Conjunctivitis and Keratitis Differences

Written by Peng Xi Feng
Ophthalmology
Updated on September 25, 2024
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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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Written by Peng Xi Feng
Ophthalmology
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Can conjunctivitis be contagious?

Hyperacute bacterial conjunctivitis, acute or subacute bacterial conjunctivitis is highly contagious and requires isolation to prevent spread and epidemics. When one eye is infected, measures should be taken to prevent infection of the other eye. Strict attention should be paid to personal and communal hygiene, advocating frequent hand and face washing, and avoiding wiping eyes with hands or sleeves. Strict disinfection of face washing utensils, towels, and medical instruments used by the patient is also necessary.

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Written by Peng Xi Feng
Ophthalmology
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Does conjunctivitis require isolation?

Infectious conjunctivitis can lead to epidemic infection, therefore it is essential to take preventive measures. Conjunctivitis is often spread through contact, thus it is advocated to frequently wash hands and faces, and avoid wiping eyes with hands or sleeves. Patients with infectious conjunctivitis must be isolated, and any toiletries used by the patients must be isolated and disinfected. Medical staff should also wash and disinfect their hands after examining patients to prevent cross-infection.

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Ophthalmology
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Does conjunctivitis require an IV drip?

Conjunctivitis generally does not require intravenous treatment; it is mainly treated according to the cause, with local administration of medication being the primary approach. Systemic medication may be required when necessary. Eye drops are the most basic method of administering medication for conjunctivitis. Eye ointment can also be applied to the eyes; since it remains in the conjunctival sac for a longer duration, it is advisable to use it before bedtime. When there is a lot of secretion in the conjunctival sac, a non-irritating rinse solution can be used to wash the conjunctival sac. In severe cases of conjunctivitis, such as gonococcal conjunctivitis and chlamydial conjunctivitis, systemic antibiotics or sulfa drugs are needed in addition to local treatment.

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Written by Zhou Qing
Ophthalmology
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Conjunctivitis symptoms

Conjunctivitis is an inflammation that occurs in the thin layer of structure on the surface of the white eyeball and the inner surface of the eyelid. Conjunctivitis can be caused by infections such as bacteria, viruses, chlamydia, fungi, parasites, etc., and by environmental factors like sand, smoke, ultraviolet exposure, and chemical injuries from acids, alkalis, or toxic gases. It can also be an inflammatory response of the conjunctiva due to allergic or systemic diseases including tuberculosis, syphilis, thyroid disorders, or surrounding tissues of the eye such as the cornea, sclera, eyelids, nasal cavity, and sinuses. Common symptoms of conjunctivitis include red eyes, a sensation of a foreign body in the eye, burning, itching, photophobia (sensitivity to light), tearing, and increased discharge. Sometimes it can also cause eye pain.

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Written by Peng Xi Feng
Ophthalmology
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How is conjunctivitis transmitted?

Conjunctivitis is one of the most common eye diseases. The causes of conjunctivitis can be divided into microbial and non-microbial categories, and based on different sources, it can be classified as exogenous or endogenous. It can also be caused by the spread of inflammation from adjacent tissues, with microbial infection being the most common. Transmission primarily occurs through contact, hence it is necessary to strictly disinfect washbasins, towels, and other items that the patient has used.