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Epidemic Keratoconjunctivitis
Aka: Epidemic Keratoconjunctivitis, EKC
- Epidemiology
- Extremely contagious form of Viral Conjunctivitis
- Summer outbreaks most common
- Virus is shed for 14 days
- Causes
- Adenovirus subtypes
- Symptoms
- Marked Conjunctival Hyperemia
- Epiphora (Eye tearing)
- Onset in one eye that spreads to the other
- Eye Pain (if Corneal involvement)
- Blurred Vision
- Signs
- Chemosis (Edema of Conjunctiva around the Cornea)
- Superficial viral Corneal infiltrates
- Complications
- Decreased Visual Acuity
- Results from Corneal infiltrates (viral particles enter the anterior chamber)
- Can last for months
- May reduce Vision to 20/200
- Course
- Resolution in 2 to 8 weeks
- Eye Pain may persist for more than a month
- Contagious for 14 days after the start of symptoms in the second eye
- Management
- No specific treatment
- Corneal infiltrates with Decreased Visual Acuity:
- Topical Steroids
- Ophthalmology referral for serial exams
- Prevent spread to other patients
- Wear gloves and wash hands frequently
- Wash equipment between Eye Exams
- Wash hand towels in hot water
- Clean Tonometer carefully
- Avoid contamination of ophthalmic solutions