Which of the following best describes the testing findings for Adenoviral Conjunctivitis?

• A. Fluorescein staining with +/- SPK, lid eversion with follicles, PAL assessment positive, and AdenoPlus positive
• B. Bacterial culture positive
• C. Intraocular pressure measurement within normal limits
• D. Hypopyon on slit-lamp examination

Answer: (A)

Adenoviral conjunctivitis typically presents with a follicular conjunctival reaction on the palpebral conjunctiva, punctate keratitis visible with fluorescein staining, and a positive rapid viral test (AdenoPlus). The described findings—fluorescein staining showing SPK, lid eversion revealing follicles, a positive PAL assessment, and AdenoPlus positive—fit this presentation and provide concrete evidence of a viral etiology.

Bacterial culture positivity would point to bacterial conjunctivitis rather than viral, making it less consistent with this scenario. Intraocular pressure being normal is common in many eye conditions and doesn’t confirm adenoviral infection. Hypopyon is not a feature of typical adenoviral conjunctivitis and would suggest a more severe intraocular inflammatory process.