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1. Infective element-lids or lacrimal apparatus
A. Monilia species
B. Morax-Axenfeld diplobacillus (angular conjunctivitis)
*C. Pneumococcus
D. Pubic lice
E. Staphylococcus
F. Streptothrix foersteri
2. Allergic-cosmetic
3. Irritative
A. Associated infections or irritation of lids, lacrimal apparatus, nose, or skin
B. Deficiency of lacrimal secretions
C. Direct irritants-foreign body, mascara, dust, wind, smog, insecticides, chlorinated water, and many others
D. Exposure-ectropion, facial paralysis, exophthalmos, and others
E. Eyestrain
F. Metabolic conditions-gout, alcoholism, or prolonged digestive disturbances
G. Overtreatment by drugs-antibiotics, miotics, mydriatics
Fedukowicz HB. External infections of the eye: bacterial, viral, and mycotic, 3rd ed. New York: Appleton-Century- Crofts, 1984.
Geyer O, et al. Phenylephrine prodrug. Ophthalmology 1991; 98:1483.
Okumoto M, Smolin G. Pneumococcal infections of the eye. Am J Ophthalmol 1974; 77:346-352.
Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.
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