Keratoconjunctivitis - Revision history

Danbot: Add peer-reviewed reference

2026-03-22T10:16:18Z

Add peer-reviewed reference

← Older revision		Revision as of 10:16, 22 March 2026
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	==Background==		==Background==
	*Defined as concurrent inflammation of both the cornea and conjunctiva.		*Defined as concurrent inflammation of both the cornea and conjunctiva. <ref>Azari AA, Barney NP. Conjunctivitis: a systematic review of diagnosis and treatment. JAMA. 2013;310(16):1721-1729. PMID 24150468</ref>

	{{Keratoconjunctivitis Types}}		{{Keratoconjunctivitis Types}}

Rossdonaldson1: /* Clinical Features */

2020-09-26T18:10:55Z

Clinical Features

← Older revision		Revision as of 18:10, 26 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3640929 1824-7288-39-18-5.png\|thumb\|Atopic keratoconjunctivitis.]]
	*Intense itching		*Intense itching
	*Excessive tearing		*Excessive tearing

Rossdonaldson1: /* Management and Disposition */

2020-09-26T18:09:26Z

Management and Disposition

← Older revision		Revision as of 18:09, 26 September 2020
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	==Management and Disposition==		==Management and Disposition==
	Based on likely etiology and severity:		''Based on likely etiology and severity:''

	Severity:		===Severity===
	* Mild: basic eye care(resist itching, cold compress, artificial tears), [[antihistamines]], mast cell stabilizers		* Mild: basic eye care(resist itching, cold compress, artificial tears), [[antihistamines]], mast cell stabilizers
	* Moderate/Severe: should be referred to Ophthalmologist		* Moderate/Severe: should be referred to Ophthalmologist

	Etiology:		===Etiology===
	* Atopic keratoconjunctivitis: chronic management should be determined by Ophthalmologist		* Atopic keratoconjunctivitis: chronic management should be determined by Ophthalmologist
	* Epidemic keratoconjunctivitis: usually self-resolving		* Epidemic keratoconjunctivitis: usually self-resolving

Rossdonaldson1: /* References */

2020-09-26T18:07:59Z

References

← Older revision		Revision as of 18:07, 26 September 2020
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	==References==		==References==
	Hamrah, MD et.al. Atopic keratoconjunctivitis. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com		*Hamrah, MD et.al. Atopic keratoconjunctivitis. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com
			*Munoz, MD et.al. Diagnosis, treatment, and prevention of adenovirus infection. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com
	Munoz, MD et.al. Diagnosis, treatment, and prevention of adenovirus infection. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com		*Tintinalli JE, Stapczynski JS, Ma OJ, Cline D, Meckler GD, Yealy DM. Tintinallis emergency medicine: a comprehensive study guide. New York: McGraw-Hill Education; 2016.

	Tintinalli JE, Stapczynski JS, Ma OJ, Cline D, Meckler GD, Yealy DM. Tintinallis emergency medicine: a comprehensive study guide. New York: McGraw-Hill Education; 2016.

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

ClaireLewis at 17:11, 5 October 2019

2019-10-05T17:11:53Z

← Older revision		Revision as of 17:11, 5 October 2019
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	==Clinical Features==		==Clinical Features==
	*~~intense~~ itching		*Intense itching
	*~~excessive~~ tearing		*Excessive tearing
	*~~burning~~ sensation		*Burning sensation
	*~~clear~~ mucus discharge		*Clear mucus discharge
	*~~conjunctival~~ erythema/hyperemia		*Conjunctival erythema/hyperemia
	*~~blurred~~ vision		*[[Blurred vision]]
	*photophobia		*photophobia
	*~~foreign~~ body sensation		*Foreign body sensation
	*Thickened, scaly, indurated eyelids are characteristic of Atopic Keratoconjunctivitis		*Thickened, scaly, indurated eyelids are characteristic of Atopic Keratoconjunctivitis
	*Chronic inflammation may eventually lead to vision loss		*Chronic inflammation may eventually lead to vision loss

	==Differential Diagnosis==		==Differential Diagnosis==
	* Viral conjunctivitis		* [[Viral conjunctivitis]]
	* Bacterial conjunctivitis		* [[Bacterial conjunctivitis]]
	* Allergic conjunctivitis		* [[Allergic conjunctivitis]]
	* Acute angle closure glaucoma		* [[Acute angle closure glaucoma]]
	* Uveitis		* [[Uveitis]]
	* Keratitis(eg: ~~HSV~~)		* Keratitis (eg: [[herpes keratitis]])
	* Corneal ~~abrasian~~		* [[Corneal abrasion]]
	* Trauma/~~Foreign~~ body		* [[ocular Trauma\|Trauma]]/[[Ocular foreign body]]
	* Chemical exposure		* [[caustic keratoconjunctivitis\|Chemical exposure]]
	* Dacryocystitis		* [[Dacryocystitis]]
	* Reactive arthritis		* [[Reactive arthritis]]
	* Cluster headache		* [[Cluster headache]]

	==Evaluation==		==Evaluation==
	* Generally a clinical diagnosis		* Generally a clinical diagnosis
	* Fluorescein test followed by tonometry:		* Fluorescein test followed by [[Tonopen\|tonometry]]:
	** Fluorescein test if concerned for ~~abrasians~~, corneal damage, foreign body, globe rupture		** Fluorescein test if concerned for abrasions, corneal damage, foreign body, globe rupture
	** Tonometry of both eyes if concerned for acute angle closure glaucoma, uveitis, hyphema, recent history of trauma to eye		** Tonometry of both eyes if concerned for acute angle closure glaucoma, uveitis, hyphema, recent history of trauma to eye

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	Severity:		Severity:
	* Mild: basic eye care(resist itching, cold compress, artificial tears), antihistamines, mast cell stabilizers		* Mild: basic eye care(resist itching, cold compress, artificial tears), [[antihistamines]], mast cell stabilizers
	* Moderate/Severe: should be referred to Ophthalmologist		* Moderate/Severe: should be referred to Ophthalmologist

Rossdonaldson1 at 21:24, 20 November 2018

2018-11-20T21:24:41Z

← Older revision		Revision as of 21:24, 20 November 2018
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	*Defined as concurrent inflammation of both the cornea and conjunctiva.		*Defined as concurrent inflammation of both the cornea and conjunctiva.

	~~===[[~~Keratoconjunctivitis]] Types~~===~~		{{Keratoconjunctivitis Types}}
	*Atopic keratoconjunctivitis
	**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
	*[[Caustic keratoconjunctivitis]]
	**Secondary to chemical orbital exposure
	*Epidemic keratoconjunctivitis
	**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
	*[[Ultraviolet keratitis]]
	**Secondary to UV light exposure
	*Keratoconjunctivitis sicca
	**Associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Keratoconjunctivitis Types */

2018-11-20T21:24:15Z

Keratoconjunctivitis Types

← Older revision		Revision as of 21:24, 20 November 2018
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	*Atopic keratoconjunctivitis		*Atopic keratoconjunctivitis
	**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)		**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
			*[[Caustic keratoconjunctivitis]]
			**Secondary to chemical orbital exposure
	*Epidemic keratoconjunctivitis		*Epidemic keratoconjunctivitis
	**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge		**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge

Rossdonaldson1: /* Keratoconjunctivitis Types */

2018-11-20T21:22:51Z

Keratoconjunctivitis Types

← Older revision		Revision as of 21:22, 20 November 2018
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	*Epidemic keratoconjunctivitis		*Epidemic keratoconjunctivitis
	**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge		**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
	*~~Keratoconjunctivitis photoelectrica~~		*[[Ultraviolet keratitis]]
	**~~Subtype of [[~~UV ~~Keratitis]]~~		**Secondary to UV light exposure
	*Keratoconjunctivitis sicca		*Keratoconjunctivitis sicca
	**Associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma		**Associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma

Rossdonaldson1: /* Types */

2018-11-20T21:22:10Z

Types

← Older revision		Revision as of 21:22, 20 November 2018
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	*Defined as concurrent inflammation of both the cornea and conjunctiva.		*Defined as concurrent inflammation of both the cornea and conjunctiva.

	===Types===		===[[Keratoconjunctivitis]] Types===
	*Atopic keratoconjunctivitis		*Atopic keratoconjunctivitis
	**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)		**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)

Rossdonaldson1: /* Background */

2018-11-20T21:21:57Z

Background

← Older revision		Revision as of 21:21, 20 November 2018
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	==Background==		==Background==
	*Defined as concurrent inflammation of both the cornea and conjunctiva.		*Defined as concurrent inflammation of both the cornea and conjunctiva.
	*~~Multiple etiologies:~~
	**~~Atopic keratoconjunctivitis: common~~ in patients with atopy(ie: eczema, allergies, asthma, rhinitis)		===Types===
	**Epidemic keratoconjunctivitis~~: highly~~ contagious viral(Adenovirus) conjunctivitis, associated with watery discharge		*Atopic keratoconjunctivitis
	**Keratoconjunctivitis photoelectrica~~(subtype~~ of [[UV Keratitis]])		**Common in patients with atopy(ie: eczema, allergies, asthma, rhinitis)
	**Keratoconjunctivitis sicca~~: associated~~ with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma		*Epidemic keratoconjunctivitis
			**Highly contagious viral(Adenovirus) conjunctivitis, associated with watery discharge
			*Keratoconjunctivitis photoelectrica
			**Subtype of [[UV Keratitis]]
			*Keratoconjunctivitis sicca
			**Associated with autoimmune disorders such as Sjogren's Syndrome, Sarcoidosis, Rheumatoid arthritis, and Schleroderma

	==Clinical Features==		==Clinical Features==