Adenoviral keratoconjunctivitis

Abstract Viral conjunctivitis caused by adenovirus is the most common infectious conjunctivitis. Adenoviruses are highly contagious pathogens. The modes of transmission are mainly through hand to eye contact, ocular secretions, respiratory droplets, and contact with ophthalmic care providers and the...

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Bibliographic Details
Published in:Survey of ophthalmology Vol. 60; no. 5; pp. 435 - 443
Main Authors: Jhanji, Vishal, MD, FRCOphth, Chan, Tommy C.Y., FRCSEd, Li, Emmy Y.M., FRCSEd, Agarwal, Kanika, BA, Vajpayee, Rasik B., MS, FRCSEd, FRANZCO
Format: Journal Article
Language:English
Published: United States 01.09.2015
Subjects:
Adenovirus Infections, Human - complications
Adenovirus Infections, Human - diagnosis
Adenovirus Infections, Human - drug therapy
Adenovirus Infections, Human - transmission
Conjunctivitis, Viral - complications
Conjunctivitis, Viral - diagnosis
Conjunctivitis, Viral - drug therapy
Conjunctivitis, Viral - transmission
Humans
Ophthalmology
treatment
diagnosis
complications
adenoviral conjunctivitis
conjunctivitis
prevention
ISSN:0039-6257, 1879-3304
Online Access:Get full text
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Summary:Abstract Viral conjunctivitis caused by adenovirus is the most common infectious conjunctivitis. Adenoviruses are highly contagious pathogens. The modes of transmission are mainly through hand to eye contact, ocular secretions, respiratory droplets, and contact with ophthalmic care providers and their medical instruments. The most frequent manifestation of ocular adenoviral infection is epidemic keratoconjunctivitis, followed by pharyngoconjunctival fever. Epidemic keratoconjunctivitis is also the most severe form and presents with watery discharge, hyperemia, cheosis, and ipsilateral lymphadenopathy. Pharyngoconjunctival fever is characterized by abrupt onset of high fever, pharyngitis, bilateral conjunctivitis, and periauricular lymph node enlargement. Isolated follicular conjunctivitis without corneal or systemic involvement also occurs. The rate of clinical accuracy in diagnosing viral conjunctivitis is less than 50%. Rapid diagnostic tests now being used decrease unnecessary antibiotic use. Treatment for viral conjunctivitis is mostly supportive. The majority of cases are self-limited, and no treatment is necessary in uncomplicated cases.
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ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2015.04.001