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Neonate with Red Eye
- Crusty Eye – Not Red
- Dacryostenosis - nasolacrimal duct obstruction
- It is the most common cause of tearing in childhood.
- No photophobia, corneal is normal
- Tx = Warm compresses and gentle massage
- Purulent Conjunctivitis - Ophthalmia neonatorum
- Chemical (due to prophylactic eye drops) - day 1
- Gonorrhea –
- Presents early on (day 2-5)
- OCULAR EMERGENCY – may cause globe perforation
- Associated Systemic Infection - meningitis
- Ceftriaxone (25-50mg/kg) – Treat until Cx’s return.
- Chlamydia –
- Longer incubation period (day 5-14)
- Causes Eyelid Scarring leading to blindness
- Associated Systemic Infection – Pulmonary
- Ceftriaxone (25-50mg/kg) + Topical Erythromycin
- If Culture +, then PO erythromycin to prevent late onset pneumonitis.