1. Conjunctivitis
Bacterial
Adenoviral
Vernal
Follicular - chlamydia 1

2. Papillae consist of hyperplastic conjunctival tissue full of inflammatory cells, normally seen in the palpebral conjunctiva. Associated with bacterial, and allergic conjunctivitis
Follicles consist of hyperplastic lymphoid tissue & appear as elevated lesions encircled by blood vessels. Typically seen in reaction to topical agents, adenoviral & chlamydial disease 2

3. Allergic Conjunctivitis
SAC / PAC
Acute / Toxic
Allergic Conjunctivitis
Atopic
Vernal

4. Herpes simplex conjunctivitis
Signs
Unilateral eyelid vesicles
Acute follicular conjunctivitis
Treatment
- topical antivirals to prevent keratitis

5. Epislceritis Scleritis Sight threatening disease Ocular emergency
Normally idiopathic
33% of cases – systemic link
Acute onset
Mild ache
Normally unilateral
Can recur
Radial vascular hyperemia
Will ‘bleach’ with 2.5% Phenylephrine Hyd
Sight threatening disease
Ocular emergency
Deep irregular vascular pattern of hyperemia 5

6. Flashes & Floaters
Take a history to determine other causes of floaters e.g. vitreous bleed or inflammation of the eye (cyclitis or posterior uveitis) and rarely asteroid hyalosis.
Examine the patient on the slit lamp for:
 - Tobacco dust in anterior vitreous? (high mag / small slit – ant vitreous)
- Then using a 60D or similar lens through a dilated pupil look for Weis ring (definite signs of posterior vitreous detachment)