Comprehensive Ophthalmology, Cornea/External Disease, Neuro-Ophthalmology/Orbit
Chlamydial infections are a leading cause of neonatal conjunctivitis because of the number of infants exposed to Chlamydia during vaginal delivery in infected mothers. The typical picture is a mild, unilateral or bilateral, mucopurulent conjunctivitis, with moderate lid edema and infection. Pneumonitis and otitis media often accompany those ocular findings. Cultures and smears are required to make this diagnosis because it may be impossible to clinically differentiate these conditions from neonatal bacterial conjunctivitis.