How long does it take for conjunctivitis to heal?

Written by Peng Xi Feng
Ophthalmology
Updated on September 13, 2024
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Conjunctivitis can be categorized by the speed of onset into hyperacute, acute or subacute, and chronic. Depending on the severity of the condition, it can be classified as mild, moderate, or severe. Acute conjunctivitis is usually self-limiting, with the condition lasting about two weeks. After treatment with sensitive antibiotics, recovery can occur within a few days. Chronic conjunctivitis is not self-limiting and is more challenging to treat.

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Does conjunctivitis require an IV drip?

Conjunctivitis generally does not require intravenous treatment; it is mainly treated according to the cause, with local administration of medication being the primary approach. Systemic medication may be required when necessary. Eye drops are the most basic method of administering medication for conjunctivitis. Eye ointment can also be applied to the eyes; since it remains in the conjunctival sac for a longer duration, it is advisable to use it before bedtime. When there is a lot of secretion in the conjunctival sac, a non-irritating rinse solution can be used to wash the conjunctival sac. In severe cases of conjunctivitis, such as gonococcal conjunctivitis and chlamydial conjunctivitis, systemic antibiotics or sulfa drugs are needed in addition to local treatment.

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Can you take a bath with conjunctivitis?

Patients with conjunctivitis can bathe, but should strictly pay attention to personal and collective hygiene, advocate frequent handwashing and face washing, and avoid wiping eyes with hands or sleeves. Do not share a towel with others. Patients in the acute phase need to be isolated to prevent transmission and curb the epidemic. When one eye is infected, precautions should be taken to prevent the other eye from being infected.

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What are the symptoms of conjunctivitis?

According to the onset speed of conjunctivitis, it can be divided into hyperacute conjunctivitis, acute or subacute conjunctivitis, and chronic conjunctivitis. The symptoms of conjunctivitis mainly include foreign body sensation, burning sensation, itching eyes, photophobia, tearing, and significant signs include conjunctival congestion, edema, increased secretions, papillary hyperplasia, follicles, pseudomembranes and true membranes, granuloma, and so on.

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How should chronic conjunctivitis be treated?

Chronic conjunctivitis is a chronic inflammation of the conjunctiva caused by various reasons, with complex etiology, mainly manifested as mild conjunctival congestion and a small amount of mucous secretion, often affecting both eyes. Chronic conjunctivitis is not self-limiting and can be difficult to treat. Treatment is targeted based on different causative factors, along with the appropriate use of antibiotic eye drops and ointments. In cases of chronic staphylococcal conjunctivitis, erythromycin responds quite well, while a broad-spectrum antibiotic eye drop, aminoglycoside eye drops, or ointments may be chosen for other bacterial causes. For cases where the above medications are ineffective, a conjunctival scraping can be performed for bacterial culture and sensitivity testing, and the medication can be adjusted based on the results.

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Does conjunctivitis require isolation?

Infectious conjunctivitis can lead to epidemic infection, therefore it is essential to take preventive measures. Conjunctivitis is often spread through contact, thus it is advocated to frequently wash hands and faces, and avoid wiping eyes with hands or sleeves. Patients with infectious conjunctivitis must be isolated, and any toiletries used by the patients must be isolated and disinfected. Medical staff should also wash and disinfect their hands after examining patients to prevent cross-infection.