Management of Extraocular Infections
Extraocular infection is a frequently encountered problem in children including neonates and infants. Prompt recognition of the extraocular disease and management at first contact reduces the ocular morbidity and visual impairment. Delay in administering appropriate therapy and referral to an eye care personnel may result in blindness; sometimes bilateral, due to severe ophthalmia neonatorum. This review is mainly aimed at offering basic, brief information about common extraocular infections prevalent among infants and children living in developing countries as a ready reference to practising pediatricians and neonatologists. Through this review, the pediatricians, as the first contact may feel confident and comfortable in managing ocular infection in pediatric population particularly living in remote rural and tribal region. Literature search was made by retrieving related publications through peer reviewed journals, PUBMED and Cochrane meta-analysis.
KeywordsOphthalmia neonatorum Conjunctivitis Keratitis Trachoma Orbital cellulitis
- 3.Recommendations for prevention of neonatal ophthalmia. Infectious Diseases and Immunization Committee, Canadian Paediatric Society. Can Med Assoc J. 1983;129:554–5.Google Scholar
- 10.Krohn MA, Hillier SL, Bell TA, Kronmal RA, Grayston JT; Eye Prophylaxis Study Group. The bacterial etiology of conjunctivitis in early infancy. Am J Epidemiol. 1993;138:326–32.Google Scholar
- 11.Khan FA, Hussain MA, Khan Niazi SP, Haq Zu, Akhtar N. Efficacy of 2.5% and 1.25% povidone-iodine solution for prophylaxis of ophthalmia neonatorum. J Coll Physicians Surg Pak. 2016;26:121–4.Google Scholar
- 19.Agashe R, Radhakrishnan N, Pradhan S, Srinivasan M, Prajna VN, Lalitha P. Clinical and demographic study of microsporidial keratoconjunctivitis in South India: a 3-year study (2013-2015). Br J Ophthalmol. 2017. doi:10.1136/bjophthalmol-2016-309845.
- 22.Leonard A. Management of vernal keratoconjunctivitis. Ophthalmol Ther. 2013;2:73–88.Google Scholar
- 23.Vajpayee RB, Ray M, Panda A, et al. Risk factors for pediatric presumed microbial keratitis: a case-control study. Cornea. 1999;18:565–9.Google Scholar
- 25.Mohile M, Deorari AK, Satpathy G, Sharma A, Singh M. Microbiological study of neonatal conjunctivitis with special reference to chlamydia trachomatis. Indian J Ophthalmol. 2002;50:295–9.Google Scholar
- 27.Borel MG. Un nouveau syndrome palpebral. Bull Soc Ophthalmol Fr. 1933;46:168–80.Google Scholar
- 28.Mathen MM, Vishnu S, Prajna NV, Vijayalakshmi P, Srinivasan M. Congenital corneal anesthesia: a series of four case reports. Cornea. 2001;20:194–6.Google Scholar