Chlamydial Inclusion Conjunctivitis
Overview
Inclusion conjunctivitis is a relatively rare Chlamydial infection that occurs in the young,
sexually active population. It is usually caused by transfer of a genital Chlamydial infection via
the hands to the eyes. Often it is a unilateral condition, but it can also be bilateral. Due to the
fact that the genital symptoms of an infection with Chlamydia trachomatis are very non-specific and
mild, an individual with the infection can carry it for a long time without realizing it. Meanwhile,
the infection is being passed on to sexual partners and can also be transferred to the child of a
pregnant mother (during labor) and to the eyes.
Typically, the eye will appear red with discharge, and feel mildly uncomfortable in cases of
inclusion conjunctivitis. The first course of treatment will likely be an antibiotic because more
often than not, red eyes with discharge are indicators of bacterial conjunctivitis. When the infection
does not resolve, however, doctors will look to a diagnosis of inclusion conjunctivitis, particularly
when it is confirmed by the patient that he/she is sexually active and it is possible that a sexually
transmitted infection could be the culprit.
Signs & Symptoms of Inclusion Conjunctivitis
Inclusion conjunctivitis can affect one eye or both eyes. The affected eye or eyes will be red
and it may also feel as though something is caught up in the eye
(foreign body sensation). Slight stringy,
mucopurulent discharge often accompanies the red eye. Discharge is more noticeable in the morning,
when eyelids often stick together.
Detection & Diagnosis of Inclusion Conjunctivitis
The best thing to do when you have a persistent red eye is to visit your optometrist. He/she will
be able to view the eye under a microscope and differentiate among numerous possible causes. Many of
the causes for red eye are minor and may not even require treatment, but on the other hand, there are
many other causes of red eye that are potentially very serious and may even lead to permanent loss of
vision. Chlamydial inclusion conjunctivitis cannot be definitively diagnosed at an eye examination,
but an optometrist can certainly rule out a number of other possible causes of the red eye.
Once it is determined that a person may have inclusion conjunctivitis, that person will be sent for
testing of STDs (namely Chlamydia, but Gonorrhea often occurs with Chlamydia, so it's best to test
for all STDs).
Inclusion Conjunctivitis Treatment
The treatment for inclusion conjunctivitis is simply to treat the infection systemically. The
antibiotic of choice is azithromycin, which can be prescribed as a single one-time dose.
Prevention of Inclusion Conjunctivitis
The best way to prevent inclusion conjunctivitis is to practice safe sex. If you have been
diagnosed and treated for Chlamydia, it is extremely important that you notify all sexual partners
that may have been infected as well. This will reduce the spread of the infection and decrease your
likelihood of re-infection.
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