Viral Infection of the Eyes

NAME: JEAN CLARK PHOBE L. RAZO

SECTION: BSN 1- SILVER
Hemorrhagic Conjunctivitis

 Isa derivative of the highly contagious

conjunctivitis virus, also known as pink eye and is
characterized by sudden onset of painful, swollen,
red eyes, with conjunctival hemorrhaging and
excessive tearing
System Involved

It is involved to our sensory system

Pathogen:

usually caused by the picornaviruses,

especially enterovirus 70 and coxsackievirus
A24
Reservoir & Mode of Transmission:

 Most viruses that cause conjunctivitis spread

through hand-to-eye contact by hands or objects
that are contaminated with the infectious virus.
Having contact with infectious tears, eye discharge,
fecal matter, or respiratory discharges can
contaminate hands.
Signs and Symptoms:

 When infected with AHC, patients will experience:

• Painful
• Red eyes
• Swelling of the conjunctival tissue
• frequent mucus discharge from the eyes accompanied by excessive tearing and
subconjunctival hemorrhaging.
Laboratory Diagnosis

 A rapidimmunodetection assay is often used to

confirm the diagnosis, and PCR can be used to
determine the serotype.
Patient Care/Nursing Considerations:

• Apply warm and cold water

• Avoid sharing of washcloths and towels.
• Cleaning of the eyelids with wet cloth will keep the
surrounding of the eyes clean and it can also
promote comfort.
Adenoviral Conjunctivitis

 Adenoviral conjunctivitis (Ad-CS), also known as “pink

eye,” is one of the most common eye infections
worldwide. Ad-CS is highly symptomatic, causing
discomfort, tearing, lid swelling, photophobia, and
decreased vision.
System involved:

 This is also involved the sensory system

Pathogen:

 Viralconjunctivitis is a highly contagious acute

conjunctival infection usually caused by an
adenovirus
Reservoir & Mode of Transmission:

 The virus can spread through contact with droplets

from the nose and throat of an infected person
(e.g., during coughing or sneezing) or by touching
hands, an object, or surface with the virus on it and
then touching the mouth, nose, or eyes before hand
washing
Signs & Symptoms:

 When infected with Adenoviral Conjunctivitis, patients will experience:

• "Red eye" noted by the patient
• watery during the day and crusting noted in the mornings
• swollen lids
• patient noticed in one eye first, perhaps with later spread to the opposite eye
• in pharyngoconjunctival fever—sore throat, fever, and headache may be present
Laboratory Diagnosis:

 Adenovirus infections can be identified using

antigen detection, polymerase chain reaction
(PCR), virus isolation, and serology.
Patient Care/Nursing Considerations:

• usually supportive
• cool compress and artificial tears for comfort several times a day
• prevent contagious spread (including washing sheets and pillowcases,
handwashing, and cleaning of instrumentation in the physician’s office).
Temporary leave of absence should be considered for patients who work with the
public who have active infection.
• NO antibiotic or antiviral drops are routinely used. In cases where bacterial co- or
super- infection is suspect, antibiotic drops may be indicated. There are no
antiviral drugs approved for adenoviral conjunctivitis
• in EKC only: pseudomembranes should be manually peeled every 2-3days.
Topical corticosteroids may be needed (i.e. prednisolone acetate, 0.125%, q.i.d.)
to prevent scarring