Acute haemorrhagic conjunctivitis in Ghana

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Conjunctiva
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The upper half of a sagittal section through the front of the eyeball. (Label for 'Conjunctiva' visible at center-left.)
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Horizontal section of the eyeball. (Conjunctiva labeled at upper left.)
Details
Artery lacrimal artery, anterior ciliary arteries
Nerve supratrochlear nerve
Anatomical terminology

Acute Haemmorrhagic Conjunctivitis is the inflammation of the conjunctiva [1] of sudden onset. It presents as a reddening of the eye due to the infection of the conjunctiva. The conjunctiva is the thin transparent tissue that covers the eye from the Corneal limbus [2] to the lid margin. Many conditions can lead to the inflammation of the conjunctiva. They include allergies, bacterial infection, viral infection etc. A common form of the condition that occurs every rainy season is the seasonal conjunctivitis popularly referred to as "Apollo" by West Africans because the reports of its first epidemic in Accra coincided with the Apollo 11 Moon landing. [3] Every year prior to the rainy season in the country, various health warnings are given to remind citizens of the condition. [4]

Contents

Signs of the disease

Acute Haemmorrhagic Conjunctivitis is normally recognized by the affected individual upon waking. The eyelids stick together requiring great effort in separating them. Intense whitish mucopurulent discharge is observed throughout the day with the eye having a reddish hue. There is pain which is worse upon looking up or at light. Other symptoms include sore eyes, feeling of grittiness or burning, redness, watery discharge, swelling of eyelids.

Infection rate

AHC has a very fast rate of infection. Upon affecting one eye, the condition is known to infect the other eye in a short while (maximum three days). As an infected person goes around his house or work, the conditions spreads. This is because the things that the individual touches normally become sources of infection. As such it is advised that once infected, the individual should keep a high level of hygiene so that the rate of infection can be regulated. [5]

Effect on the Visual system

Once the infection start, there are a lot of effects that the infected individual would have. They include:

Prognosis

The forecast of the disease in terms of its resolution is very good. Though self limiting the condition can resolve faster if antibiotics are administered onto the eye. Topical doses of most ophthalmic medication are effective in treating the condition.

Public health issue

AHC is of an annual occurrence which affects hundreds of thousands of people in Ghana every year. Because of the ease of spread - from person to person, it requires prompt treatment. This causes a major health challenge to health workers especially ophthalmologist and optometrist as the large number of cases require various treatments tailored to address the condition. Once an individual is affected, he or she is advised to stay away from crowded areas etc. to limit the person to person infection. The temporal change in activities of the infected individual leads to decrease productivity and visual function. The effect of this has a telling implication on both the infected individual and those around him or her. It is for these reasons that the ministry of health of Ghana considers the education and prompt treatment of those with the condition a vital tool in increased productivity across all field of the national development especially prior to the rainy season.

Related Research Articles

<span class="mw-page-title-main">Conjunctivitis</span> Inflammation of the eye

Conjunctivitis, also known as pink eye, is inflammation of the outermost layer of the white part of the eye and the inner surface of the eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may occur. The affected eye may have increased tears or be "stuck shut" in the morning. Swelling of the white part of the eye may also occur. Itching is more common in cases due to allergies. Conjunctivitis can affect one or both eyes.

<span class="mw-page-title-main">Rheum</span> Mucus naturally discharged from eyes, nose, or mouth during sleep

Rheum is a thin mucus naturally discharged from the eyes, nose, or mouth, often during sleep. Rheum dries and gathers as a crust in the corners of the eyes or the mouth, on the eyelids, or under the nose. It is formed by a combination of mucus, nasal mucus, blood cells, skin cells, or dust.

This is a partial list of human eye diseases and disorders.

<span class="mw-page-title-main">Blepharitis</span> Medical condition of the eyelid

Blepharitis, sometimes known as "granulated eyelids," is one of the most common ocular conditions characterized by inflammation, scaling, reddening, and crusting of the eyelid. This condition may also cause swelling, burning, itching, or a grainy sensation when introducing foreign objects or substances to the eye. Although blepharitis by itself is not sight-threatening, it can lead to permanent alterations of the eyelid margin. The primary cause is bacteria and inflammation from congested meibomian oil glands at the base of each eyelash. Other conditions may give rise to blepharitis, whether they be infectious or noninfectious, including, but not limited to, bacterial infections or allergies.

<span class="mw-page-title-main">Dry eye syndrome</span> Medical condition

Dry eye syndrome, also known as keratoconjunctivitis sicca, is the condition of having dry eyes. Symptoms include dryness in the eye, irritation, redness, discharge, blurred vision, and easily fatigued eyes. Symptoms range from mild and occasional to severe and continuous. Dry eye syndrome can lead to blurred vision, instability of the tear film, increased risk of damage to the ocular surface such as scarring of the cornea, and changes in the eye including the neurosensory system.

<span class="mw-page-title-main">Cherry eye</span> Prolapse of the tear gland of the third eyelid in animals

Cherry eye is a disorder of the nictitating membrane (NM), also called the third eyelid, present in the eyes of dogs and cats. Cherry eye is most often seen in young dogs under the age of two. Common misnomers include adenitis, hyperplasia, adenoma of the gland of the third eyelid; however, cherry eye is not caused by hyperplasia, neoplasia, or primary inflammation. In many species, the third eyelid plays an essential role in vision by supplying oxygen and nutrients to the eye via tear production. Normally, the gland can turn inside-out without detachment. Cherry eye results from a defect in the retinaculum which is responsible for anchoring the gland to the periorbita. This defect causes the gland to prolapse and protrude from the eye as a red fleshy mass. Problems arise as sensitive tissue dries out and is subjected to external trauma Exposure of the tissue often results in secondary inflammation, swelling, or infection. If left untreated, this condition can lead to dry eye syndrome and other complications.

<span class="mw-page-title-main">Stye</span> Medical condition

A stye, also known as a hordeolum, is a bacterial infection of an oil gland in the eyelid. This results in a red tender bump at the edge of the eyelid. The outside or the inside of the eyelid can be affected.

<span class="mw-page-title-main">Trachoma</span> Infectious disease that causes a roughening of the inner surface of the eyelids

Trachoma is an infectious disease caused by bacterium Chlamydia trachomatis. The infection causes a roughening of the inner surface of the eyelids. This roughening can lead to pain in the eyes, breakdown of the outer surface or cornea of the eyes, and eventual blindness. Untreated, repeated trachoma infections can result in a form of permanent blindness when the eyelids turn inward.

<span class="mw-page-title-main">Red eye (medicine)</span> Eye that appears red due to illness or injury

A red eye is an eye that appears red due to illness or injury. It is usually injection and prominence of the superficial blood vessels of the conjunctiva, which may be caused by disorders of these or adjacent structures. Conjunctivitis and subconjunctival hemorrhage are two of the less serious but more common causes.

<span class="mw-page-title-main">Allergic conjunctivitis</span> Medical condition

Allergic conjunctivitis (AC) is inflammation of the conjunctiva due to allergy. Although allergens differ among patients, the most common cause is hay fever. Symptoms consist of redness, edema (swelling) of the conjunctiva, itching, and increased lacrimation. If this is combined with rhinitis, the condition is termed allergic rhinoconjunctivitis (ARC).

<span class="mw-page-title-main">Enucleation of the eye</span> Type of ocular surgery

Enucleation is the removal of the eye that leaves the eye muscles and remaining orbital contents intact. This type of ocular surgery is indicated for a number of ocular tumors, in eyes that have sustained severe trauma, and in eyes that are otherwise blind and painful.

<span class="mw-page-title-main">Phlyctenular keratoconjunctivitis</span> Medical condition

Phlyctenular keratoconjunctivitis is an inflammatory syndrome caused by a delayed hypersensitivity reaction to one or more antigens. The triggering antigen is usually a bacterial protein, but may also be a virus, fungus, or nematode.

<span class="mw-page-title-main">Neonatal conjunctivitis</span> Medical condition

Neonatal conjunctivitis is a form of conjunctivitis which affects newborn babies following birth. It is typically due to neonatal bacterial infection, although it can also be non-infectious. Infectious neonatal conjunctivitis is typically contracted during vaginal delivery from exposure to bacteria from the birth canal, most commonly Neisseria gonorrhoeae or Chlamydia trachomatis.

<span class="mw-page-title-main">Corneal ulcers in animals</span> Veterinary inflammatory condition of the cornea

A corneal ulcer, or ulcerative keratitis, is an inflammatory condition of the cornea involving loss of its outer layer. It is very common in dogs and is sometimes seen in cats. In veterinary medicine, the term corneal ulcer is a generic name for any condition involving the loss of the outer layer of the cornea, and as such is used to describe conditions with both inflammatory and traumatic causes.

<span class="mw-page-title-main">Vernal keratoconjunctivitis</span> Medical condition

Vernal keratoconjunctivitis is a recurrent, bilateral, and self-limiting type of conjunctivitis having a periodic seasonal incidence.

<span class="mw-page-title-main">Corneal ulcer</span> Medical condition of the eye

Corneal ulcer, also called keratitis, is an inflammatory or, more seriously, infective condition of the cornea involving disruption of its epithelial layer with involvement of the corneal stroma. It is a common condition in humans particularly in the tropics and in farming. In developing countries, children afflicted by vitamin A deficiency are at high risk for corneal ulcer and may become blind in both eyes persisting throughout life. In ophthalmology, a corneal ulcer usually refers to having an infection, while the term corneal abrasion refers more to a scratch injury.

<span class="mw-page-title-main">Pterygium</span>

Pterygium refers to any wing-like triangular membrane occurring in the neck, eyes, knees, elbows, ankles or digits.

<span class="mw-page-title-main">Herpes simplex keratitis</span> Medical condition

Herpetic simplex keratitis is a form of keratitis caused by recurrent herpes simplex virus (HSV) infection in the cornea.

<span class="mw-page-title-main">Acute hemorrhagic conjunctivitis</span> Medical condition

Acute hemorrhagic conjunctivitis (AHC) is a derivative of the highly contagious conjunctivitis virus, otherwise known as pink eye. Symptoms include excessively red, swollen eyes as well as subconjunctival hemorrhaging. Currently, there is no known treatment and patients are required to merely endure the symptoms while the virus runs its five- to seven-day course. While it was first identified in Ghana, the virus has now been seen in China, India, Egypt, Cuba, Singapore, Taiwan, Japan, Pakistan, Thailand, and the United States.

Exposure keratopathy is medical condition affecting the cornea of eyes. It can lead to corneal ulceration and permanent loss of vision due to corneal opacity.

References

  1. Conjunctiva
  2. Corneal limbus
  3. REISAKU KONO; APOLLO 11 DISEASE OR ACUTE HEMORRHAGIC CONJUNCTIVITIS: A PANDEMIC OF A NEW ENTEROVIRUS INFECTION OF THE EYES, American Journal of Epidemiology, Volume 101, Issue 5, 1 May 1975, Pages 383–390, https://doi.org/10.1093/oxfordjournals.aje.a112106 Archived 2022-04-09 at the Wayback Machine
  4. "Ghana News Agency". Archived from the original on 2011-04-07. Retrieved 2011-04-15.
  5. "Ghanaians warned on Apollo outbreak | General News 2011-04-01". 30 November 2001. Archived from the original on 2012-10-06. Retrieved 2011-04-15.