Ranges from subclinical conjunctivitis to severe disease with superimposed bacterial infection and systemic symptoms.
Can be preceded by prodrome of cough, fever, malaise, myalgias, nausea/vomiting
Worsening foreign body sensation (starts near medial canthus and spreads laterally), followed by:
Lid swelling
Tearing
Itching
Photophobia
Blurred vision
Conjunctival injection
Papillae of inf palpebral conjunctiva
Ipsilateral pre-auricular lymphadenopathy
Slit lamp exam - diffuse, superficial keratitis but no corneal ulceration
Subepithelial infiltrates likely secondary to adenoviral antigens deposited in corneal stroma
These lesions usually regress within 3-6 weeks, but can last for months (and cause vision impairment if within the visual field)
Lid swelling
Tearing
Itching
Photophobia
Blurred vision
Conjunctival injection
Papillae of inf palpebral conjunctiva
Ipsilateral pre-auricular lymphadenopathy
Subepithelial infiltrates likely secondary to adenoviral antigens deposited in corneal stroma
These lesions usually regress within 3-6 weeks, but can last for months (and cause vision impairment if within the visual field)
Epidemic keratoconjunctivitis
Viral conjunctivitis
Caustic keratoconjunctivitis
Gonorrheal conjunctivitis
Herpes zoster ophthalmicus
Allergic conjunctivitis
Herpes simplex keratitis
Chlamydia conjunctivitis