Conjunctiva
Chlamydial Conjunctivitis
Also known as: adult inclusion conjunctivitis, chronic follicular conjunctivitis, chlamydia eye
Filed as: Urgent
Source-cited from the record's own evidence list. Clinical content programme led by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom. How the clinical content is governed
Clinical decision support only
OptoGuide™ supports professional judgement and does not diagnose or replace clinician responsibility.
Overview
Chronic or non-resolving follicular conjunctivitis with mucopurulent discharge and poor response to routine topical treatment; requires systemic pathway and partner management.
Recognition
Symptoms: what patients report
- Persistent or recurrent conjunctivitis
- Mucopurulent discharge
- Foreign body sensation
Signs: what the examination shows
- Inferior tarsal follicles
- Diffuse conjunctival hyperaemia
- Possible superior pannus
What OptoGuide™ covers for chlamydial conjunctivitis
- Pattern reasoning: what this combination of findings points to, and its differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
Sources
- Chlamydial conjunctivitis — College of Optometrists Clinical Management Guideline
- Anterior Eye Disease and Therapeutics A-Z (Bruce & Loughnan) — standard reference text
- Eye Infections. Durand ML, Barshak MB, Sobrin L. The New England Journal of Medicine. 2023;389(25):2363-2375.
- Case 14-2023: A 31-Year-Old Man with Redness of the Right Eye. Barshak MB, Dugdale CM, Pineda R. The New England Journal of Medicine. 2023;388(19):1800-1810.
- Does This Patient With Acute Infectious Conjunctivitis Have a Bacterial Infection?: The Rational Clinical Examination Systematic Review. Johnson D, Liu D, Simel D. JAMA. 2022;327(22):2231-2237.
Standard texts: Kanski's Clinical Ophthalmology: A Systematic Approach, The Wills Eye Manual, Oxford Handbook of Ophthalmology, Oxford American Handbook of Ophthalmology, Signs in Ophthalmology: Causes & Differential Diagnosis.