Child health · UKMLA & AKT
Viral conjunctivitis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Watery/serous discharge - key differentiator from bacterial (purulent/sticky) and allergic (no discharge, bilateral itch, seasonal)
- Sequential bilateral spread - one eye first, second eye within 1-4 days
- Preauricular lymphadenopathy - tender palpable node; classic for adenoviral, not seen in bacterial or allergic
- Gritty/foreign body sensation, mild itching, bilateral conjunctival hyperaemia
- Associated URTI symptoms (sore throat, cough, rhinorrhoea) - especially in children
- Visual acuity preserved - any reduction warrants urgent referral
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