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Epidemic Keratoconjunctivitis

Signs & Symptoms

 Sensation of fullness around the eyes
Ref: Vaughan [ 203]
Eyelids stuck shut in the morning
Ref: Uptodate [ Conjunctivitis] Vaughan [ 203,206]
Diffuse conjunctival redness
Ref: Uptodate [ Conjunctivitis] Vaughan [ 202,203,213] BCSC [ 192,213]
Mattering of the eyelids
Ref: Uptodate [ Conjunctivitis] Vaughan [ 203,206]

Physical Examination

 Ciliary flush pattern (negative symptom)
Ref: Uptodate [ Conjunctivitis]
Lid swelling
Ref: Uptodate [ Conjunctivitis] Vaughan [ 203,206,213] BCSC [ 180,212]
Localized conjunctival redness (negative symptom)
Ref: Uptodate [ Conjunctivitis]

Lab / Serology

Imagin Study

Complication

 Conjunctival scarring
Ref: Vaughan [ 208,214] BCSC [ 195,216]
Corneal perforation
Ref: Uptodate [ Conjunctivitis] Vaughan [ 206,208] BCSC [ 194]
Symblepharon
Ref: Vaughan [ 217] BCSC [ 216]

Risk Factors

Cause

 Apraclonidine
Note: Toxic conjunctivitis
Ref: Vaughan [ 237,238]
Brimonidine
Note: Toxic conjunctivitis
Ref: Vaughan [ 237,238]
Dipivefrin
Note: Toxic conjunctivitis
Ref: Vaughan [ 237,238]

Other