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

Written by Li Zhen Dong
Ophthalmology
Updated on September 22, 2024
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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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Written by Peng Xi Feng
Ophthalmology
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The difference between conjunctivitis and keratitis.

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 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 Tao Yuan
Ophthalmology
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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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Written by Tao Yuan
Ophthalmology
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How long will it take for photophobia from keratitis to recover?

Keratitis presents with symptoms of photophobia and generally recovers about two weeks after treatment. Keratitis is a common ophthalmic disease caused by neglect of eye hygiene or external eye injuries, leading to infection in the sclera of the eye. The main symptoms include conjunctival congestion, redness, pain, foreign body sensation, photophobia, tearing, and decreased vision. It is necessary to promptly treat with antibiotic eye drops to eliminate the infection and alleviate the symptoms mentioned. Commonly used medications include levofloxacin hydrochloride eye drops, tobramycin eye drops, and moxifloxacin eye drops. During the treatment period, patients must pay attention to eye hygiene and avoid dirty water entering the eyes to prevent worsening of the infection.

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Ophthalmology
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Can erythromycin ointment be used for keratitis?

Keratitis can be treated with erythromycin eye ointment, but it should be used at night, not during the day. Keratitis involves inflammation of the cornea, and can be classified into bacterial keratitis, viral keratitis, fungal keratitis, corneal ulcers, and corneal perforation. If not treated promptly, it can severely affect vision. After the onset of keratitis, it is important to properly use eye drops and ointment for treatment. Regular rest and a light diet should be maintained. Avoid spicy and irritating foods, do not stay up late, use your eyes correctly, do not rub your eyes with dirty hands, have regular check-ups, and monitor your vision.