Does conjunctivitis require infusion?

Written by Peng Xi Feng
Ophthalmology
Updated on September 16, 2024
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Generally, conjunctivitis does not require intravenous treatment. Treatment primarily focuses on targeting the cause and applying local medications, with systemic medication used when necessary. During the acute phase, it is crucial to avoid bandaging the affected eye. The most basic method of administering medication for conjunctivitis is through eye drops, along with the application of eye ointment before sleep. When there is substantial secretion in the conjunctival sac, it needs to be flushed. In severe cases of conjunctivitis, such as gonococcal conjunctivitis, systemic antibiotics are required in addition to local medications.

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Ophthalmology
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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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Ophthalmology
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Conjunctivitis and Keratitis Differences

Under normal circumstances, bacteria can reside in the conjunctival sac. Infection can occur when the pathogenicity of infecting bacteria is stronger than the host's defense capabilities, or when the host's defense capabilities are compromised. Patients with varying degrees of conjunctival hyperemia and purulent, mucoid, or mucopurulent secretions in the conjunctival sac should be suspected of bacterial conjunctivitis. Keratitis refers to the condition where the cornea's defense capabilities are reduced, and inflammation of the corneal tissue occurs due to external or endogenous pathogenic factors invading the cornea.

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Ophthalmology
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Acute conjunctivitis etiology

Acute conjunctivitis, also known as acute catarrhal conjunctivitis and commonly referred to as pink eye, is highly contagious. It is most often seen in the spring and autumn seasons. The infection can occur sporadically or can spread in community settings such as schools and factories. The onset of the disease is sudden, with an incubation period of one to three days. Both eyes may be affected simultaneously or one to two days apart. The inflammation is most severe three to four days after onset and then gradually lessens, with the course of the disease generally lasting less than three weeks. The most common pathogens are Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenzae. The pathogens can vary with the seasons; studies indicate that infections in the winter are mainly caused by Streptococcus pneumoniae, while Haemophilus influenzae conjunctivitis is more common in the spring and summer.

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Ophthalmology
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Precautions for Conjunctivitis

For conjunctivitis, strict attention must be paid to personal and public hygiene. Second, patients in the acute phase need to be isolated to avoid contagion and prevent an epidemic. Third, strict disinfection is required for face-washing items, towels, and medical instruments that have been used by the patient. Fourth, medical staff must wash and disinfect their hands after contact with patients to prevent cross-infection. Fifth, newborns should routinely be given antibiotic eye drops immediately after birth.

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Can conjunctivitis heal on its own?

Conjunctivitis can be classified as hyperacute, acute or subacute, and chronic, based on the speed of onset. Based on the severity of the condition, it can be categorized as mild, moderate, or severe. Acute conjunctivitis is usually self-limiting, with a duration of 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.