The difference between conjunctivitis and keratitis.

Written by Peng Xi Feng
Ophthalmology
Updated on September 22, 2024
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Conjunctivitis, also known as acute or subacute conjunctivitis, and keratitis are among the most common diseases of the ocular surface, but they are different. Firstly, the locations of the cornea and conjunctiva are different. The cornea is a transparent, avascular tissue through which light enters the eye, allowing people to see. The conjunctiva is divided into the bulbar conjunctiva and the palpebral conjunctiva. Inflammation occurring on the cornea is called keratitis, while inflammation on the conjunctiva is referred to as conjunctivitis. Symptoms of conjunctivitis include congestion, foreign body sensation, photophobia, and tearing, among others. The symptoms of keratitis include a significant foreign body sensation, distinct pain, often affecting vision, and accompanied by photophobia.

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Written by Li Zhen Dong
Ophthalmology
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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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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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Itchy eye corners conjunctivitis or keratitis

Itchy inner corners of the eyes are generally caused by medial or lateral canthal inflammation, mainly due to allergies or allergic rhinitis, or physical and chemical irritants. It is not conjunctivitis or keratitis. Conjunctivitis is characterized by the whitening of the eyeball turning red, photophobia, tearing, increased secretion, foreign body sensation, and burning sensation; Keratitis involves diseases of the pupil, primarily based on conjunctivitis but with more pronounced photophobia, mainly affecting vision severely. If keratitis is not treated actively, it can lead to a severe decline in vision, even blindness. Therefore, for these conditions, it is advised to first visit an ophthalmology outpatient clinic for a thorough examination and active treatment.

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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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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.