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A Review of the Differential Diagnosis of Acute Infectious Conjunctivitis: Implications for Treatment and Management

Authors Yeu E, Hauswirth S

Received 30 October 2019

Accepted for publication 22 January 2020

Published 12 March 2020 Volume 2020:14 Pages 805—813

DOI https://doi.org/10.2147/OPTH.S236571

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Elizabeth Yeu,1 Scott Hauswirth2

1Virginia Eye Consultants, Norfolk, VA, USA; 2Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA

Correspondence: Elizabeth Yeu
Virginia Eye Consultants, 241 Corporate Blvd, Norfolk, VA 23502, USA
Tel +1 757-622-2200
Email eyeu@vec2020.com

Abstract: The diagnosis of acute infectious conjunctivitis can be difficult. Clinical ambiguity exists between the acute viral and bacterial as well as the allergic forms, which can confound diagnosis. Also, discrimination between viral or bacterial origins of infectious conjunctivitis based on historical, nonspecific, clinical signs and symptoms contributes to a high rate of misdiagnosis and overuse of antibiotic treatment. Therefore, in order to effectively treat acute infectious conjunctivitis, physicians must be aware of the clinical signs and symptoms and available diagnostic tests that can provide a more accurate differential diagnosis.

Keywords: allergic conjunctivitis, bacterial conjunctivitis, conjunctivitis, viral conjunctivitis


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