How should chronic conjunctivitis be treated?

Written by Peng Xi Feng
Ophthalmology
Updated on March 28, 2025
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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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Ophthalmology
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How is conjunctivitis transmitted?

Conjunctivitis is one of the most common diseases in ophthalmology. Its causes can be divided into microbial and non-microbial categories. It is mainly transmitted through contact, so it is necessary to pay strict attention to personal and public hygiene. It is advised to frequently wash hands and face, and to avoid wiping eyes with hands or sleeves. Patients in the acute phase need to be isolated to prevent transmission and avoid outbreaks. Strict disinfection of the patient's used face washing implements, towels, and contacted items is also necessary.

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Written by Peng Xi Feng
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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Written by Zheng Xin
Ophthalmology
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What to do with acute conjunctivitis?

Acute conjunctivitis is the acute inflammatory response of the conjunctiva, primarily caused by bacterial infection. The main treatment is the local use of antibacterials, such as tobramycin eye drops, ofloxacin eye drops, or chloramphenicol eye drops. Simultaneously with antibacterial treatment, it is necessary to practice frequent hand washing, avoid rubbing the eyes, wash the face with running water, and keep items like towels and handkerchiefs separate from others and frequently disinfected. During acute conjunctivitis, it is important to avoid contact with others, as it can be contagious through contact.

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Written by Peng Xi Feng
Ophthalmology
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How many days can conjunctivitis heal?

Conjunctivitis can be categorized by the speed of onset into hyperacute, subacute, acute, and chronic types. It can also be classified by severity into mild, moderate, and severe. Acute conjunctivitis usually is self-limiting, with the condition lasting about two weeks. Effective localized treatment and administration of sensitive antibiotics can lead to recovery within a few days. In contrast, chronic conjunctivitis is not self-limiting and is more challenging to treat.

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Written by Peng Xi Feng
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How long does it take for conjunctivitis to heal?

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.