RT Book, Section
A1 Gomella, Tricia Lacy
A1 Cunningham, M. Douglas
A1 Eyal, Fabien G.
A1 Tuttle, Deborah J.
SR Print(0)
ID 1107527724
T1 Eye Discharge and Conjunctivitis
T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e
YR 2013
FD 2013
PB McGraw-Hill Education
PP New York, NY
SN 9780071768016
LK accesspediatrics.mhmedical.com/content.aspx?aid=1107527724
RD 2024/04/24
AB A  purulent  eye  discharge  is  noted  in  a  3-day-old  infant.  Eye  discharge  in  a  neonate  is  usually  caused  by  conjunctivitis  or  congenital  lacrimal  duct  obstruction.  Neonatal  conjunctivitis  (ophthalmia  neonatorum)  is  an  inflammation  of  the  surface  or  covering  of  the  eye  that  presents  with  eye  discharge  and  hyperemia  in  the  first  4  weeks  of  life.  It  is  the  most  common  ocular  disease  in  neonates.  Most  infections  are  acquired  during  vaginal  delivery.  In  the  United  States  the  incidence  of  infectious  conjunctivitis  is  1–2%;  in  the  world  it  is  0.9–21%.  Congenital  lacrimal  duct  obstruction  (CLDO)  (dacryostenosis)  is  a  condition  where  there  is  a  blockage  of  the  lacrimal  drainage  system.  It  occurs  in  ∽5–6%  of  infants.  The  symptoms  are  persistent  tearing  and  a  mucoid  discharge  in  the  inner  corner  of  the  eye.