Ophthalmia neonatorum

Dr. Iddi Ndyabawe

Ophthalmia neonatorum is a bilateral conjunctival inflammation occurring in infants under 30 days old, often resulting from perinatal exposure to infectious agents. The document outlines the modes of transmission—prenatal, intrapartum, and postnatal—and details the common causative organisms, including gonococcus, Chlamydia trachomatis, Staphylococcus aureus, and herpes simplex virus. Clinical features such as discharge type, lid swelling, and potential corneal involvement are described, along with possible complications like corneal ulceration. Prophylactic measures spanning antenatal, natal, and postnatal care are emphasized, followed by specific curative treatment regimens for different pathogens. The guide also provides dosing recommendations for topical and systemic antibiotics and antivirals.