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An Update on Viral Conjunctivitis Treatment Strategies: A Narrative Literature Review
Maheshver Shunmugam1, Francesca Giovannetti2, Sonia N Yeung1
1Department of Ophthalmology and Visual Sciences, University of British Columbia, 2550 Willow Street, Vancouver, BC V5Z 3N9, Canada.
Microorganisms
|August 28, 2025
Summary
Viral conjunctivitis management benefits from supportive care, hygiene, and specific treatments like povidone-iodine and topical steroids. Multimodal approaches show promise for reducing symptoms and complications like subepithelial infiltrates.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- Viral conjunctivitis is a contagious eye condition impacting quality of life and healthcare.
- High transmissibility, prolonged symptoms, and complications like subepithelial infiltrates (SEIs) pose public health challenges.
Purpose of the Study:
- To review and evaluate current management strategies for adenoviral conjunctivitis.
- To establish an evidence-based treatment framework for viral conjunctivitis.
Main Methods:
- Systematic literature search of PubMed and Cochrane Library (2009-2024).
- Included 25 studies on interventions: supportive care, antiseptics, corticosteroids, antivirals, and immune modulators.
Main Results:
- Supportive therapy and hygiene are crucial.
- Povidone-iodine and topical steroids reduce symptom duration and complications.
- Combination therapies show promise for severe cases with SEIs.
Conclusions:
- An evidence-based, multimodal management algorithm is proposed.
- Further research is needed for antiviral development and diagnostic innovation.
- Aims to prevent mistreatment and unnecessary antibiotic use.
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