Ophthalmology and Visual Sciences. Oetting, MD. History of Present Illness: year-old healthy white male presented with 6-week duration of red eyes associated with mild discharge, foreign body sensation, tearing, blurred vision, and swollen eye lids. These symptoms started in his right eye and, a few days later, his left eye also became affected.
Adult Inclusion Conjunctivitis : Diagnosis, symptoms and management - AIMU
Diagnosis was based on the finding of typical Halberstaedter-Prowazek inclusion bodies on conjunctival scrapings. There seemed to be a predilection for involvement of the upper half of the cornea. Conjunctival scarring occurred in one patient only. Associated genitourinary symptoms were spontaneously reported in three patients only; however, on careful questioning, an additional 12 patients were found to have a history of urethritis or cervicitis. A comparison with viral follicular conjunctivitis is made. The location and pattern of keratopathy, associated genitourinary complaints, mucopurulent nature of discharge, and lack of response to standard topical therapy would seem to suggest chlamydial cause.
In , Ludwig Halberstaedter and Stanislaus von Prowazek discovered Chlamydia trachomatis within conjunctival scrapings of trachoma patients. The two scientists named the unusual inclusion bodies, which appeared draped around the cell's nucleus, "chlamydozoa," derived from the Greek word for "cloak. One hundred years later, Chlamydia is the most common sexually transmitted bacterial disease in the world, 2 with approximately 4 million new infections occurring in the United States annually.
The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. The microorganism Chlamydia trachomatis is an obligate intracellular parasite i. Most common in young adulthood years Sexual activity leading to genital infection with C. History usually more than two weeks Ocular gritty sensation and sticky discharge Drooping upper lid s the majority of cases are unilateral.