Parinaud Oculoglandular Syndrome

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Clinical Presentation

  • Unilateral granulomatous conjunctivitis with follicles and swelling of the submandibular and preauricular lymph nodes, accompanied by a general feeling of illness, possibly chronic fever
  • Usually excellent prognosis


  • Various infectious diseases; most commonly cat scratch disease (Bartonella henselae), tularemia, syphilis, tuberculosis, leprosy, chlamydia
    • Serological testing


  • For Bartonella, antibiotic therapy is controversial
    • Consider Azithromycin 10mg/kg body weight once daily for 5 days (maximum daily dose 500mg)
  • Infectious disease consultation recommended


  • EyeWiki Parinaud Oculoglandular Syndrome
  • The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
  • Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)