In Adenoviral Conjunctivitis, what treatment is used when presenting within the first 3 days?

• A. 5% Betadine wash with Loteprednol 0.5% four times daily, PFATs, and cool compresses
• B. Oral antibiotics only
• C. Topical steroids alone
• D. Observation without treatment

Answer: (A)

Early management of adenoviral conjunctivitis aims to reduce the viral load and control inflammation to shorten illness and limit contagiousness. Using a 5% povidone-iodine wash within the first 3 days decreases viral particles on the ocular surface, which helps reduce spread and duration. Pairing this antiseptic approach with Loteprednol 0.5% four times daily provides anti-inflammatory relief with a steroid that has a relatively safer short-term profile. Adding preservative-free artificial tears and cool compresses further improves comfort and tear stability. This combination targets both the infectious agent and the inflammatory response, whereas antibiotics won’t treat a viral infection, steroids alone risk prolonging viral shedding, and observation misses an opportunity to lessen symptoms and transmission.