What are the typical signs of adenoviral conjunctivitis (pink eye)?

Updated: Mar 24, 2020
  • Author: Ingrid U Scott, MD, MPH; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Typical signs of adenoviral conjunctivitis include preauricular adenopathy, epiphora, hyperemia, chemosis, subconjunctival hemorrhage, follicular conjunctival reaction, and occasionally a pseudomembranous or cicatricial conjunctival reaction. The cornea often demonstrates a punctate epitheliopathy, sometimes followed by diffuse subepithelial infiltrates, which generally occur 7-14 days after the onset of symptoms. The eyelids often are edematous and ecchymotic. In severe cases, there can be a corneal epithelial defect. The entire process typically begins in one eye and progresses to the fellow eye over a few days, albeit with less severity in the non-index eye.


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