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Lacrimal conjunctivitis.

O P van Bijsterveld1, N Klaassen-Broekema

  • 1F.C. Donders Instituut, Academisch Ziekenhuis, Utrecht, The Netherlands.

Bulletin De La Societe Belge D'Ophtalmologie
|January 1, 1990
PubMed
Summary
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Infectious diseases of the conjunctiva and cornea.

Current opinion in ophthalmology·1996

Pneumococcal serpiginous corneal ulcers are not seen in acute conjunctivitis. However, chronic dacryocystitis can lead to these ulcers due to virulent strains infecting the lacrimal sac.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Pneumococcal conjunctivitis is common, but corneal ulcers are rare in acute cases.
  • Pneumococcal infections can affect various parts of the eye, including the cornea and lacrimal system.

Purpose of the Study:

  • To investigate the association between pneumococcal infections and serpiginous corneal ulcers.
  • To explore the role of chronic dacryocystitis in the development of pneumococcal corneal ulcers.

Main Methods:

  • Case review and literature analysis.
  • Microbiological analysis of lacrimal sac and corneal samples.
  • Serotyping of Streptococcus pneumoniae isolates.

Main Results:

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  • Serpiginous corneal ulcers associated with Streptococcus pneumoniae were not observed during acute conjunctivitis.
  • A significant association was found between chronic pneumococcal dacryocystitis and the development of pneumococcal serpiginous corneal ulcers.
  • Virulent pneumococcal serotypes demonstrated an affinity for colonizing and infecting the lacrimal sac.
  • Conclusions:

    • Acute pneumococcal conjunctivitis does not typically lead to serpiginous corneal ulcers.
    • Chronic pneumococcal dacryocystitis is a significant risk factor for developing pneumococcal serpiginous corneal ulcers.
    • The predilection of certain virulent pneumococcal strains for the lacrimal sac explains this association.