HIGHLIGHTED FINDINGS AND RECOMMENDATIONS FOR CARE
Chronic and/or recalcitrant conjunctivitis may be indicative of an underlying malignancy, such as sebaceous or squamous cell carcinoma.
The ophthalmologist plays a critical role in breaking the chain of transmission of epidemic adenoviral conjunctivitis, primarily by educating the patient and family about proper hygiene. Infected individuals should be counseled to wash hands frequently and use separate towels, and to avoid close contact with others during the period of contagion.
Dilute bleach soak (sodium hypochlorite) at 1:10 concentration is an effective disinfectant for tonometers. Notably, 70% isopropyl alcohol (e.g., alcohol wipes), 3% hydrogen peroxide, and ethyl alcohol are no longer recommended for tonometer disinfection.
Surfaces should be disinfected with an EPA-registered hospital disinfectant in accordance with the directions and safety precautions on the label. (, , )
Herpes Zoster vaccination should be strongly recommended in patients 50 years or older.
January 1, 2019
Last Updated Month/Year
June 9, 2022
External Publication Status
Country of Publication
Establish the diagnosis of conjunctivitis, differentiating it from other causes of red eye, Identify the cause(s) of conjunctivitis, istablish appropriate therapy, relieve discomfort and pain, prevent complications, prevent the spread of communicable diseases, educate and engage both the patient and the referring healthcare providers in conjunctivitis management
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital
Optometrist, nurse, nurse practitioner, physician, physician assistant
Assessment and screening, Diagnosis, Management, Treatment
D003231 - Conjunctivitis, D003229 - Conjunctival Diseases, D003234 - Conjunctivitis, Bacterial, D003236 - Conjunctivitis, Viral
conjunctivitis, opthalmology, red eyes
Varu, D. M., Rhee, M. K., Akpek, E. K., Amescua, G., Farid, M., Garcia-Ferrer, F. J., … Dunn, S. P. (2018). Conjunctivitis Preferred Practice Pattern®. Ophthalmology. doi:10.1016/j.ophtha.2018.10.020