DIFFERENTIAL DIFFERENTIAL DIAGNOSISDIAGNOSIS

DIFFERENTIAL DIFFERENTIAL DIAGNOSISDIAGNOSIS

ACUTE CONJUNCTIVITISACUTE CONJUNCTIVITIS

SYMPTOMS ACUTE CATARRHAL

ACUTE BLENORRHOEA

ACUTE DIPTHERIC

ACUTE PHLYCTENULAR

HISTORY epidermicity

Urethral discharge

Altered measles or scarlet fever

Scrofulous diasthesis, measles, rhinitis, adenoids or eczema

AGE All ages esp young

New borns & adults

Children upto puberty

Children (5-10yrs)

ORGANISM Koch weeks bacilli

Gonococcus-adult

Streptococcus,pneumococus

Diptheria bacillus, pseudo diptheria

-

AFFECTED EYE

Both eyes 1 eye- adult

Both- newborn

both One or both

CHEMOSIS moderate chronic chronic absent

VARTMA SHOTH

simple severe severe absent

DISCHARGE

Muco purulent

purulent purulent Watery or Muco purulent

DURATION 7-15 days 3- 4 days 3- 4 days 2- 6 weeks

DIFFERENTIAL DIAGNOSIS

CHRONIC CONJUNCTIVITIS

SYMPTOM FOLLICULAR CONJUNCTIVITIS

TRACHOMA SPRING CATARRH

HISTORY OVERCROWDING, PRIVATE PLACES ETC

SEEN IN POOR CLASS

ALL CLASSES IN HOT CLIMATE

AGE 1- 8 YRS ALL AGES 20- 25 YRS

RITU SHEET ALL RITUS STARTS IN GRISHMA & SUBSIDES IN SHEET

LAXAN -FOLLICLES SEEN

-LOWER LID AFFECTED

-REGULAR MARGIN

GRANULES, SHABBY DISCOLOURATION

-IRREGULAR MARGIN

-UPPER LID

POLYGONAL COBBLE STONE AREAS, PAPILLARY PROJECTION IN PALPEBRAL FORM

-FLESHY GROWTH AT LIMBUS

-UPPER LID, UPPER FORNIX AFFECTED

-WATERY OR WHITE ROPY DISCHARGE

CIATRISATION ABSENT PRESENT ABSENT

PATHOLOGY LYMPHOID TISSUE

LYMPHOCYTE INFILTERATION

PROLIFERATION OF SUB CONJUNCTIVAL FIBROUS TISSUE WITH EOSINOPHIL IN DISCHARGE