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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Written by Peng Xi Feng
Ophthalmology
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Does conjunctivitis require a dietary restriction?

When we look at our phones and computers for long periods, it can lead to conjunctivitis due to eye strain. Among conjunctivitis cases, allergic conjunctivitis is the most common, especially during the spring and autumn seasons when symptoms like itchy eyes often occur. During such times, it is best to avoid spicy, irritating foods and seafood, as consuming these can exacerbate the itching. Additionally, if it is bacterial conjunctivitis, it is also recommended to limit the intake of spicy and irritating foods.

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Written by Peng Xi Feng
Ophthalmology
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Trachoma conjunctivitis symptoms

Trachoma is a chronic infectious conjunctivitis and keratitis caused by Chlamydia trachomatis, which can lead to blindness. During the acute phase in both eyes, symptoms include redness, pain, foreign body sensation, tearing, and purulent discharge, along with swollen lymph nodes, increased papillary formation in the palpebral conjunctiva, and multiple follicles covering the superior and inferior fornices. After the acute phase, which lasts one to two months, it enters a chronic phase where conjunctival congestion decreases, and the conjunctiva thickens with increased papillary and follicular formation. Complications in the later chronic stage mainly include entropion and trichiasis, eyelid ptosis, symblepharon, essential keratoconjunctivitis sicca, and chronic dacryocystitis leading to corneal opacity, among others.

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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 Tao Yuan
Ophthalmology
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Can acute conjunctivitis cause facial swelling?

Acute conjunctivitis can possibly cause swelling of the eyelids and the face. Acute conjunctivitis is a common ophthalmic disease, usually caused by neglecting eye hygiene. For example, rubbing your eyes with dirty hands, washing your face with unclean water, and wiping your eyes with contaminated towels, tissues, or wet wipes can transfer viruses, bacteria, and other pathogens from the environment into the eyes, thereby causing infection and conjunctivitis. Inflammatory stimulation can cause reactive swelling of the skin adjacent to the eye. Conjunctivitis needs timely treatment with anti-infective eye drops to eliminate symptoms. For instance, bacterial infections can be treated with eye drops such as Levofloxacin Hydrochloride and Fusidic Acid, while viral infections can be treated with Ganciclovir and Acyclovir eye drops. (Please follow medical advice when using medications.)

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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 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.