Making the Right Differential Diagnosis
Based solely on signs and symptoms, even ocular specialists fail to make an accurate diagnosis for conjunctivitis in approximately 40-75% of their cases1-6.
Common symptoms for conjunctivitis include:
- Significant conjunctival injection
- Discharge
- Eyelash matting or crusting
- Foreign body sensation
- Tearing
When a patient presents with these symptoms, you want to quickly and accurately diagnose the underlying cause so you can map out a clear, appropriate, and effective treatment plan. The differential diagnosis for acute conjunctivitis includes:
- Viral conjunctivitis
- Adenoviral
- Herpes Simplex Virus (HSV)
- Other
- Bacterial conjunctivitis
- Acute bacterial
- Chlamydia
- Gonorrhea
- Allergic conjunctivitis
- Medication
- Fitch CP, Rapoza PA, Owens S,et al. Epidemiology and diagnosis of acute conjunctivitis at an inner-city hospital. Ophthalmology. 1989;96: 1215-20
- Stenson S, Newman R, Fedukowicz H. Laboratory studies in acute conjunctivitis. Arch Ophthalmol. 1982;;100:1275-7
- Leibowitz HW, Pratt MV, Flagstad IJ, et al. Human conjunctivitis. I. Diagnostic evaluation. Arch Ophthalmol. 1976;94:1747-9
- Cheung D, Bremner J, Chan JT. Epidemic kerato-conjunctivitis--do outbreaks have to be epidemic? Eye. 2003;17:356-63
- Høvding G. Acute bacterial conjunctivitis. Acta Ophthalmol. 2008;86:5-17
- O'Brien TP, Jeng BH, McDonald M, and Raizman MB. "Acute Conjunctivitis: Truth and Misconceptions" . Current Medical Research and Opinion 2009; Vol 25; 8;1953-1961.