Trachoma conjunctivitis symptoms

Written by Peng Xi Feng
Ophthalmology
Updated on September 14, 2024
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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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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 Peng Xi Feng
Ophthalmology
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Can conjunctivitis heal on its own?

Conjunctivitis can be classified as hyperacute, acute or subacute, and chronic, based on the speed of onset. Based on the severity of the condition, it can be categorized as mild, moderate, or severe. Acute conjunctivitis is usually self-limiting, with a duration of about two weeks. After treatment with sensitive antibiotics, recovery can occur within a few days. Chronic conjunctivitis is not self-limiting and is more challenging to treat.

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Written by Peng Xi Feng
Ophthalmology
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Is conjunctivitis prone to recurrence?

Conjunctivitis is a type of localized inflammation, similar to other inflammations. This disease may recur frequently, especially in children, infants, elderly or frail patients, or those with chronic debilitating diseases such as diabetes. Due to weaker bodily resistance, these individuals are more susceptible to repeated bacterial infections. To avoid such situations, it is advised to pay attention to healthy dietary habits, avoid spicy and irritating foods, and appropriately increase physical exercise to enhance resistance, thereby minimizing the chances of disease recurrence.

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Written by Peng Xi Feng
Ophthalmology
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Does conjunctivitis require injections?

Conjunctivitis generally does not require injections. Treatment is based on the cause, primarily with local medication, and systemic medication is used only when necessary. During the acute phase, avoid bandaging the affected eye. First, using eye drops is the most basic way to administer treatment for conjunctivitis. Second, apply eye ointment, preferably before going to sleep. Third, rinse the conjunctival sac. Fourth, for severe conjunctivitis, such as gonococcal conjunctivitis, in addition to local treatment, systemic antibiotics are 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.)