Beware the warning signs of 'typical' viral conjunctivitis

There are some ominous symptoms that warrant further review

Rod, a 35-year-old man, presents with a three-day history of bilateral red eyes, with associated discomfort and watery discharge.

sore eyes

Symptoms in the right eye started two days before the left. He has no significant medical history or previous eye problems.

On examination, his acuity was 6/9 bilaterally. He had bilateral conjunctivitis (see figure 1, a, b and c) and his corneas were clear. He had tender pre-auricular lymphadenopathy, but your initial impression is acute viral conjunctivitis.