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What Is Inclusion Conjunctivitis?

Inclusion conjunctivitis is an eye infection caused by certain strains of Chlamydia trachomatis. It produces redness, discharge, and small bumps inside the eyelids. The infection often spreads from genital exposure or during childbirth. Symptoms may develop slowly and persist without treatment. Early diagnosis helps prevent surface scarring and long-term irritation.

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What Is Inclusion Conjunctivitis?

Inclusion conjunctivitis is an eye infection caused by certain strains of Chlamydia trachomatis. It produces redness, discharge, and small bumps inside the eyelids. The infection often spreads from genital exposure or during childbirth. Symptoms may develop slowly and persist without treatment. Early diagnosis helps prevent surface scarring and long-term irritation.

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What Causes Inclusion Conjunctivitis?

The infection begins when chlamydial organisms reach the eye. This can occur through hand-to-eye contact or during delivery in newborns. The bacteria infect the conjunctiva and create a persistent inflammatory response. Adults often have accompanying genital infection. Identifying the source helps guide treatment for both the eye and any related sites.

Symptoms Linked to Inclusion Conjunctivitis

People notice redness that lasts longer than a typical viral infection. Stringy or mucous discharge may appear. The inner eyelid develops small follicles that give it a rough texture. Light sensitivity and tearing can increase as the surface becomes more irritated. Some cases cause mild swelling of lymph nodes near the ear.

How Is Inclusion Conjunctivitis Diagnosed?

Doctors examine the eyelids for follicles and discharge patterns. Swabs may be taken to test for chlamydial DNA. A history of genital symptoms helps uncover linked infections. Newborn cases are identified through exam findings soon after birth. Confirming the organism helps ensure the right medication is used.

How Is Inclusion Conjunctivitis Treated?

Treatment includes systemic antibiotics because topical drops alone are not enough. Eye lubrication helps ease surface discomfort. Partners are usually treated as well to prevent reinfection. Newborns receive oral antibiotics. Follow-up confirms that inflammation resolves fully.

Frequently Asked Questions About Inclusion Conjunctivitis

Is it contagious?

Yes. It spreads through direct contact.

Do eye drops cure it?

No. Oral medication is required.

Can it cause scarring?

Long-lasting inflammation can affect the surface if untreated.

When should I seek care?

Seek care for persistent redness that lasts beyond two weeks.