Improving the Diagnosis, Management, and Treatment of ...
Improving the Diagnosis, Management, and Treatment of
Infectious Conjunctivitis
Paul Karpecki, OD, FAAO September 28, 2010
I have financ ial interes t in ...
Advanced Medical Optics Alcon LabsAllergan I nc Bausch & Lomb I nc Cyanacon Ocusoft CZMEyem aginations Focus Laboratories I nspire Pharm aceuticals I sta Pharm aceuticals LCA V ision Odyssey Medical
O ffice Ma te Optom etric Medical S olutions Pix el Optics R apid Pathogen S creening S cience B ased Health TearLab Topcon TruV ision S ystem s VMax
Evidence Based Goals
? Point-of-care diagnostic tests improve clinical accuracy
? Acute infectious conjunctivitis ? Epidemiology ? Diagnosis ? Treatment
? Misdiagnosis leads to mistreatment
? Morbidity associated with adenoviral conjunctivitis
? Cost effectiveness of diagnostic testing for conjunctivitis
Common POC Tests
Examples of commonly performed office tests Streptococcus A Influenza A/B Mononucleosis
Why Perform POC Tests?
Patients want a definitive diagnosis Rapid results to prevent misdiagnosis and
unnecessary empiric treatments Prevent additional spread of disease
Why Does A Correct Adenoviral Diagnosis Matter?
Reduce spread of disease!
Reduce morbidity!
Reduce costs!
Win-Win-Win Opportunity
Patients Definitive diagnosis Avoid unnecessary treatments and adverse events Contagious precautions to limit disease spread Personal cost savings
Clinicians Reduce clinical diagnostic uncertainty Limit medical-legal risk exposure Best practices ? Limit absenteeism
Society Limit absenteeism to school, work, daycare Reduce costs on revisits, complications
Acute Conjunctivitis
Most common cause of a "red eye" Most often caused by a bacteria, virus or
allergen 95-99% of non-eye doctors prescribe antibiotics
for all cases of conjunctivitis 1-2
In the US, there are approximately 6 million cases of conjunctivitis annually
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