Epidemic Keratoconjunctivitis (EKC)

Epidemic Keratoconjunctivitis (EKC)
		SYMPTOMS	Tearing \| Itch \| Discomfort \| Blurry vision
		SIGNS	Pseudomembrane \| Subepithelial infiltrates (SEIs) \| Conjunctival injection \| Follicles \| Chemosis \|Tearing \| Preauricular lymphadenopathy
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT
			Observation \| Preservative-free artificial tears \| Cool compresses
			Topical steroids: Pred Forte 1% 1 gtt OU qid x 1 wk \| Lotemax 1 gtt OU qid x 1 wk
			If a pseudomembrane is present peel with a cotton-tip applicator or smooth forceps \| Consider the use of a betadine (povidone-iodine) wash in early EKC
		FOLLOW-UP	1 week during treatment
		ADDITIONAL LAB \| TESTS	The AdenoPlus test can be used to identify adenovirus infections
		ETIOLOGY	Usually adenovirus
		DIFFERENTIAL DX	Allergic conjunctivitis \| VKC \| Dry eye syndrome
NOTES	Ask about recent upper respiratory infections or illnesses \| EKC is usually self-limited \| Patients should take extra care of exposure and hygiene due to the contagious nature of EKC.