Blepharoconjunctivitis is commonly observed in individuals who suffer from dry skin or seborrheic dermatitis. Secondary bacterial infection occurs often, usually due to skin-flora pathogens such as Staphylococcus aureus or Streptococcus species. Preventive therapy with diluted nonirritating shampoo is often prescribed to clean the skin scabs from the area of the eyelids.
A case of bacterial blepharoconjunctivitis due to Pseudomonas aeruginosa that developed following preventive therapy with iatrogenically contaminated shampoo is presented.
Report of a Case.
—A 48-year-old white man presented to the ophthalmology clinic with symptoms of acute bilateral conjunctivitis of 24 hours' duration. He had suffered from recurrent blepharitis for 2 years for which he was advised to use a dilution of Johnson and Johnson shampoo (1:10 dilution with tap water) every morning, by placing a cotton swab in the diluted shampoo and rubbing both eyelids several times. His medical history was noncontributory. He had prepared the shampoo bottle
Brook I, Hulburd CS. Pseudomonas aeruginosa iatrogenic Blepharoconjunctivitis. Arch Ophthalmol. 1993;111(1):26-27. doi:10.1001/archopht.1993.01090010028018