4. Epidemic Hemorrhagic Conjunctivitis (EHC) - first seen Ghana, 1969, now has been found all over, including Florida. (synonym Acute Hemorrhagic Conjunctivitis)
a. Etiology - Enterovirus 70, and occasionally Coxsackie A24 and Adenovirus 11.
b. Transmission - close person-to-person contact and fomites.
5. Molluscum Contagiosum Blepharoconjunctivitis
a. Etiology - poxvirus (large dsDNA virus) - makes nodule on lid margin, which leads to other symptoms.
b. Signs and symptoms - unilateral chronic conjunctivitis, superior keratitis, and superior pannus caused by toxic effect of cheesy material from nodule.
c. Laboratory diagnosis. Scrapings from nodule show small red elementary bodies and biopsy shows eosinophilic cytoplasmic inclusions that fill the entire cytoplasm of the enlarged cell.
6. Varicella-Zoster Blepharoconjunctivitis
a. Usually papillary conjunctivitis, but occasionally follicles, pseudomembranes, and transitory vesicles that later ulcerate.
7. Measles Keratoconjunctivitis
a. Catarrhal conjunctivitis with mucopurulent discharge. Frequently precedes skin eruption. Photophobia common.
b. Usually self-limited unless there is secondary bacterial infection.