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 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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Is it normal for keratitis to occur every year?

Keratitis is a common ophthalmic disease, occurring as an infection in the black eyeball area of the eye. Recurrent viral keratitis is a normal phenomenon, as the virus can remain dormant within the corneal nerve fibers even after recovery. Triggers such as fatigue, colds, or weakened immunity can cause the virus to replicate again, leading to a recurrence of keratitis. Symptoms include eye congestion, redness, stinging, foreign body sensation, photophobia, tearing, and decreased vision. Doctors use a slit-lamp microscope to observe the cornea, where dendritic or map-like lesions can be seen. Treatment involves using antiviral eye drops to alleviate symptoms, such as acyclovir eye drops, ganciclovir eye drops, and interferon eye drops. (Please use medications under the guidance of a doctor.)

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How long will the keratitis caused by dry eye syndrome take to heal?

Due to the damage to the corneal epithelium caused by dry eye, resulting in keratitis, it is essential to treat it promptly. With active treatment, recovery is generally possible within about a week. Treatment mainly involves the use of sodium hyaluronate eye drops, calf serum deproteinized extract eye drops, levofloxacin eye drops, and acyclovir eye drops. At night, use eye ointment once, specifically tobramycin eye ointment. Do not apply heat, rest well, engage in appropriate physical exercise to boost the body's immunity, adjust your mindset, reduce close-up activities to avoid eye fatigue, have regular follow-ups, pay attention to the condition of your vision. Active treatment is crucial to prevent future complications like thinning of the cornea, spots, and leukoma, which can significantly impact vision and lead to severe consequences.

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Keratitis can be divided into several stages according to pathological changes.

Keratitis can be divided into four stages according to pathological changes: the infiltration stage, the ulceration stage, the ulcer recession stage, and the healing stage. The condition of the cornea differs at each stage, and treatment must be administered accordingly. Treatments include anti-inflammatory eye drops, antiviral eye drops, and eye ointment therapy. When necessary, treatment can involve the use of a corneal bandage contact lens. If it reaches the healing stage, such as when scars form in the anterior elastic layer and the stromal layer, resulting in corneal opacity, nebula, and leukoma, this can affect vision and regular follow-ups may be required.

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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.