This guideline last updated 06/05/2022 17:46:42

Differential diagnosis

• Adenovirus keratoconjunctivitis
• HSK
• Molluscum contagiosum

Possible management by Optometrist

Treatment

• Symptomatic relief with ocular lubricants

Advice

• Consider if conjunctivitis lasting several weeks
• Advise against contact lens wear
• Advise patient that genitourinary infection commonly associated (70% of cases)

Management Category

• Urgent referral to ophthalmologist and GP for diagnostic conjunctival swab and treatment with Azithromycin, with a view to onward referral to sexual health Clinic

Possible management by Ophthalmologist

• Conjunctival swabs and genital swabs for chlamydia
• Liaison with Sexual Health Clinic
• Treatment with systemic Azithromycin
• Topical Azithromyciin