See Ophthalmia Neonatorum section for special considerations in neonates.
| Condition | Major Pathogens | First Choice Therapy | Alternative Therapy | Comments |
|---|---|---|---|---|
|
Conjunctivitis This section does not address infectious keratitis associated with contact lens wear (patients with this condition should be managed in consultation with an optometrist or ophthalmologist) |
Often viral Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Staphylococcus aureus |
Supportive care without topical antibiotic therapy is recommended unless bacterial etiology is suspected based on clinical features If suspected bacterial etiology: Trimethoprim-Polymyxin B (Polytrim) 0.1%-10,000 units/ml ophthalmic drops 1-2 drops 4 times daily |
Topical therapy is not necessary if patient is on concurrent systemic therapy with coverage against likely causative organisms |
Commonly caused by viruses, consider supportive treatment such as warm compresses or cold saline drops Duration: 5-7 days |