Last reviewed: November 2017
Last updated: April  2016

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • subtarsal (beneath the eyelid) conjunctival inflammation
  • subtarsal follicles
  • Herbert's pits (small pits around the margin of the cornea)
  • subtarsal conjunctival scarring
  • trichiasis (the contact of 1 or more lashes on any part of the globe)
  • corneal opacification

Other diagnostic factors

  • asymptomatic
  • pannus (vessels growing over the clear cornea)
  • ocular discharge
  • red eye
  • painful watery eye
  • limbal (at the border of the cornea and sclera) follicles

Risk factors

  • children (active infection)
  • poor facial hygiene
  • female gender
  • poverty
  • poor community hygiene
  • residence in or emigration from an endemic area

Diagnostic investigations

Investigations to consider

  • PCR (conjunctival swab)
Full details

Emerging tests

  • point-of-care conjunctival swab dipstick test
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Heathcote R. Wright

Gerard Crock Fellow

Centre for Eye Research Australia

Director of Ophthalmology

Townsville Hospital and Health Service

Queensland

Australia

Disclosures

HRW is an author of a number of references cited in this monograph.

Hugh R. Taylor

Harold Mitchell Professor of Indigenous Eye Health

Melbourne School of Population and Global Health

University of Melbourne

Melbourne

Australia

Disclosures

HRT is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Lecturer

International Centre for Eye Health

London School of Hygiene and Tropical Medicine

London

UK

Disclosures

MB declares that he has no competing interests.

Assistant Professor

Miller School of Medicine

Bascom Palmer Eye Institute

University of Miami

Miami

FL

Disclosures

VP declares that he has no competing interests.

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