TY - CHAP M1 - Book, Section TI - Eye Discharge and Conjunctivitis A1 - Gomella, Tricia Lacy A1 - Cunningham, M. Douglas A1 - Eyal, Fabien G. A1 - Tuttle, Deborah J. Y1 - 2013 N1 - T2 - Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1107527724 ER -