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👁 “Acute Hemorrhagic Conjunctivitis (AHC) – Apollo Eye Disease”

AHC, also known as Apollo eye disease, is an extremely contagious viral conjunctivitis,
primarily caused by enterovirus 70 (EV70) and coxsackievirus A24 (CA24).
It presents rapidly with subconjunctival hemorrhage, follicular reaction, and bilateral progression.


🧠 Summary Table for AHC

FeatureDescription
Common Name Apollo eye disease
Causative Viruses Enterovirus 70, Coxsackie A24
Transmission Direct contact with discharge
or fomites like towels, hands  
Incubation Period 18–36 hours
Key Signs  
Follicles, subconjunctival hemorrhage  
– Preauricular lymphadenopathy (60%)  
– Tearing, sticky eyelids, purulent discharge  
Progression  
– Starts unilateral, progresses to both eyes  
Highly contagious, outbreaks common  
Course & Recovery  
Self-limited, resolves in 1–2 weeks  
– Treatment is supportive (cold compress, hygiene)  
– Antibiotics typically not helpful  

Clinical Tip
– Red eyes + subconjunctival hemorrhage + sticky eyelids = suspect AHC
– Emphasize hygiene, isolation, and contact precautions
– Prevent outbreaks in schools/workplaces

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