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13.1.2

Bacterial Conjunctivitis

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 13, Ophthalmic Conditions.

Clinical Description

An acute conjunctivitis that develops secondary to a bacterial infection

Signs and Symptoms

  • Pinkness or redness of the eye
  • Burning, itching
  • A sensation of grittiness or mild pain or discomfort in the eye.
  • Thick, sticky discharge from the eye and swollen eye lids.
  • It is usually bilateral but may be unilateral.

Treatment

  • Eyelids to be cleaned of discharge before using topical antibiotics.
  • Eye drops options include:
  • Chloramphenicol 0.5%,
  • Ciprofloxacin 0.3%,
  • Ofloxacin 0.3%
  • Moxifloxacin 0.5%

Note: Eye ointments such as Chloramphenicol and Tetracycline provide higher concentrations for longer periods than drops but inappropriate for day use because of blurred vision.

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