The primary risk factor is active maternal chlamydia, especially with vaginal delivery.
Neonatal ocular prophylaxis does not prevent.
Signs and symptoms of conjunctivitis occur during the first 30 days after delivery.
Clinical findings:
(1) conjunctival erythema
(2) mucoid or purulent discharge
(3) ocular edema and/or chemosis
(4) pseudomembrane formation
Some patients will also develop a chlamydial pneumonia.
Diagnosis is made by identifying the organism with a molecular method most sensitive.
Therapy should be provided for the neonate, mother and all of her sexual contacts.
