The CMGs offer information on the diagnosis and management of a range of conditions that present with varying frequency in primary and first contact care.
Chlamydial conjunctivitis, also known as adult inclusion conjunctivitis, is a form of chronic follicular conjunctivitis caused by the sexually transmitted Chlamydia trachomatis microorganism. Most common among 15 to 35 year olds; and up to 70% of patients may also have a concurrent genital infection of which they may be unaware. This Clinical Management Guideline outlines the aetiology, signs, symptoms and evidence-based recommendations for diagnosing chlamydial conjunctivitis. This includes first aid measures and appropriate referral strategy to manage both ocular and genito-urinary infection.
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What is chlamydial conjunctivitis?
Chlamydia is one of the most common sexually transmitted infections (STIs) in the UK.
In the eyes, chlamydia can cause irritation, pain, swelling and discharge, usually affecting one eye only. Most patients who have chlamydial conjunctivitis will also have a genital infection (of which they may be unaware).
How is chlamydial conjunctivitis managed?
It is important that these patients are referred urgently to the ophthalmologist, who will liaise with the genito-urinary medicine clinic where the patient can have a full STI investigation. Chlamydial infection is usually treated with antibiotics, which can be very effective. Patients’ sexual partners also may need treatment. Most people with chlamydial infection will be cured if they take their antibiotics correctly.
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