serous conjunctivitis except viral

Serous Conjunctivitis Except Viral: A Viral Acute Conjunctivitis

Serous conjunctivitis, except viral, is a type of viral acute conjunctivitis characterized by inflammation and serous discharge in the conjunctiva. This condition is also known as non-viral serous conjunctivitis.

Key Features:

• Inflammation of the conjunctiva
• Serous discharge from the affected eye(s)
• Typically caused by a viral infection, but can be triggered by other factors
• Can affect one or both eyes

Symptoms:

• Redness and swelling of the conjunctiva
• Itching or burning sensation in the affected eye(s)
• Excess tear production and discharge
• Blurred vision (in severe cases)

Prevalence: Conjunctivitis is a common cause of eye redness, affecting people of any age, demographic, or socioeconomic status. More than 80% of all acute cases are generally diagnosed by non-ophthalmologists.

ICD-10 Code: H10.23 (Serous conjunctivitis, except viral)

References:

• [3] Disease Ontology Definition
• [4] Chapter 7 - Diseases of the eye and adnexa (H00-H59) » Disorders of conjunctiva (H10-H11)
• [5] DOID:11197; Synonyms. serous conjunctivitis, except viral.
• [12] Conjunctivitis is a common cause of eye redness and, subsequently, a common complaint in the emergency department, urgent care clinics, and primary care clinics.

Note: The information provided is based on the search results and may not be an exhaustive list of all possible symptoms or features.

Based on the available information, here are the signs and symptoms of serous conjunctivitis except viral:

• Ocular discharge (8)
• Chemosis (8)
• Conjunctival hyperemia (8)

These symptoms can occur in individuals with serous conjunctivitis caused by non-viral factors. It's essential to note that these symptoms may overlap with those of other eye conditions, and a proper diagnosis should be made by a medical professional.

In terms of specific characteristics, serous conjunctivitis except viral is often associated with:

• A clear or watery discharge (4)
• Mild redness (4)
• Itching, sometimes severe (4)

It's worth noting that the ICD-10 code for this condition is H10.23, as classified by the World Health Organization under the range "Diseases of the eye and adnexa" (7).

References:

• [8] Signs of conjunctivitis include ocular discharge, chemosis, and conjunctival hyperemia. Extension from the nose via the nasolacrimal duct is the probable route ...
• [4] Allergic symptoms include clear, watery discharge along with mild redness. Itching, sometimes severe, may or may not occur. With bacterial infections, there is ...
• [7] ICD-10 code H10.23 for Serous conjunctivitis, except viral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa.

Diagnostic Tests for Serous Conjunctivitis (Except Viral)

Serous conjunctivitis, excluding viral causes, can be diagnosed through various tests and examinations. While the exact diagnostic test may vary depending on the individual case, here are some common methods used to diagnose serous conjunctivitis except viral:

• Clinical Examination: A thorough clinical examination by an eye care professional is essential in diagnosing serous conjunctivitis. This includes a detailed history of symptoms, visual acuity testing, and a comprehensive examination of the eyes.
• Conjunctival Scraping or Culture: Conjunctival scrapings or cultures may be performed to rule out bacterial or chlamydial infections. However, these tests are generally not required in patients with mild conjunctivitis of suspected viral, bacterial, or allergic origin [4].
• Allergy Testing: If the diagnosis is unclear, allergy testing may be conducted to determine if the serous discharge is caused by an allergic reaction.
• Imaging Studies: In some cases, imaging studies such as ultrasound or optical coherence tomography (OCT) may be used to rule out other conditions that may cause similar symptoms.

It's essential to note that a comprehensive history and physical examination can guide diagnosis [8]. A thorough evaluation of the patient's symptoms, medical history, and ocular findings is crucial in determining the underlying cause of serous conjunctivitis.

References:

[3] GL MORROW · 1998 · Cited by 176 — Diagnostic Tests. [4] Dec 11, 2022 — DIAGNOSIS. Conjunctival scrapings or cultures (bacterial/viral) are generally not needed except in resistant cases as cases diagnosed clinically ... [8] by S Winters · 2024 · Cited by 1 — A comprehen- sive history and physical examination can guide diagnosis. Viral and allergic conjunctivitis are more common in adults and ...

Based on the provided context, here are some treatment options for serous conjunctivitis (except viral):

• Antibiotics: For bacterial conjunctivitis, antibiotics such as erythromycin ointment and bacitracin-polymyxin B ointment can be used to hasten the resolution of symptoms and microbial eradication [4][5].
• Topical steroids: In cases where there is a poor response after using topicals for 2-3 days, consider resistant bacterial infection or non-infectious cause (viral, allergy). Topical steroids may be used in these cases to reduce inflammation [3].
• Antihistamines and mast cell stabilizers: For allergic conjunctivitis, treatment with antihistamines and mast cell stabilizers can alleviate symptoms [8].

It's worth noting that the American Academy of Ophthalmology recommends against prescribing ophthalmic antibiotics for viral conjunctivitis and deferring immediate ophthalmic antibiotic therapy in cases where the cause of conjunctivitis is unknown [10].

Based on the provided context, here are some possible differential diagnoses for serous conjunctivitis excluding viral:

• Bacterial conjunctivitis: This is a common cause of serous conjunctivitis, especially in children. It can be caused by bacteria such as Staphylococcus aureus or Haemophilus influenzae [3].
• Chlamydial conjunctivitis: This is another type of bacterial conjunctivitis that can cause serous discharge and inflammation of the conjunctiva [4].
• Blepharoconjunctivitis/acne rosacea: This condition can cause serous discharge and inflammation of the eyelids and conjunctiva, often accompanied by acne-like symptoms on the face [14].
• Allergic conjunctivitis: While viral conjunctivitis is more common in children, allergic conjunctivitis can also cause serous discharge and inflammation of the conjunctiva, especially in adults. It's often associated with allergies or irritants such as pollen or dust [15].

It's worth noting that differential diagnosis for serous conjunctivitis can be challenging, and a thorough examination by an eye care professional is necessary to determine the underlying cause.

References: [3] - Context result 3 [4] - Context result 4 [14] - Context result 14 [15] - Context result 15