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March 1990

Chlamydial Conjunctivitis and Genital Gonorrhea in Pregnancy

Author Affiliations

La Jolla, Calif

Arch Ophthalmol. 1990;108(3):327. doi:10.1001/archopht.1990.01070050025009

Chlamydia trachomatis is a sexually transmitted pathogen that causes conjunctivitis in young, sexually active adults. There is a high incidence (45% to 90% ) of cervical or urethral chlamydia in individuals with adult inclusion conjunctivitis1; however, the incidence of genital gonorrhea in this group is not known. In the genital tract, up to 32% of men and 63% of women with Neisseria gonorrhoeae have coexistent chlamydial infections, and it has been suggested that N gonorrhoeae can activate latent chlamydia.2 We report a case of a pregnant woman with chlamydial conjunctivitis and both chlamydial and gonococcal cervicitis.

Report of a Case.  —A 26-year-old woman, 12 weeks pregnant and a soft contact lens wearer, presented with a 3-month history of redness, irritation, and mucous discharge of her eyes. Best corrected visual acuity was 20/15 OU. Slit-lamp examination showed follicular response of 3+ in the lower palpebral conjunctiva of both eyes. Micropannus