What is the recommended management for Molluscum contagiosum conjunctivitis?

• A. Incision and drainage or observation; will resolve in 6-12 months
• B. Immediate systemic antibiotics
• C. Steroid injections only
• D. Laser therapy mandatory for resolution

Answer: (A)

Molluscum contagiosum conjunctivitis is caused by a poxvirus and typically runs a self-limited course. The best approach is conservative management: observe, since the infection often resolves on its own within about 6 to 12 months, and remove lesions only if there are cosmetic concerns or persistent, bothersome growths. In terms of treatment options, incision and drainage can be used to physically remove visible lesions, which may help reduce spread, but systemic antibiotics are not needed because this is viral, and steroid injections do not treat the infection and can potentially worsen outcomes. Laser therapy is not mandatory and is generally reserved for selected or refractory cases.