Corneal inflammation, should I use hot or cold compresses for swollen eyes?

Written by Tao Yuan
Ophthalmology
Updated on September 11, 2024
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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.

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Written by Li Zhen Dong
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Can erythromycin ointment be used for keratitis?

Keratitis can be treated with erythromycin eye ointment, but it should be used at night, not during the day. Keratitis involves inflammation of the cornea, and can be classified into bacterial keratitis, viral keratitis, fungal keratitis, corneal ulcers, and corneal perforation. If not treated promptly, it can severely affect vision. After the onset of keratitis, it is important to properly use eye drops and ointment for treatment. Regular rest and a light diet should be maintained. Avoid spicy and irritating foods, do not stay up late, use your eyes correctly, do not rub your eyes with dirty hands, have regular check-ups, and monitor your vision.

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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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Written by Li Zhen Dong
Ophthalmology
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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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Can you smoke during keratitis?

During the period of keratitis, it is best not to smoke. Although smoking does not directly affect the factors of corneal healing, it can indirectly affect the healing of keratitis. If keratitis is not actively treated, or if the condition progresses or is not well controlled, it can easily lead to corneal opacity, spots, and leukoplakia. Additionally, it can lead to the formation of corneal ulcers and corneal perforation, causing severe visual impairment and even leading to blindness. Therefore, keratitis can be either mild or severe, and it should not be ignored in treatment. Active treatment and regular check-ups generally lead to recovery.