What should I do if my baby gets keratitis?

Written by Yan Xin Liang
Pediatrics
Updated on September 27, 2024
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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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Written by Li Zhen Dong
Ophthalmology
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Can you smoke during keratitis?

During the period of keratitis, it is best not to smoke. Although smoking does not directly affect the factors of corneal healing, it can indirectly affect the healing of keratitis. If keratitis is not actively treated, or if the condition progresses or is not well controlled, it can easily lead to corneal opacity, spots, and leukoplakia. Additionally, it can lead to the formation of corneal ulcers and corneal perforation, causing severe visual impairment and even leading to blindness. Therefore, keratitis can be either mild or severe, and it should not be ignored in treatment. Active treatment and regular check-ups generally lead to recovery.

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Written by Li Zhen Dong
Ophthalmology
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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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Written by Peng Xi Feng
Ophthalmology
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Can chronic keratitis cause blindness?

Chronic bacterial conjunctivitis generally does not cause blindness. Its main clinical symptoms include itching, burning, dryness, eye pain, and visual fatigue. The conjunctiva is mildly congested and may be accompanied by thickening of the palpebral conjunctiva, papillary hypertrophy, and mucous secretions. Moraxella can cause canthal conjunctivitis, which is accompanied by crusting and ulceration of the skin at the outer canthus, and hypertrophy of the palpebral conjunctiva's papillae and follicles. Staphylococcus aureus infections are often accompanied by ulcerative blepharitis, or peripheral corneal punctate infiltration.

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Written by Yan Xin Liang
Pediatrics
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How to treat baby keratitis?

Firstly, keratitis can be considered to be caused by bacterial or viral infections, with bacterial keratitis being more common. In such cases, we can first use saline or warm boiled water to rinse the cornea clean, and then apply eye drops, specifically antibacterial and anti-inflammatory ones, such as Tobramycin Eye Drops. Apply three to four drops, three to four times a day, and continue for three to five days. The symptoms of keratitis will then alleviate.

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Written by Li Zhen Dong
Ophthalmology
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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.