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April 1983

Acute Conjunctivitis-Reply

Arch Ophthalmol. 1983;101(4):667. doi:10.1001/archopht.1983.01040010667035

In Reply.  —The aim of our study was to determine the possible usefulness of laboratory studies in establishing a presumptive causative diagnosis in conjunctivitis.Only untreated patients with acute conditions (of less than one week's duration) were studied. Chronic conditions, eg, seborrheics, dry-eye states, pemphigoid, and those with obvious inciting pathology eg, trichiasis or foreign bodies, were eliminated due either to duration of disease (the former category) or screening by the referring ophthalmologist (the latter group). With these restrictions, the bulk of the pathologic characteristics in this study of acute conjunctivitis would be expected to be infectious or immunologic in origin.In an attempt to prevent bias, clinical evaluations were performed by two of the authors (S.S. or H.F.) and the laboratory studies were done by the third author (R.N.) separately. Laboratory data were analyzed retrospectively and later correlated independently with recorded clinical impressions.A combination of culture and cytologic

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