×ANY discharge from eye during first month of life should be suspected as ophthalmia neonatorum because tears are not secreted during this time of age.

Aetiology :
*Gonococcal infection and this the most common (70% of cases)
*other bacteria and chlamydia
*viral infection
* chemical.
Clinical picture and diagnosis :
Symptoms
The mother will tell you that her baby has red eye, discharge and lid edema.
Signs
It will differ according to the cause :
*Gonococcal
3-5 days in onset (1week)
Purulent discharge
May affect cornea
*other bacteria and chlamydia
5-10 days in onset (1-2 weeks)
Mucopurulent discharge
*viral
5-30 days in onset (3 weeks)
Watery or mucoid discharge
May causes dendritic ulcer
*chemical
From the first day in onset
Serous discharge
May cause severe eye lid edema

Investigation (rare to be needed)
*culture and sensitivity in Gonococcal infection
*culture and sensitivity and immune foulrescent in other bacteria and chlamydia.
*serological test in viral infection

Treatment
*Pencillin eye drops in Gonococcal infection
*Broad spectrum antibiotic eye drops in other bacteria and chlamydia
*anti viral eye drops in viral infection
*stop eye drops in chemical causes.


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Category | Ophthalmology
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