Adult inclusion conjunctivitis testing may show fluorescein staining with which finding?

Adult inclusion conjunctivitis testing may show fluorescein staining with which finding?

• A. Positive NaFl with SEIs
• B. Negative NaFl with SEIs
• C. Positive NaFl without SEIs
• D. Negative NaFl without SEIs

Answer: (A)

Fluorescein staining patterns reflect epithelial integrity on the surface. In adult inclusion conjunctivitis, the conjunctival surface often shows superficial epithelial infiltrates (SEIs) in the superior region, and these areas are associated with mild epithelial disruption. That disruption takes up fluorescein, so you see positive staining at the sites of SEIs. Therefore, finding both positive sodium fluorescein staining and SEIs is the classic combination for this condition. If there were staining without SEIs, or SEIs without staining, the finding would be less typical for adult inclusion conjunctivitis.

Fluorescein staining patterns reflect epithelial integrity on the surface. In adult inclusion conjunctivitis, the conjunctival surface often shows superficial epithelial infiltrates (SEIs) in the superior region, and these areas are associated with mild epithelial disruption. That disruption takes up fluorescein, so you see positive staining at the sites of SEIs. Therefore, finding both positive sodium fluorescein staining and SEIs is the classic combination for this condition. If there were staining without SEIs, or SEIs without staining, the finding would be less typical for adult inclusion conjunctivitis.