Eye

Conjunctiva

Conjunctivitis

Acute hemorrhagic conjunctivitis



Last author update: 1 September 2013
Last staff update: 18 December 2020

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PubMed Search: Acute hemorrhagic conjunctivitis [title]

Deepali Jain, M.D.
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Cite this page: Jain D. Acute hemorrhagic conjunctivitis. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/eyeacutehemorrhagic.html. Accessed December 3rd, 2022.
Terminology
  • Also known as Apollo disease
Epidemiology
  • First described in Ghana in 1969
  • Most common in developing countries, may affect > 50% of local population
Sites
Pathophysiology
  • Epidemic form is rapidly progressive and highly contagious
Etiology
Clinical features
  • Ocular pain, eyelid swelling, tearing, foreign body sensation or irritation, photophobia and conjunctival hemorrhages
  • Associated with polio-like paralysis
Laboratory
  • Eye mucous swab samples
Treatment
  • Symptomatic, usually self-limited after 5 - 7 days with no sequelae
  • Patient education to avoid spread
Clinical images

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Microscopic (histologic) description
  • Palpebral conjunctival follicular reaction
  • Subconjunctival hemorrhage ranging from petechiae to large areas, and congestion
  • Fine pinpoint epithelial keratitis
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