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A 6-week-old baby boy with discharge
Digital Journal of Ophthalmology 2011
Volume 17, Number 3
August 15, 2011
DOI: 10.5693/djo.03.2011.07.001
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David G. Cupp, MD | Department of Ophthalmology, Tulane University School of Medicine, New Orleans, Louisiana



Examination
On examination, the pupils were round and reactive to light, the globes were soft by palpation, and extraocular movements were full in both eyes. On pen-light examination, both upper and lower eyelids appeared mildly erythematous with minimal swelling, and a large amount of woody-appearing, thick, mucoid discharge overlying all conjunctival surfaces was present (Figure 1). The underlying conjunctiva appeared white and quiet, and the corneas appeared clear. Dilated fundus examination revealed a cup-to-disc ratio of 0.2 in both eyes. Both discs were pink with sharp edges. The maculae, vessels, and retinal periphery were also normal bilaterally.
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Figure 1
 Thick, woody discharge overlying conjunctiva in both eyes.


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