A female presented with irritation of both eyes. She also complained about collection of diy-white foamy discharge at the angles of the eyes along with redness in the angles. Examination reveals angular conjunctivitis. Causative organism of this condition is:
## **Core Concept**
The condition described is angular conjunctivitis, characterized by inflammation of the conjunctiva specifically at the angles (corners) of the eyes, accompanied by a distinctive dirty-white, foamy discharge. This condition is commonly associated with infections caused by specific types of microorganisms.
## **Why the Correct Answer is Right**
The correct answer, *Moraxella lacunata*, is a type of bacteria that is commonly implicated in angular conjunctivitis. This organism thrives in the moist environment of the eye's angles and can cause the specific symptoms described, including the characteristic foamy discharge. The bacteria can be transmitted through direct contact with contaminated surfaces or hands.
## **Why Each Wrong Option is Incorrect**
* **Option A:** *Staphylococcus aureus* can cause conjunctivitis but is more commonly associated with blepharitis or general conjunctivitis rather than specifically angular conjunctivitis.
* **Option B:** *Chlamydia trachomatis* is a leading cause of inclusion conjunctivitis, which presents differently, often with more systemic symptoms and not specifically limited to the angles of the eyes.
* **Option D:** *Haemophilus influenzae* can cause conjunctivitis, particularly in children, but it is not the most commonly associated organism with angular conjunctivitis.
## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is that angular conjunctivitis is often associated with *Moraxella lacunata* and can be treated with antibiotics. A classic clinical clue is the presence of a dirty-white, foamy discharge at the angles of the eyes, which is somewhat pathognomonic for this condition.
## **Correct Answer:** C. Moraxella lacunata