The difference between conjunctivitis and keratitis.

Written by Peng Xi Feng
Ophthalmology
Updated on September 22, 2024
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Conjunctivitis, also known as acute or subacute conjunctivitis, and keratitis are among the most common diseases of the ocular surface, but they are different. Firstly, the locations of the cornea and conjunctiva are different. The cornea is a transparent, avascular tissue through which light enters the eye, allowing people to see. The conjunctiva is divided into the bulbar conjunctiva and the palpebral conjunctiva. Inflammation occurring on the cornea is called keratitis, while inflammation on the conjunctiva is referred to as conjunctivitis. Symptoms of conjunctivitis include congestion, foreign body sensation, photophobia, and tearing, among others. The symptoms of keratitis include a significant foreign body sensation, distinct pain, often affecting vision, and accompanied by photophobia.

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Itchy eye corners conjunctivitis or keratitis

Itchy inner corners of the eyes are generally caused by medial or lateral canthal inflammation, mainly due to allergies or allergic rhinitis, or physical and chemical irritants. It is not conjunctivitis or keratitis. Conjunctivitis is characterized by the whitening of the eyeball turning red, photophobia, tearing, increased secretion, foreign body sensation, and burning sensation; Keratitis involves diseases of the pupil, primarily based on conjunctivitis but with more pronounced photophobia, mainly affecting vision severely. If keratitis is not treated actively, it can lead to a severe decline in vision, even blindness. Therefore, for these conditions, it is advised to first visit an ophthalmology outpatient clinic for a thorough examination and active treatment.

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The difference between conjunctivitis and keratitis.

Eye membrane inflammation generally refers to the whites of the eyes, which is conjunctivitis, while corneal inflammation refers to the black part of the eyes. Both conjunctivitis and corneal inflammation should be actively treated. The symptoms of conjunctivitis include red eyes, swelling, pain, tearing, photophobia, increased secretion, foreign body sensation, and burning sensation, generally not affecting vision. In addition to the above symptoms, corneal inflammation has more pronounced symptoms of corneal irritation, such as increased sensitivity to light and more severe tearing. If corneal inflammation is not actively treated, it may later lead to thinning of the cornea, spots, and opacities, severely affecting vision. If not treated properly, corneal ulcers can perforate, leading to complete loss of vision, or blindness.

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Is it normal for keratitis to occur every year?

Keratitis is a common ophthalmic disease, occurring as an infection in the black eyeball area of the eye. Recurrent viral keratitis is a normal phenomenon, as the virus can remain dormant within the corneal nerve fibers even after recovery. Triggers such as fatigue, colds, or weakened immunity can cause the virus to replicate again, leading to a recurrence of keratitis. Symptoms include eye congestion, redness, stinging, foreign body sensation, photophobia, tearing, and decreased vision. Doctors use a slit-lamp microscope to observe the cornea, where dendritic or map-like lesions can be seen. Treatment involves using antiviral eye drops to alleviate symptoms, such as acyclovir eye drops, ganciclovir eye drops, and interferon eye drops. (Please use medications under the guidance of a doctor.)

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How will staying up late affect keratitis?

Keratitis can worsen if you stay up late. Keratitis can range from mild to severe. In severe cases, it may lead to blindness, while mild cases can usually heal within about a week with active treatment. If keratitis is not actively treated, it can eventually lead to corneal clouding such as nebula, macula, and leukoma, which can severely affect vision. Additionally, improper treatment of keratitis may lead to corneal ulcers or perforations, severely impacting vision. Another issue is recurrent keratitis, which can cause neovascularization affecting vision. Therefore, keratitis should be treated actively upon onset, with careful attention, regular follow-ups, and monitoring of vision.

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How long is the general recovery period for keratitis?

The recovery time for blurry vision caused by keratitis can vary, as keratitis can range from mild to severe. Mild cases may recover within 3-5 days, but severe cases, if complications like corneal nebula, macula, leukoma, corneal ulcers, or corneal perforation occur, may lead to difficult or impossible vision recovery, or even blindness. Therefore, it is important to take keratitis seriously in treatment. Active and diligent treatment should not be neglected. Normally, do not apply heat, maintain a light diet, avoid spicy and irritating foods, use eye drops and ointments as prescribed, attend regular check-ups, and monitor vision status.