Ophthalmologic Manifestations of Chlamydia Workup

Updated: Oct 04, 2018
  • Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Workup

Laboratory Studies

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  • Diagnosis of chlamydial eye infection is based on clinical appearance and laboratory tests.

  • Giemsa staining: Basophilic intracytoplasmic epithelial inclusion bodies are seen with Giemsa staining of conjunctival scrapings.

  • Chlamydial cultures of conjunctiva

  • Direct immunofluorescent (DFA) staining of the conjunctival scrapings is also useful (Syva MicroTrak).

  • Enzyme-linked immunosorbent assay [5]

    • MicroTrak (Syva Company)

    • Chlamydiazyme (Abbott Laboratories)

    • EIA (Pharmacia)

    • Kodak SureCell Chlamydia Test Kit (Kodak)

  • Serum immunoglobulin G (IgG) titers to Chlamydia species may be obtained.

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Other Tests

Complete sexually transmitted disease workup of patient and partners is indicated.

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Histologic Findings

Basophilic intracytoplasmic epithelial inclusion bodies are seen with Giemsa staining of conjunctival scrapings.

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