<prompt> Ropy discharge is seen in:Conjunctival conjunctivitisBacterial conjunctivitisFungal conjunctivitisVeneral conjunctivitis  <response>: Ans. d Veneral conjunctivitisRef: A.K. Khurana 6th ed. 79-80Trachoma: is a chronic keratoconjunctivitis, primarily affecting the superficial epithelium of conjunctiva and cornea simultaneously. It is one of the leading causes of preventable blindness in the world.Etiology Causative organism: caused by Chlamydia trachomatis. The organism is epitheliotropic and produces intracytoplasmic inclusion bodies called H.P. bodies. There are 11 identified serotypes of Chlamydia: A,B, Ba, C,D,E,F,G,H,J and K Serotypes A, B, Ba and C are associated with hyperendemic blinding trachoma Serotypes D-K are associated with paratrachoma.OPHTHALMIA NEONATORUM Bilateral inflammation of the conjunctiva occurring in an infant, less than 30 days old.Source and Mode of Infection Before birth: very rare; through infected amniotic fluid in case of ruptured membranes. During Birth: most common mode of infection; from infected birth canal when the child is born with face presentation or with forceps. After birth: Infection during first bath of newborn or from infected clothes or hands.Causative Agents Chemical conjunctivitis: silver nitrate or antibiotics used for prophylaxis. Gonococcal infection Neonatal inclusion conjuncitivitis caused by serotypesD to K of Chlamydia trachomatis is the commonest cause of ophthalmia neonatorum. 