Angular conjunctivitis

ANGULAR CONJUNCTIVITIS PPT

1. DR.PRAFULLA C.PATIL. LECTURER,SHRI.CHAMUNDAMATA HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL ,JALGAON. ANGULAR CONJUNCTIVITIS

2. DEFINITION:- A subacute bilateral conjunctival inflammation  sometimes  caused by  the  Moraxella bacillus, marked by redness of the lateral canthi and scanty, stringy discharge that  adheres  to the lashes . Also known as Moraxella conjunctivitis.

3. ETIOLOGY:- A) Age-Usually adults are affected.there may be associated nasal discharge. B) Climate:- More common in spring and summer. C) Causative Agent:- Infection is carried by fingers and handkerchiefs.rarely there may be ascending infection from the nose. Incubation period is 4 days. The infection is usually bilateral and highly contagious.

4. Clinical picture:- a) Irritaation b) Itching c) Smarting sensation in eye.

5. Clinicasl signs:- a) Hyperaemia and excoriation of the epithelium of the intermarginal strip of conjunctiva of the lid margin both at the inner and outer canthus. b) Excoriation of the skin in the surrounding area near the canthi. c) congestion of the bulbar conjunctiva at the inner and outer angle. d)Scanty and mucopurulent discharge.

6. COURSE:- No tendancy to spontaneous cure,but course is prolonged.

7. PATHOLOGY :-

8. DIAGNOSTIC CRITERIA:- a ) Excoriation and hyperaemia of the conjunctiva of the lid margin,at the inner and outer canthhhus. b ) Eczematous condition of the skin in the immediate neighbourhood. C) Scraping from the lesions shows the typical diplobacilli.

9. COMPLICATION:- Marginal corneal infiltration or corneal ulcer.

10. TREATMENT:- Zinc sulphate 1 % with 2 % acid boric drops 3 times a day. Oxytetracycline 1% ointment at bed time.