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Last updated: October 23, 2025View editorial policy

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Differential Diagnosis for Green Yellow Eye Discharge in Infant

Single Most Likely Diagnosis

  • Nasolacrimal Duct Obstruction (NLDO): This condition is common in infants and can cause a green or yellow eye discharge due to the accumulation of bacteria in the tears. The blockage prevents the normal drainage of tears, leading to infection and discharge.

Other Likely Diagnoses

  • Conjunctivitis: This can be caused by bacteria (such as Gonococcus or Chlamydia), viruses, or allergens. Bacterial conjunctivitis often presents with a purulent discharge that can be green or yellow.
  • Blepharitis: Inflammation of the eyelids can cause discharge and may be associated with conditions like seborrheic dermatitis or rosacea in infants.
  • Keratoconjunctivitis: Inflammation of the cornea and conjunctiva can be caused by various factors, including infection, and may present with discharge.

Do Not Miss Diagnoses

  • Gonococcal Conjunctivitis: Although less common, this condition is serious and can lead to corneal perforation and blindness if not treated promptly. It is particularly concerning in newborns who may have acquired the infection from their mother during birth.
  • Chlamydial Conjunctivitis: Similar to gonococcal conjunctivitis, chlamydial infection can have serious consequences if not treated, including the development of pneumonia.
  • Herpes Simplex Virus (HSV) Keratoconjunctivitis: HSV infection can cause severe ocular and systemic disease in infants, making prompt diagnosis and treatment crucial.

Rare Diagnoses

  • Leukocoria-associated Conditions: Although not typically presenting with discharge, conditions like retinoblastoma can cause a white pupillary reflex and should be considered in the differential diagnosis of any infant with unusual eye symptoms.
  • Congenital Glaucoma: This condition can cause tearing, redness, and discharge due to increased intraocular pressure, though it is less common and the discharge may not typically be described as green or yellow.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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