Delhi Journal of Ophthalmology

Actinomycosis: A Cause of Chronic Conjunctivitis Often Overlooked

Rita Aggarwal1, Yamini Sahu1, Ritika Aggarwal1, Pooja Gupta1, Rajni Gaind2, Dabet Rynga2, Anupam Kumar Anveshi2
1Department of Ophthalmology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
2Department of Microbiology , Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Rita Aggarwal 
MS
Department of Ophthalmology
Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi-110029, 
India
Email id: rita.ophthal@gmail.com


Published Online: 31-JAN-2019
DOI: http://dx.doi.org/10.7869/djo.431

Abstract
Chronic conjunctivitis is a common ocular disease routinely responding to antibiotic therapy. In patients presenting with chronic conjunctivitis who do not respond to treatment, Actinomycosis should be kept in mind. We are reporting two cases who presented to us with chronic conjunctivitis that did not respond to various topical antibiotic drops  for a long time. One of them had associated canaliculitis while the other presented with small concretions in lower fornix. Both of them were  positive for Actinomycosis and responded to topical cefazoline eye drops. This highlights the importance of Actinomyces infection in patients of chronic conjunctivitis not responding to routine antibiotic therapy.

Keywords :Actinomycosis, Chronic conjunctivitis, Canaliculitis, Concretions