Comprehensive Ophthalmology, Cornea/External Disease, Neuro-Ophthalmology/Orbit
The infant with gonococcal conjunctivitis presents with swollen lids, heavy purulent exudate, “beefy-red” conjunctiva, and conjunctival edema. The gonococcal organism can penetrate the intact corneal epithelium, producing corneal ulceration and perforation if treatment is delayed. When gonococcal conjunctivitis is suspected, referral to an ophthalmologist is urgent. A combination of local and systemic therapy will be necessary.