What are the ocular and periocular symptoms of gonorrhea?

Updated: Sep 07, 2018
  • Author: Brian Wong, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Ocular and periocular manifestations of gonorrhea include the following:

  • Anterior chamber - Cellular reaction, hypopyon, endophthalmitis

  • Conjunctiva - Chemosis, acute purulent exudate, hemorrhages (see the image below)

    This patient presented with gonococcal urethritis, This patient presented with gonococcal urethritis, which became systemically disseminated, leading to gonococcal conjunctivitis of the right eye. Courtesy of the CDC/Joe Miller, VD.
  • Cornea - Punctate epithelial keratitis; marginal, sterile stromal infiltrates; epithelial defects; infectious stromal infiltrates; stromal ulcerations; descemetocele; perforation; opacification

  • Lids - Erythema, edema


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