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Nowadays a more usual agent, also sexually acquired by the mother, is Chlamydia
trachomatis. Babies born to women with untreated chlamydial infection at delivery
have a 30-50% chance of developing ON
Viral infections (less common) can be caused by herpes simplex virus, adenovirus
or enterovirus
Symptoms
redness
discharge (may be profuse in gonococcal infection)
swelling of lids (may be severe)
symptoms usually bilateral
Signs
Lids
Management by optometrist
Non pharmacological
None
Pharmacological
None
Management category
Diagnosis
systemic erythromycin
topical azithromycin
Herpetic conjunctivitis
Moore DL, MacDonald NE; Canadian Paediatric Society, Infectious Diseases and
Immunization Committee. Preventing ophthalmia neonatorum. Can J Infect Dis
Med Microbiol. 2015;26(3):122-5
Lay Summary
The baby’s eyes are red, the eyelids and the whites of the eyes are swollen and
there is watering or a discharge. Usually both eyes are affected, but one may be
worse than the other. One of the dangers of gonorrhoeal infection is that it may
affect the cornea also. Early diagnosis is important and for this reason, the
optometrist is advised to refer all cases immediately to the on-call ophthalmologist.
Swabs will be taken for culture and treatment started without delay, using
antibiotics given by mouth or by injection or into a vein, and in eye drop form.
Opthalmia
neonatorum
Version 10
Date of search 12.04.18
Date of revision 19.04.18
Date of publication 16.10.18
Date for review 11.04.20
References
https://www.college-optometrists.org/guidance/clinical.../ophthalmia-neonatorum.html
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2.
Ophthalmia Neonatorum (ON) (conjunctivitis of the newborn) occurs within the first
month of life. It is a bacterial, chlamydial or viral infection acquired durin