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Conjunctivitis

  • Treatment

    • viral
      • cool compresses qid
      • naphazoline/pheniramine 0.025%/0.3%, 1 drop tid prn
      • artificial tears prn
    • bacterial
      • saline irrigation
      • ceftriaxone 1 g IM (gonorrhea coverage)
      • doxycycline 100 mg PO bid (chlamydia coverage)
      • tobramycin 1 drop q1h (pseudomonas coverge, contact lenses)
    • allergic
      • cool compresses 5-6 x daily
      • naphazoline/pheniramine 0.025%/0.3%, 1 drop qid prn
      • if severe: optho consult RE fluorometholone drops
    • HSV or shingles
      • acyclovir 800 mg PO 5 x daily for 7-10 days
      • trifluorothymidine 1% drops 5 x daily
      • erythromycin ophthalmic 0.5% ointment bid

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