The difference between conjunctivitis and keratitis.

Written by Li Zhen Dong
Ophthalmology
Updated on September 28, 2024
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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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Written by Yan Xin Liang
Pediatrics
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How to treat baby keratitis?

Firstly, keratitis can be considered to be caused by bacterial or viral infections, with bacterial keratitis being more common. In such cases, we can first use saline or warm boiled water to rinse the cornea clean, and then apply eye drops, specifically antibacterial and anti-inflammatory ones, such as Tobramycin Eye Drops. Apply three to four drops, three to four times a day, and continue for three to five days. The symptoms of keratitis will then alleviate.

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Written by Li Zhen Dong
Ophthalmology
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Keratitis can be divided into several stages according to pathological changes.

Keratitis can be divided into four stages according to pathological changes: the infiltration stage, the ulceration stage, the ulcer recession stage, and the healing stage. The condition of the cornea differs at each stage, and treatment must be administered accordingly. Treatments include anti-inflammatory eye drops, antiviral eye drops, and eye ointment therapy. When necessary, treatment can involve the use of a corneal bandage contact lens. If it reaches the healing stage, such as when scars form in the anterior elastic layer and the stromal layer, resulting in corneal opacity, nebula, and leukoma, this can affect vision and regular follow-ups may be required.

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Written by Tao Yuan
Ophthalmology
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Can recurrent keratitis be cured?

Recurrent episodes of keratitis are incurable. If keratitis is caused by a viral infection, it usually leads to symptoms such as red eyes, eye pain, photophobia, and tearing. After the inflammation subsides with antiviral medication treatment, the virus will hide within the nerve fibers of the corneal tissue. When the body's immune system is weakened, during a cold, or when fatigued, the virus can replicate again, causing a recurrence of keratitis. Therefore, to reduce recurrent episodes of keratitis, patients should focus on regular physical exercise to strengthen their constitution, maintain sufficient sleep, and avoid catching colds. These actions can enhance the body's immunity, effectively reducing the frequency of keratitis attacks, and thus protect eye health.

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Written by Tao Yuan
Ophthalmology
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Corneal inflammation, should I use hot or cold compresses for swollen eyes?

Keratitis is a common ophthalmic disease, referring to inflammation occurring at the corneal part of the eye. It can be caused by bacterial, viral, fungal, amoebic infections, or autoimmune reactions. Patients with keratitis will experience reactive eyelid edema and conjunctival swelling. In terms of treatment, it is first important to avoid rubbing the eyes, as this can exacerbate the swelling. Alternatively, applying a cold towel can help reduce swelling. Cold compresses lower the temperature of eye tissues, causing the capillaries to constrict and thereby reducing the leakage of fluid into the tissue spaces, which facilitates the reduction of eye swelling. Generally, after cold compresses and anti-infection treatments, the inflammation in the eye will completely subside, and the swelling will disappear.

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Written by Yan Xin Liang
Pediatrics
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What should I do if my baby gets keratitis?

Infants with keratitis should visit the hospital for an examination as soon as possible. Some children might not cooperate well, requiring experienced doctors to assist in the examination to determine the cause and provide symptomatic treatment. Concurrently, etiological treatment should be administered. Initially, local antibiotics should be used for anti-infection treatment. If the keratitis is caused by a viral infection, antiviral medication can be appropriately used. If the condition worsens, the patient should be checked once a day or once every two days. Once there is an improvement, a follow-up check is generally required every three days. Additionally, it is important to monitor for any corneal damage, and if necessary, medications for corneal repair should be used.