Conjunctivitis of the eye is possible. What danger is fraught with. Causes of chronic conjunctivitis

Inflammation of the mucous membrane of the eyeball is the most common eye disease.

Conjunctivitis is an inflammation of the lining of the eye (conjunctiva).


Conjunctivitis, the most common eye disease, can take on the character of epidemics, especially during the cold season.

What are conjunctivitis and why?

In the course of inflammation, acute and chronic conjunctivitis are distinguished.

Conjunctivitis is infectious and non-infectious.

Infectious include bacterial, viral, chlamydial and fungal conjunctivitis caused by the corresponding pathogen.

Non-infectious - these are allergic conjunctivitis and inflammation of the mucous membrane of the eye, caused by exposure to any chemicals or physical factors.

Clinical manifestations of conjunctivitis

Regardless of the cause, there are common clinical symptoms of conjunctivitis.

Patients are concerned about swelling of the eyelids, redness of the eyes, burning, itching, lacrimation, sensation of a foreign body in the eye, discharge of a different nature - mucous, purulent, sometimes mixed with blood. The discharge causes the eyelashes to stick together in the morning.

When involved in the pathological process of the cornea, patients complain of decreased vision. The general condition may also worsen: weakness, headache, an increase in lymph nodes is observed.

On examination, hyperemia and edema of the conjunctiva are found, there may be hemorrhages, follicles (rounded raised formations similar to vesicles, grains).

Of course, individual forms of conjunctivitis have their own characteristics:

  • Bacterial conjunctivitis is most commonly caused by staphylococci and streptococci. The reason may be getting dust, dirt in the eyes, swimming in polluted water bodies. It is for bacterial conjunctivitis that purulent discharge from the eyes is characteristic. Bacterial conjunctivitis can become epidemic, especially in institutions.
  • The features of pneumococcal conjunctivitis include: small pinpoint hemorrhages on the conjunctiva covering the sclera (white of the eye), the formation of delicate whitish-gray films that are easily removed with a cotton swab, while under them a loose, reddened, but not bleeding conjunctiva is found. Quite often, the cornea is involved in the inflammatory process, while small inflammatory foci appear on it - infiltrates, which subsequently disappear. Pneumococcal conjunctivitis occurs, as a rule, against the background of SARS, easily spreads among children, becoming epidemic.
  • Acute epidemic Koch-Wicks conjunctivitis occurs in the form of outbreaks. It is highly infectious. Characterized by large and small hemorrhages on the conjunctiva, abundant mucopurulent discharge.
  • Gonococcal conjunctivitis or gonoblenorrhea is caused by Neisser's gonococcus. In adults and children, infection occurs when the infection is brought into the eyes by hands from diseased genital organs, through towels, bed linen.
  • Gonoblenorrhea is especially dangerous for newborns. Newborn children become infected from a sick mother during childbirth when passing through the birth canal. As a rule, both eyes are affected. There is a pronounced bluish-purple edema of the eyelids. The child cannot open his eyes. From the palpebral fissure, the contents of the color of meat slops stand out. The conjunctiva bleeds easily. After a few appear copious purulent discharge. With severe swelling of the eyelids, there is a violation of the blood supply and innervation of the cornea, and newborns often develop a purulent ulcer of the cornea, at the site of which a leukoma subsequently forms, while vision is significantly reduced, up to complete blindness.
  • In adult patients, in addition to eye manifestations, a very serious general condition of the body. Gonococcal conjunctivitis usually occurs in one eye in adults, but corneal complications are more common.
  • To confirm the diagnosis of gonoblenorrhea, a laboratory study of discharge from the conjunctival sac is carried out to detect gonococcus.
  • The causative agent of diphtheria conjunctivitis is diphtheria bacillus. For diphtheria conjunctivitis, hemorrhages and swelling of the conjunctiva with a bluish tinge, the formation of gray films that are tightly adjacent to the mucous membrane are characteristic, and when they are removed, the conjunctiva bleeds. In place of the films, then star-shaped scars form.
  • Viral conjunctivitis often occurs against the background of colds. Both eyes are affected in most cases. Viral conjunctivitis is characterized by discharge of a mucous and serous nature, the formation of lymphoid follicles on the conjunctiva of the eyelids.
  • With adenoviral conjunctivitis, there is a pronounced edema of the conjunctiva, multiple follicles. Often associated with catarrhal symptoms of the upper respiratory tract (pharyngoconjunctival fever). The cornea is often affected with the formation of small, coin-shaped, very long-term absorbable infiltrates. Occasionally there are gentle thin, easily removable films on the conjunctiva.
  • Epidemic hemorrhagic conjunctivitis is caused by an enterovirus. A characteristic feature is multiple rather large hemorrhages (hemorrhages) on the conjunctiva of the eyeball and eyelids. The eye looks like it's "swollen with blood". Allocations are moderate, mainly at night and in the morning. First, one eye is affected, and after a couple of days the second.
  • Allergic conjunctivitis is a manifestation of the body's hypersensitivity to any substance. Often combined with allergic blepharitis, rhinitis, skin rashes. Allergic conjunctivitis can also be one of the many manifestations of a systemic allergic reaction. Usually both eyes are involved. Characterized by pronounced swelling of the conjunctiva, burning, itching, lacrimation.
  • Giant papillary conjunctivitis usually develops in contact lens wearers. On examination, the proliferation of the conjunctiva in the form of papillae is revealed.
  • Pollinosis - seasonal allergic conjunctivitis. It is exacerbated during the flowering period of herbs and trees that cause allergies. Often accompanied by nasal congestion.
  • Drug conjunctivitis is quite common and usually develops within a few hours after taking the medicine (eye drops, ointments). Rapidly increasing swelling of the conjunctiva, redness, itching, burning in the eyes, profuse mucous discharge.

Diagnostics

In most cases, a slit lamp examination is sufficient to diagnose conjunctivitis. The anamnesis can play a decisive role in establishing the correct diagnosis: what preceded the onset of symptoms, in what sequence they appeared, etc.

Sometimes additional diagnostics is needed: a smear, scraping or sowing from the conjunctiva to more accurately determine the cause of conjunctivitis. In the presence of concomitant manifestations from other organs, other studies can be used, for example, a blood test, fluorography or x-ray of the lungs, and others.

Treatment and prevention

Diagnosis and, consequently, treatment tactics require special examination methods (slit lamp examination, smear, sowing from the conjunctiva), so you need to contact a specialist.

Self-prescribing to yourself and using any medications can only muffle the symptoms, and not eliminate the cause. Blepharitis, keratitis, canaliculitis and other more serious complications may develop. The process can become chronic.

Treatment of conjunctivitis depends on the etiology.

  • Bacterial conjunctivitis is treated with eye drops and ointments, which include various antibiotics, better than a broad spectrum. If there is no effect from the treatment, it is necessary to clarify the sensitivity of the pathogen to groups of antibiotics and, if necessary, change the drug.
  • Gonococcal conjunctivitis also requires loading doses of antibiotics applied systemically. Treatment is continued until the disappearance of gonococci in smears from the conjunctival cavity. With timely treatment, it is possible to avoid serious complications from the cornea. Prevention consists in the timely diagnosis and treatment of genital gonorrhea, sanitary and hygienic measures. For the prevention of gonoblenorrhea, sodium sulfacyl 30% is instilled in newborns three times in 2-3 minutes (previously, 1% silver nitrate solution was used according to the Matveev-Krede method).
  • With diphtheritic conjunctivitis, antidiphtheria serum is immediately introduced. The conjunctival cavity is washed hourly with aseptic solutions, antibiotics and sulfonamides are prescribed for general and local use, absorbable preparations.
  • Used to treat viral conjunctivitis

Unpleasant sensations in the eyes can occur unexpectedly: the discomfort from pain and the feeling that sand is poured in the eyes make it impossible to see clearly and live a full life. Ophthalmologists call the cause of the disease mucosal damage(conjunctiva) located around the eyeball.

The greatest danger to patients is viral conjunctivitis, as the disease is highly contagious and spreads very easily. The disease affects people of all ages, even newborns.

The following factors can provoke the onset of the disease:

  • avitaminosis;
  • damage to the nasal mucosa;
  • metabolic disease;
  • lacrimal duct injury.

Depending on the pathogen, two types of conjunctivitis can be distinguished:

  • isolated conjunctivitis- the cause of the disease is a specific virus: enterovirus, adenovirus, herpes, shingles, Coxsackie virus.
  • conjunctivitis, caused by a specific viral infection- the cause of the disease are such diseases: rubella, measles, chickenpox, mumps, influenza.

Most of all patients with viral conjunctivitis, namely 70%, need hospitalization. This is primarily due to the fact that the disease is easily transmitted in the course of human contact.

With regard to infection by airborne droplets, it is less likely than by contact.

It is important to remember that the disease affects both eyes of a person. Although the symptoms initially appear in only one eye, over time they will spread to the other.

A distinctive feature of the disease is the frequency of its occurrence: during enterovirus and adenovirus epidemics. As a result, in parallel with conjunctivitis, upper respiratory tract infection.

If the cause of viral conjunctivitis is herpes, then the disease is transmitted by airborne droplets.

The first symptoms of the disease

Incubation period viral conjunctivitis may fluctuate four to twelve days. As a rule, the disease is preceded by communication of a healthy person with an already infected one.

The main symptoms of the disease ophthalmologists call the following.

  • Follicles appear on the conjunctiva of the eyelids.
  • Eye redness, profuse lacrimation and itching. The symptom is caused by vasodilation and irritation of the nerve endings in the eyes.
  • Sequentially, serous discharge is formed in each eye.
  • The lymph nodes located in front of the auricle, increase and pain on palpation.
  • There is a fear of light and there is a feeling of the presence of a foreign body, in particular, sand, in the eyes.
  • The cornea of ​​the eye loses its transparency, becomes cloudy, as a result decreased visual acuity. It is important to note that the full recovery of the cornea of ​​​​the eye can occur only a few years after the elimination of viral conjunctivitis.
  • Feeling tired eyes swelling of the eyelids.
  • Purulent discharge appears, as a result of which it is impossible to open the eyes in the morning.

Symptoms of the disease are likely to disappear on their own within one week. However, do not neglect the disease that can damage a person's vision and become chronic.

Treatment of various types of viral conjunctivitis

Diagnosis of the disease is carried out by cytological and virological studies, as well as on the basis of the increase and sensitivity of the parotid lymph nodes.

Adenovirus conjunctivitis

As a treatment, a doctor is prescribed antiviral eye drops with interferon.

  • "Ophthalmeron" - eliminates the inflammatory process, strengthens the immune system and actively fights the virus. For the treatment of the acute phase of the disease, it is necessary to instill 1-2 drops in the eyes. The frequency of the procedure is at least six times a day. Further, the frequency of the procedure can be reduced to two times a day.
  • "Poludan" - is used to eliminate the herpes virus and adenovirus. The drug should be instilled 1-2 drops at least six times a day (when the disease is in the active phase), then instilled in the eyes three times a day. The duration of the course of treatment is from one week to ten days.
  • "Aktipol" - is an antiviral drug, a powerful antioxidant, has a regenerative property on tissues and mucous membranes. The instillation procedure should be carried out at least eight times a day, two drops for ten days.

Supplement treatment eye drops can antiviral ointments. Drugs should be used only as directed by a doctor.

Before applying the ointment, it is necessary to rinse the eyes with infusion of sage, chamomile or tea. After this, drip the infected eye with drops. The ointment must be applied thirty minutes after instillation.

  • "Florenal" - is used to eliminate the herpes virus, adenovirus, in case of chickenpox. Apply the ointment at least twice a day. The drug is placed behind the lower eyelid of the eye. The duration of the course of treatment is from 10 to 45 days.
  • "Tebrofen ointment" - has a wide spectrum of action. The drug is laid over the edges of the eyelids at least three times a day.
  • "Bonafton" - is prescribed for some adenoviruses and in case of damage to the eye by the herpes virus. Course of treatment for adults: 0.1 g at least three times a day. The duration of taking the drugs is from 15 to 20 days. The course of treatment for children: 0.025 g from 1 to 4 times a day. The duration of taking the drugs is from 10 to 12 days.

For more effective treatment, it is possible to prescribe antibacterial drugs in combination with an antibiotic.

Herpetic viral conjunctivitis

Activation of the herpes virus in the body, both adults and children, as a rule, accompanied by mucosal damage and skin. The conjunctiva of the eye is no exception.

When rash spread forever they are necessary treat with a solution of brilliant green.

You can not do without ointments with antiherpetic action, for example, Zovirax, Acyclovir, Florenal, Tebrofen ointment, Bonafton. Preparations must be laid under the lower eyelid.

If the herpes virus affects not only the conjunctiva, but also the skin around the eye, it is necessary treatment with oral medications antiherpetic action. In addition, immunomodulators are needed.

The appointment of antibiotics can be carried out with a preventive purpose in order to avoid the development of the disease a second time.

Folk methods

The use of folk methods for the treatment of viral conjunctivitis should occur in conjunction with traditional drugs and only after approval by an ophthalmologist. The most effective treatment for the disease is lotions.

  1. Moisten gauze or a small piece of cotton cloth with freshly squeezed dill juice and put it on your eyes for fifteen minutes.
  2. Insist two teaspoons of crushed rose hips in one glass of boiling water, strain. Soak gauze in the infusion and keep it in front of your eyes for fifteen minutes.
  3. As a lotion, you can use the juice of freshly squeezed potatoes.
  4. Boil dried cornflower flowers (2 tablespoons) for ten minutes in half a liter of water. Insist for half an hour and use for lotions.
  5. You can wash your eyes with infusion of chamomile or sage.

Features of the treatment of the acute form of the disease

First of all, it is necessary eliminate purulent discharge. Otherwise, the eye will become a favorable environment for the development of pathogenic microbes. To do this, you can use boron solution and antibacterial eye drops.

Treatment of the acute form of viral conjunctivitis requires the use of virocidal preparations, in particular, solutions and ointments made on the basis of components such as florenal, tebrofen or oxolin.

The use of albucid or tetracycline in this situation should have no effect. However, as a prophylactic, in order to avoid the re-development of infection, they can be used.

Prevention

First of all, it is necessary avoid contact between a healthy person and a sick person. Any contact can lead to viral conjunctivitis.

During the period when viral infections and epidemics are most active, it is better to avoid mass events and try not to be in crowded places.

During this period, you should definitely worry about strengthening the immune system.

Do not forget about hygiene: be sure to wash your hands, treat with special disinfectants, use napkins. Try to dry your hands exclusively with a personal towel.

If all precautions are observed, it will not be difficult to avoid the disease and protect relatives and friends from it.

adenovirus conjunctivitis. Its causative agent is an adenovirus transmitted by airborne droplets. Most often, children in groups (schools, kindergartens) get sick, the disease occurs in the form of outbreaks of an epidemic nature.

Allergic conjunctivitis. It develops in response to contact with an allergen, is an inflammation of the mucous membrane of the eye, accompanied by redness and swelling, photophobia, itching.

Acute conjunctivitis. The causative agents of this form of the disease can be streptococci, staphylococci, pneumococci or gonococci. As a rule, infection occurs due to external contact with bacteria; it is easy to infect the infection with dirty hands. Cooling or overheating, exhaustion of the body, past infections, microtraumas of the mucous membrane of the eye, predispose to the disease.

Acute epidemic conjunctivitis. He is Koch-Wicks conjunctivitis, has an epidemic character and occurs most often in the summer among children who live in a hot climate. This type of disease is transmitted through dirty hands and contaminated objects.

Blennorrheal conjunctivitis. It is called gonococcus and develops in newborns. Infection occurs when passing through the birth canal of a mother with gonorrhea.

Morax-Axenfeld conjunctivitis has a chronic or subacute course and is localized mainly in the corners of the eyes.

Chronic conjunctivitis. This type of conjunctivitis is understood as prolonged irritation of the conjunctiva due to dust, chemical air pollution, vitamin deficiency and metabolic disorders, chronic diseases of the lacrimal ducts and nose, as well as ametropia.

Symptoms of conjunctivitis

In general, conjunctivitis is manifested by swelling of the eyelids and conjunctiva, redness of the white of the eye, photophobia,. A number of symptoms may indicate the cause that caused the development of the disease.

Allergic conjunctivitis is usually accompanied by severe itching and irritation of the eyes, sometimes the eyes hurt or the eyelids swell slightly. If this type of disease becomes chronic, sensations of itching and irritation persist.

Viral conjunctivitis can be suspected with lacrimation and intermittent itching associated with a cold, sore throat, herpetic or adenovirus infections of the upper respiratory tract. As a rule, the disease develops in one eye, gradually moving to the second. With adenoviral conjunctivitis at the onset of the disease, in addition to damage to the upper respiratory tract, the body temperature rises, and the anterior lymph nodes may increase. There is a moderate spasm of the eyelids, due to which the eyelids close, there may be a meager discharge from the eyes that does not contain pus. In children (rarely in adults), films or follicles may appear.

Bacterial conjunctivitis is often characterized by a specific discharge from the eyes, because it is caused by bacteria that produce pus. The discharge may be gray, yellowish, opaque and viscous, and the eyelids stick together because of them (especially after sleep). In some cases, there may be no discharge, there is only a sensation of a foreign body in the eye. The main symptom of bacterial conjunctivitis is dryness of the eye and the skin around it. Typically, such conjunctivitis affects one eye, then moves to the other.

Toxic conjunctivitis is caused by poisonous substances. With this type of disease, irritation is felt and, especially when the eyes move up or down. There is usually no itching or discharge.

Acute conjunctivitis is manifested by a feeling of purulent or mucopurulent discharge.

Blennorrheal conjunctivitis is characterized by serous-bloody discharge, which after 3-4 days becomes purulent, sometimes ulcers and infiltrates form.

Koch-Wicks conjunctivitis develops in the form of a large number of small hemorrhages in the conjunctiva, edema appears, which looks like elevations within the palpebral fissure, having the shape of triangles.

Morax-Axenfeld's conjunctivitis manifests itself in the corners of the palpebral fissure.

Chronic conjunctivitis is accompanied by a burning sensation, itching, sand in the eyes, and rapid fatigue of the organ of vision.

Diagnostics

Treatment of conjunctivitis

In most cases, conjunctivitis is a contagious disease. It is necessary to observe the rules of personal hygiene in order to avoid infecting others. Treatment of conjunctivitis is prescribed by a doctor.

For the treatment of allergic conjunctivitis, various antihistamines are used - tablets, eye drops, dragees, syrups in children. In some cases, eye drops containing corticosteroid hormones are needed.

Bacterial conjunctivitis often goes away without special treatment, but eye drops can be used to speed up the healing process. For example, ofloxacin, a broad-spectrum antibiotic from the group of second-generation fluoroquinolones, has proven itself well, which integrates into the cell walls of bacteria and blocks the work of enzymes responsible for the reproduction of DNA molecules, after which the bacteria lose the ability to multiply and die. Ofloxacin is the active ingredient of the drug Floxal, which is available in the form of eye ointment and drops and has a pronounced antibacterial effect. With barley, an antibacterial ointment is applied to the inflamed area, the characteristic swelling of the eyelid, at least 3 times a day until the symptoms disappear completely, but at least 5 days even if the symptoms have disappeared earlier. With bacterial conjunctivitis (red eye with purulent discharge), drops are instilled 2-4 times a day until the symptoms disappear completely, for at least 5 days in a row.

To eliminate the symptoms of viral conjunctivitis, preparations with interferon are prescribed.

In the case of a secondary bacterial infection, antibiotic drops are recommended.

Sometimes the use of drops containing steroids is required - they cannot be used for a long time (the risk of side effects is high).

Important precautions for conjunctivitis:

* do not touch your eyes with your hands;

* wash your hands thoroughly;

* Please use your own towel.

All this will help to avoid infection of other people. On average, viral conjunctivitis goes away after 3 weeks, but in some cases, the disease can last longer than a month.

Eye drops for conjunctivitis

Eye drops are the main tool in the treatment of eye diseases, including all types of conjunctivitis. Also used to treat conjunctivitis

Conjunctivitis (colloquial. Conjunctivitis) is a polyetiological inflammatory lesion of the conjunctiva - the mucous membrane covering the inner surface of the eyelids and sclera. The cause can be caused by bacteria (chlamydia is especially dangerous) or the same viruses that cause a cold, sore throat or. Millions of people worldwide suffer from conjunctivitis every year. These diseases are caused by many pathologies and pathological conditions. The treatment regimen for each individual case may be different, it mainly depends on the factors that provoked the development of the disease.

In most cases, the disease is considered contagious. It is necessary to observe the rules of personal hygiene in order to avoid infecting others. In the article, we will consider in more detail: what kind of eye disease is it, the main causes, types and symptoms of conjunctivitis, as well as effective methods of treatment in adults.

What is eye conjunctivitis?

Conjunctivitis is an inflammation of the mucous membrane of the eye (conjunctiva) caused by allergies, bacteria, viruses, fungi and other pathogenic factors. Manifestations of this disease can lead to redness and swelling of the eyelids, the appearance of mucus or pus, watery eyes, burning sensations and itching, etc. Conjunctivitis is the most common eye disease - they account for about 30% of all eye pathology.

What is the conjunctiva? This is the mucous membrane of the eye that covers the posterior surface of the eyelids and the anterior surface of the eyeball up to the cornea. It performs quite important functions that ensure the normal functioning of the organ of vision.

  • Usually it is transparent, smooth and even shiny.
  • Its color depends on the underlying tissues.
  • She takes care of daily tear production. The tears it secretes are enough to moisturize and protect the eye. And only when we cry, the main large lacrimal gland is included in the work.

Conjunctivitis, in addition to spoiling the appearance of redness of the eyes and constant involuntary lacrimation, causes a number of extremely unpleasant symptoms with which it is impossible to continue living in a normal rhythm.

Classification

There are several classifications of this disease, which are based on different signs.

By the nature of the course of the disease:

Acute conjunctivitis of the eye

Acute conjunctivitis is characterized by the rapid development of the disease, with severe symptoms. Most often, this variant of the development of the disease is noted in case of damage to an infectious pathogen. Patients do not notice any precursors, since the main symptoms increase almost immediately.

Chronic conjunctivitis

This kind of inflammatory process in the conjunctiva of the eye takes a long time, and the person makes numerous subjective complaints, the severity of which does not correlate with the degree of objective changes in the mucous membrane.

Due to inflammation, the following types of conjunctivitis are distinguished:

  • Bacterial - the provoking factor is pathogenic and opportunistic bacteria (streptococci, staphylococci, pneumococci, gonococci, and Pseudomonas aeruginosa);
  • Viral - provoke herpes viruses, adenoviruses, etc .;
  • Fungal - occurs as a manifestation of systemic infections (aspergillosis, candidiasis, actinomycosis, spirotrichillosis), or provoked by pathogenic fungi;
  • Chlamydial conjunctivitis - occurs due to the ingestion of chlamydia on the mucous membrane;
  • Allergic - occurs after the introduction into the body of an allergen or irritant of the mucous membrane of the eyes (dust, wool, pile, varnish, paint, acetone, etc.);
  • Dystrophic conjunctivitis - develops as a result of the damaging effect of occupational hazards (chemical reagents, paint, varnish, gasoline vapors and other substances, gases).

Depending on the nature of inflammation and morphological changes in the mucous membrane of the eye, conjunctivitis is divided into the following types:

  • Purulent conjunctivitis, proceeding with the formation of pus;
  • Catarrhal conjunctivitis, flowing without the formation of pus, but with abundant mucous discharge;
  • Papillary develops against the background of an allergic reaction to ophthalmic drugs and is the formation of small grains and seals on the mucous membrane of the eye in the upper eyelid;
  • Follicular develops according to the first type of allergic reaction and is the formation of follicles on the mucous membrane of the eye;
  • Hemorrhagic conjunctivitis is characterized by numerous hemorrhages in the mucous membrane of the eye;
  • Filmy develops in children against the background of acute viral respiratory diseases.

Regardless of what caused the onset of the disease, it is important to start treatment quickly and competently. It can be both medicinal and folk. The choice is made based on the degree of ocular inflammation and the condition of the patient.

The reasons

At the moment, there are many reasons for inflammation of the mucous membrane of the eyes, and determining the factors that led to inflammation is a rather difficult task. But the success of the treatment of this disease depends precisely on the correct determination of the causes of inflammation.

Incubation period conjunctivitis, depending on the type, ranges from several hours (epidemic form) to 4-8 days (viral form).

So, the most common cause of conjunctivitis can be called the following:

  • Being in a room where various aerosols and other substances of chemical origin are used
  • Prolonged stay in a highly polluted area
  • Disturbed metabolism in the body
  • Diseases such as meibomitis, blepharitis
  • Avitaminosis
  • Impaired refraction - nearsightedness, farsightedness,
  • Inflammation in the sinuses
  • Too bright sun, wind, too dry air

If conjunctivitis has developed on professional grounds, then it is very important to follow preventive measures to eliminate the harmful effects of irritating factors.

Symptoms of conjunctivitis: what it looks like in the photo

The disease most often affects both eyes at once. However, sometimes the inflammatory response in each eye is expressed differently. Conjunctivitis (conjunctivitis) has a number of the following common signs and symptoms:

  • The state of swelling and redness of the eyelids and folds;
  • The appearance of a secret in the form of mucus or pus;
  • The appearance of sensations of itching, burning, lacrimation;
  • The emerging feeling of "sand" or the presence of a foreign body in the eye;
  • Feeling of fear of light, blepharospasm;
  • Feeling of difficulty in opening the eyelids in the morning due to their sticking secretion, which can be the main symptom of conjunctivitis;
  • Decrease in the level of visual acuity in the case of adenovirus keratitis, etc.

Symptoms of the disease may vary, depending on what caused the inflammation.

Among the accompanying signs of conjunctivitis, on the basis of which the doctor reveals the general clinical picture of the disease, its type and cause, there are:

  • cough;
  • elevated and high body temperature;
  • headache;
  • muscle pain;
  • increased fatigue;
  • general weakness.

An increase in body temperature, cough, etc., as a rule, indicates an infectious cause of the development of eye disease. Therefore, treatment will be aimed at eliminating the primary source of the disease and strengthening the immune system.

Below in the photo, you can see the characteristic redness of the eyes with conjunctivitis:

Symptoms
Acute conjunctivitis The main symptoms of acute conjunctivitis are:
  • Lachrymation due to the production of excess tear fluid.
  • Pain in the eyes is a consequence of irritation of the nerve endings, which are rich in both the conjunctiva and the eyeball itself.
  • Burning sensation.
  • Photophobia occurs as a result of increased sensitivity to sunlight.
  • The eyelids are swollen due to edema.
  • The conjunctiva is red and highly edematous.
  • If the bacteria that caused acute conjunctivitis are pyogenic, then pus is released, the eyelids stick together.
  • Runny nose and general symptoms (fever, weakness, fatigue, loss of appetite).
Chronic conjunctivitis It develops gradually, is characterized by persistent and prolonged course. Characteristic signs:
  • patients complain of discomfort,
  • feeling of a foreign body in the eye,
  • clouding of the cornea;
  • eyelids slightly reddened.

When exposed to bright sunlight, all these symptoms are aggravated, which is why the patient prefers to wear dark glasses.

Bacterial conjunctivitis

Bacterial, caused by bacteria, often staphylococci and streptococci. It manifests itself in the form of purulent discharge and swelling of the conjunctiva. Sometimes the discharge is so abundant that it becomes extremely difficult to open the eyelids after sleep.

signs

Regardless of the bacterium that started the inflammatory process, the primary symptoms are approximately the same on the mucosa, a cloudy, gray-yellow discharge suddenly appears, gluing the eyelids in the morning. Additional symptoms of conjunctivitis:

  • pain and pain in the eyes,
  • dryness of the mucous membrane and skin of the eyelids.

One eye is almost always affected, but if hygiene rules are not followed, the disease passes to the other.

Treatment in adults

If the infection is caused by bacteria, the doctor will prescribe antibiotic eye drops, and the infection will clear up within a few days. Doctors often recommend "Floxal". It has a pronounced antimicrobial effect against pathogenic bacteria that most often cause infectious and inflammatory eye lesions.

It is important to remember that with bacterial conjunctivitis, drops should be instilled 2-4 times a day until the symptoms disappear completely, but not less than 7 days in a row, even if the painful manifestations are removed almost immediately.

Viral conjunctivitis

The cause of infection is smallpox, measles, herpes, adenovirus, atypical trachoma virus. Conjunctivitis provoked by adenoviruses and herpes viruses is very contagious, patients with such forms need to be isolated from others.

Symptoms of conjunctivitis:

  • Severe inflammatory reaction of the conjunctiva (edema, redness due to vasodilation).
  • Inflammation of the conjunctiva occurs almost simultaneously in both eyes
  • Despite a pronounced inflammatory reaction, there is no abundant purulent discharge.
  • As a rule, eye inflammation is accompanied by fever and inflammation of nearby lymph nodes.

How to treat conjunctivitis of viral etiology?

There is currently no clear answer on how to treat viral conjunctivitis in adults. It should be remembered that treatment should be aimed at the destruction of pathogens, which can be varied.

The basis of treatment is antiviral drugs intended for general and local use. Local include drops, ointments containing tebrofen or oxolin. As well as an interferon solution.

In acute cases, eye drops tobrex, okacin are used up to six times a day. With severe swelling and irritation, anti-inflammatory and anti-allergic drops are used: alomid, lekrolin twice a day. In acute conjunctivitis, it is forbidden to blindfold and seal the eyes, as the risk of developing inflammation of the cornea increases many times over.

Allergic conjunctivitis of the eye

Allergic conjunctivitis is one of the many manifestations of allergies. This type of conjunctivitis often affects both eyes. The cause may be various allergens - infectious agents, drugs (atropine, quinine, morphine, antibiotics, physostigmine, ethylmorphine, etc.), cosmetics, household chemicals, physical and chemical factors in the chemical, textile, flour-grinding industries

Symptoms of allergic conjunctivitis:

  • severe itching and burning of the eyelids and mucous membranes of the eyes,
  • severe swelling and redness,
  • lacrimation and photophobia.

How to treat conjunctivitis?

The basis of treatment in this case are antiallergic drugs such as Zirtek, Suprastin, etc. Additionally, treatment is carried out with local antihistamines (Allergoftal, Spersallerg), as well as drugs that reduce mast cell degranulation. (Alomid 1%, Lecrolin 2%, Kuzikrom 4%). They are used for a long time, administering 2 times a day.

In especially severe cases, it is possible to use local preparations containing hormones, diphenhydramine and interferon.

Complications

When the body does not get help in fighting the disease, there is a high probability that complications will arise, which will be much harder to deal with than the disease itself.

  • inflammatory diseases of the eyelids (including chronic blepharitis),
  • scarring of the cornea and eyelids,
  • allergic, chemical and other conjunctivitis can be complicated by the addition of a bacterial infection.

Diagnostics

Consult a specialist if you know exactly what conjunctivitis is and have noticed its signs. The disease remains contagious for up to two weeks after the onset of the first symptoms. Early diagnosis and adequate treatment help prevent infection of others.

  1. Immunofluorescence reaction (RIF for short). This method allows you to determine the presence of antibodies to the pathogen in the imprint smear. It is used, as a rule, to confirm the chlamydial etiology of the disease.
  2. Polymerase chain reaction (PCR). Needed to confirm a viral infection.
  3. Microscopic examination of smears-imprints. Allows you to see bacterial agents and further determine their sensitivity to antibacterial drugs (during a bacteriological test).
  4. If there are suspicions of the allergic nature of conjunctivitis, a study is carried out to detect the titer of IgE antibodies, as well as a number of allergic tests.

Only after a complete diagnosis, the doctor will be able to tell exactly how to treat chronic or acute conjunctivitis.

How to treat conjunctivitis in adults

The eye can be considered healthy only when the cause of the pathology (the causative agent of infection) is eliminated and the painful consequences are eliminated. Therefore, the treatment of inflammatory eye diseases is complex.

The treatment regimen for conjunctivitis is prescribed by an ophthalmologist, taking into account the pathogen, the severity of the process, and the existing complications. Topical treatment of conjunctivitis requires frequent washing of the conjunctival cavity with medicinal solutions, instillation of drugs, application of eye ointments, and subconjunctival injections.

1. Antiseptic preparations: Picloxidine and Albucidine 20%

2. Antibacterial(etiotropic therapy):

  • staphylococcus, gonococcus, chlamydia (Erythromycin ointment)
  • Pseudomonas aeruginosa (Tetracycline ointment and / or Levomycetin drops)
  • virus-associated conjunctivitis (systemic immunocorrective and immunostimulating treatment is used, and broad-spectrum antibacterial drugs are used topically to prevent secondary bacterial damage)

3. Anti-inflammatory drugs(either steroid or non-steroid origin) locally and systemically used for edema and hyperemia: Diclofenac, Dexamethasone, Olopatodin, Suprastin, Fenistil in drops.

If acute conjunctivitis is found, the treatment is to get rid of the pus:

  • For these purposes, a solution of furacilin (1:500), a pale pink solution of manganese or a solution of boric acid 2% is used.
  • Rinse your eyes every 2-3 hours, then instill antibacterial drops.
  • If the acute form is caused by coccal flora, the doctor prescribes antibiotics and sulfonamides orally.

If purulent conjunctivitis in adults has struck one eye, both will still have to be washed and processed.

Drops

The first of the list are hormonal agents, the last are anti-inflammatory.

Eye drops that are used for conjunctivitis:

  • Vigamox;
  • Gentamicin;
  • Tobrex;
  • Vitabact;
  • ciloxane.

To relieve inflammation after the acute process subsides, the following agents can be used:

  • Maxidex;
  • Tobradex;
  • Polydex;
  • Indocolir;
  • Diklo-F.

As already mentioned, the nature of the disease (viral, bacterial or allergic) can only be established by an ophthalmologist during an internal examination. He prescribes the final treatment regimen (if necessary, correct it), while self-treatment can lead to the development of complications or the transition of the disease to a chronic form.

In conclusion, I would like to note the fact that conjunctivitis can be the most harmless lesion of the eye, but in some cases it can have significant consequences - up to irreversible loss of vision.

Treatment of conjunctivitis with folk remedies

With this disease, in parallel with the treatment with drugs, you can additionally use folk remedies in adults. For example, you can use not only a solution of furacilin for washing, but also decoctions of herbs, tea. How to rinse your eyes, you can decide based on the availability of certain funds in the house.

  1. Prepare a mixture of juices from carrots and parsley in a ratio of 3:1. Drink for the treatment of conjunctivitis 0.7 cup 3 times a day before meals.
  2. Chamomile has long been used as an antiseptic, and for conjunctivitis, lotions are made from the infusion of flowers. A distinctive feature of the plant is a gentle action that will not harm even pregnant women. 1 teaspoon of chamomile flowers pour 1 cup of boiling water. They insist half an hour. Moisten a gauze swab and apply to the eyes 4 times a day
  3. Pour 2 teaspoons of rose hips 1 cup boiling water, heat on low heat for 5 minutes and leave for 30 minutes. Make lotions when pus is released.
  4. Dill juice is another home remedy for conjunctivitis. Squeeze out the juice from the stems of dill and soak a cotton swab with it. Next, the swab is applied to the inflamed eye for 15 minutes. Lotion put from 4 to 7 times a day (depending on the stage of the disease). The course of treatment is at least 6 days.
  5. Brewing strong black tea is cooled to room temperature. Apply compresses to sore eyes. The number of procedures is not limited, the more often the better. Reduces inflammation and speeds up recovery.
  6. Agave is also widely used against allergic conjunctivitis in complex treatment, but drops are made from the plant: Juice is squeezed from a large leaf. Mixed with water in a ratio of 1:10. Apply 1 time per day, 2 drops.
  7. How to treat conjunctivitis with bay leaf? You need to take two dry bay leaves, pour boiling water for 30 minutes. Then cool the broth and make lotions based on it. If the remedy is used to treat children, then the decoction is used only for washing the eyes.

Prevention

To prevent the disease of conjunctivitis, experts recommend adhering to the following prevention rules:

  • Washing hands with soap before touching face and eyes;
  • Individual towels;
  • In allergic conjunctivitis - do not be near the allergen to exclude its contact with the mucous membrane.
  • In the professional version - wearing glasses, respirators and other protective equipment.

Conjunctivitis of the eye is faced by people of different ages, and each patient has an individual disease. Therefore, it is very important to contact an ophthalmologist at the first sign to make an accurate diagnosis.

Thanks

Conjunctivitis is an inflammation of the mucous membrane of the eye, provoked by various pathogenic factors. In general, the correct name of the disease is conjunctivitis however, it is often known only to doctors and nurses. In everyday life, the term "conjunctivitis" is most often used to refer to the inflammatory process on the mucous membrane of the eye. In the text of the article, we will use exactly the wrong term, but familiar to people far from medical science.

Classification

In general, the term "conjunctivitis" is not the name of the disease, but reflects only the localization of the inflammatory process - the mucous membrane of the eye. In order to get the full name of the disease, it is necessary to add the designation of the causative factor to the term "conjunctivitis" or indicate the nature of the inflammatory process, for example, "bacterial conjunctivitis" or "chronic conjunctivitis", etc. The full name of the disease, which includes the designation of the cause of inflammation or its nature, is used by doctors in medical records. The nature and cause of inflammation of the conjunctiva should always be clarified, since the correct and effective treatment depends on this.

Currently, there are a number of classifications of conjunctivitis, each of which reflects some significant factor regarding the cause or nature of inflammation of the mucous membrane of the eye.

Depending on the cause that provoked inflammation of the mucous membrane of the eye, conjunctivitis is divided into the following types:

  • Bacterial conjunctivitis is provoked by various pathogenic or opportunistic bacteria, such as streptococci, pneumococci, staphylococci, gonococci, diphtheria bacillus, Pseudomonas aeruginosa, etc.;

  • Chlamydial conjunctivitis (trachoma) is provoked by the ingress of chlamydia into the eyes;

  • Angular conjunctivitis (angular) is provoked by Morax-Axenfeld diplobacillus and is characterized by a chronic course;

  • Viral conjunctivitis provoked by various viruses, such as adenoviruses, herpes viruses, etc.;

  • Fungal conjunctivitis is provoked by various pathogenic fungi and is a particular manifestation of systemic infections, such as actinomycosis, aspergillosis, candidomycosis, spirotrichelosis;

  • Allergic conjunctivitis develops under the influence of any allergen or factor that irritates the mucous membrane of the eye (for example, dust, wool, varnishes, paints, etc.);

  • Dystrophic conjunctivitis develops under the influence of various substances that cause damage to the mucous membrane of the eye (for example, reagents, paints, industrial fumes and gases, etc.).

Chlamydial and angular (angular) conjunctivitis are special cases of bacterial conjunctivitis, however, based on certain features of the clinical course and signs, they are distinguished into separate varieties.

Depending on the type of inflammatory process on the mucous membrane of the eye, conjunctivitis is divided into:

  • Acute conjunctivitis;

  • Chronic conjunctivitis.

A special case of acute conjunctivitis is epidemic, provoked by the Koch-Wicks wand.

Depending on the nature of inflammation and morphological changes in the mucous membrane of the eye, conjunctivitis is divided into the following types:

  • Purulent conjunctivitis, proceeding with the formation of pus;

  • Catarrhal conjunctivitis, occurring without the formation of pus, but with profuse mucous discharge;

  • Papillary conjunctivitis develops against the background of an allergic reaction to ophthalmic drugs and is the formation of small grains and seals on the mucous membrane of the eye in the upper eyelid;

  • Follicular conjunctivitis develops according to the first type of allergic reaction and is the formation of follicles on the mucous membrane of the eye;

  • Hemorrhagic conjunctivitis is characterized by numerous hemorrhages in the mucous membrane of the eye;

  • Filmy conjunctivitis develops in children against the background of acute viral respiratory diseases.
Despite the rather large number of varieties of conjunctivitis, any form of the disease is manifested by a set of typical symptoms, as well as a number of specific signs.

The reasons

The causes of conjunctivitis are the following groups of factors that can cause inflammation in the mucous membrane of the eye:
  1. infectious causes:

    • Pathogenic and conditionally pathogenic bacteria (staphylococci, streptococci, gonococci, meningococci, Pseudomonas aeruginosa, etc.);


    • Viruses (adenoviruses and herpes viruses);

    • Pathogenic fungi (actinomycetes, aspergillus, candida, spirotrichella);

  2. Allergic causes (wearing contact lenses, atopic, medicinal or seasonal conjunctivitis);

  3. Other causes (occupational hazards, dust, gases, etc.).
All of these causes of conjunctivitis cause disease only if they manage to get on the mucous membrane of the eye. As a rule, infection occurs through dirty hands that a person rubs or touches his eyes, as well as airborne droplets in the case of viruses, allergens or occupational hazards. In addition, infection with pathogenic microorganisms can occur in an ascending way from the ENT organs (nasal, oral cavity, ear, throat, etc.).

Symptoms of different types of conjunctivitis

With any type of conjunctivitis, a person develops certain non-specific symptoms, such as:
  • swelling of the eyelids;

  • swelling of the mucous membrane of the eye;

  • Redness of the conjunctiva and eyelids;

  • Photophobia;

  • lacrimation;


  • Sensation of a foreign body in the eye;

  • Discharge of mucous, purulent or mucopurulent nature.
The above symptoms develop with any type of conjunctivitis and are therefore called nonspecific. Quite often, the symptoms of conjunctivitis are combined with catarrh of the upper respiratory tract with various respiratory infections, as well as fever, headache and other signs of intoxication (muscle pain, weakness, fatigue, etc.).

However, in addition to non-specific symptoms, various types of conjunctivitis are characterized by the appearance of specific signs, which are due to the properties of the factor that causes the inflammatory process. It is the specific symptoms that make it possible to differentiate different types of conjunctivitis based on the clinical picture without special laboratory tests. Let us consider in detail what non-specific and specific symptoms manifest various types of conjunctivitis.

Acute (epidemic) conjunctivitis

Currently, the term "acute conjunctivitis" refers to a disease whose full name is "acute epidemic Koch-Wicks conjunctivitis". However, for ease of use of the term, only a part of it is taken, which allows you to understand what it is about.

Acute conjunctivitis is bacterial, as it is provoked by a pathogenic bacterium - the Koch-Wicks bacillus. However, since acute epidemic conjunctivitis has flow characteristics associated primarily with the defeat of a large number of people and rapid spread in the population, this type of bacterial inflammation of the mucous membrane of the eye is isolated into a separate form.

Acute Koch-Wicks conjunctivitis is common in Asia and the Caucasus, in more northern latitudes it practically does not occur. The infection occurs in the form of seasonal, epidemic outbreaks mainly in the autumn and summer periods of the year. Infection with Koch-Wicks conjunctivitis occurs by contact and airborne droplets. This means that the causative agent of conjunctivitis is transmitted from a sick person to a healthy person through close household contacts, as well as through common household items, dirty hands, dishes, fruits, vegetables, water, etc. Epidemic conjunctivitis is a contagious disease.

Koch-Wicks conjunctivitis begins acutely and suddenly, after a short incubation period of 1 to 2 days. As a rule, both eyes are affected at the same time. Conjunctivitis begins with redness of the mucous membrane of the eyelids, which quickly captures the surface of the eyeball and transitional folds. The most severe redness and swelling develops in the area of ​​the lower eyelid, which takes the form of a roller. Within 1-2 days, a mucopurulent or purulent discharge appears on the eyes, and brownish thin films are also formed, which are easily rejected and removed without damaging the mucous membrane of the eye. In addition, numerous hemorrhages in the form of dots are visible in the mucous membrane of the eye. A person is concerned about photophobia, a feeling of pain or a foreign body in the eyes, lacrimation, swelling of the eyelids and redness of the entire surface of the eyeball.

In addition to epidemic Koch-Wicks conjunctivitis, the term "acute conjunctivitis" is often used by doctors to refer to any acute inflammation of the mucous membrane of the eye, regardless of what pathogen or cause provoked it. Acute conjunctivitis always occurs suddenly and usually occurs in both eyes in succession.
Any acute conjunctivitis with proper treatment ends with recovery within 5 to 20 days.

Bacterial

It always proceeds acutely and is provoked by contact with the mucous membrane of the eye of various pathogenic or opportunistic bacteria, such as staphylococci, streptococci, Pseudomonas aeruginosa, gonococci, pneumococci, etc. Regardless of which microbe caused bacterial conjunctivitis, the inflammatory process begins suddenly with the appearance of a cloudy, viscous, grayish-yellowish discharge on the surface of the mucous membrane of the eye. The discharge leads to sticking of the eyelids, especially after a night's sleep. In addition, a person develops dryness of the mucous membrane and skin around the inflamed eye. You may also feel pain and pain in the eye. With bacterial conjunctivitis, as a rule, only one eye is affected, but if left untreated, inflammation can also capture the second. The most common bacterial infections are gonococcal, staphylococcal, pneumococcal, Pseudomonas aeruginosa and diphtheria conjunctivitis. Consider the features of their flow.

Staphylococcal conjunctivitis is characterized by severe redness and swelling of the eyelids, as well as profuse mucopurulent discharge, which makes it difficult to open the eyes after sleep. Edema of the eyelids is combined with their intense itching and burning. There is photophobia and a sensation of a foreign body under the eyelid. Usually both eyes are involved alternately in the inflammatory process. With timely treatment with local antibiotics (ointments, drops, etc.), conjunctivitis resolves within 3 to 5 days.

Gonococcal conjunctivitis (gonoblennorrhea) usually develops in newborns due to infection when passing through the birth canal of a mother infected with gonorrhea (gonorrhea). With gonococcal conjunctivitis, a rapid and very dense swelling of the eyelids and the mucous membrane of the eye develops. Appears abundant mucopurulent discharge, which has a characteristic appearance of "meat slops". When opening closed eyelids, the discharge literally splashes out in a jet. As the recovery progresses, the amount of discharge decreases, it becomes thick, and films form on the surface of the mucous membrane of the eye, which are easily removed without damaging the underlying tissues. After 2-3 weeks, the discharge again acquires a liquid consistency and a greenish color, completely disappearing by the end of the 2nd month of the disease. Together with the disappearance of the discharge, both swelling and redness of the conjunctiva disappear. Gonoblenorrhea requires treatment with topical antibiotics until complete recovery.

Pneumococcal conjunctivitis occurs in children. Inflammation begins acutely, with one eye first affected, and then the second is involved. First, there is an abundant purulent discharge, combined with swelling of the eyelids, petechial hemorrhages in the mucous membrane of the eye and photophobia. Films are formed on the conjunctiva, which are easily removed and do not damage the underlying tissues.

Pseudomonas aeruginosa is characterized by profuse purulent discharge, pronounced redness of the mucous membrane of the eye, swelling of the eyelids, pain, photophobia and lacrimation.
Diphtheritic conjunctivitis develops against the background of diphtheria. First, the eyelids swell, redden and thicken. The skin is so thick that it is impossible to open the eyes. Then a cloudy discharge appears, which is replaced by a bloody one. Dirty-gray films are formed on the mucous membrane of the eyelids, which are not removed. When the films are forcibly removed, bleeding surfaces are formed.

Approximately on the 2nd week of the disease, the films are rejected, the edema disappears, and the amount of discharge increases. After 2 weeks, diphtheritic conjunctivitis ends or becomes chronic. After inflammation, complications may develop, such as scars on the conjunctiva, torsion of the eyelid, etc.

Chlamydial

The disease begins with a sudden onset of photophobia, which is accompanied by rapid swelling of the eyelids and redness of the mucous membrane of the eye. A scanty mucopurulent discharge appears, which glues the eyelids in the morning. The most pronounced inflammatory process is localized in the region of the lower eyelid. First, one eye is affected, but with inadequate hygiene, inflammation passes to the second.

Often, chlamydial conjunctivitis appears in the form of epidemic outbreaks during mass visits to swimming pools. Therefore, chlamydial conjunctivitis is also called pool or bath.

Viral

Conjunctivitis can be caused by adenoviruses, herpes viruses, atypical trachoma virus, measles, smallpox viruses, etc. The most common are herpetic and adenovirus conjunctivitis, which are very contagious. Therefore, patients with viral conjunctivitis should be isolated from others until complete recovery.

Herpetic conjunctivitis is characterized by a sharp redness, infiltration, and the formation of follicles on the mucous membrane of the eye. Quite often, thin films are also formed, which are easily removed without damaging the underlying tissues. Inflammation of the conjunctiva is accompanied by photophobia, blepharospasm and lacrimation.

Adenovirus conjunctivitis can occur in three forms:

  1. The catarrhal form is characterized by mild inflammation. The redness of the eye is not strong, and the discharge is very poor;

  2. The membranous form is characterized by the formation of thin films on the surface of the mucous membrane of the eye. The films are easily removed with a cotton swab, but sometimes they are firmly attached to the underlying surface. In the thickness of the conjunctiva, hemorrhages and seals can form, which completely disappear after recovery;

  3. The follicular form is characterized by the formation of small bubbles on the conjunctiva.
Adenovirus conjunctivitis is very often combined with sore throat and fever, as a result of which the disease was called adenopharyngoconjunctival fever.

Allergic

Allergic conjunctivitis, depending on the factor that provokes them, is divided into the following clinical forms:
  • Pollinous conjunctivitis provoked by an allergy to pollen, flowering plants, etc.;

  • Spring keratoconjunctivitis;

  • Drug allergy to eye preparations, manifested in the form of conjunctivitis;

  • Chronic allergic conjunctivitis;

  • Allergic conjunctivitis associated with wearing contact lenses.
Establishment of the clinical form of allergic conjunctivitis is carried out on the basis of anamnesis data analysis. Knowledge of the form of conjunctivitis is necessary to select the optimal therapy.

The symptomatology of any form of allergic conjunctivitis is unbearable itching and burning on the mucous membrane and on the skin of the eyelids, as well as photophobia, lacrimation, severe swelling and redness of the eye.

Chronic

This kind of inflammatory process in the conjunctiva of the eye takes a long time, and the person makes numerous subjective complaints, the severity of which does not correlate with the degree of objective changes in the mucous membrane. A person is concerned about the feeling of heaviness of the eyelids, "sand" or "garbage" in the eyes, pain, fatigue when reading, itching and a feeling of heat. During an objective examination, the doctor fixes a slight reddening of the conjunctiva, the presence of irregularities in it due to an increase in papillae. Detachable is very scarce.

Chronic conjunctivitis is triggered by physical or chemical factors that irritate the mucous membrane of the eye, such as dust, gases, smoke, etc. Most often, chronic conjunctivitis affects people working in flour, chemical, textile, cement, brick and sawmills and factories. In addition, chronic conjunctivitis can develop in people against the background of diseases of the digestive system, nasopharynx and sinuses, as well as anemia, beriberi, helminthic invasions, etc. Treatment of chronic conjunctivitis is to eliminate the causative factor and restore the normal functioning of the eye.

Angular

Also called corner. The disease is caused by the Morax-Axenfeld bacillus and is most often chronic. A person is worried about pain and severe itching in the corners of the eye, which gets worse in the evening. The skin at the corners of the eyes is red and cracked. The mucous membrane of the eye is moderately reddish. Detachable scanty, viscous, mucous character. During the night, the discharge accumulates in the corner of the eye and freezes in the form of a small dense lump. Proper treatment allows you to completely eliminate angular conjunctivitis, and the lack of therapy leads to the fact that the inflammatory process continues for years.

Purulent

Always bacterial. With this type of conjunctivitis in the affected eye, a person develops an abundant discharge of a purulent nature. Purulent is gonococcal, Pseudomonas aeruginosa, pneumococcal and staphylococcal conjunctivitis. With the development of purulent conjunctivitis, the use of local antibiotics in the form of ointments, drops, etc. is mandatory.

catarrhal

It can be viral, allergic or chronic, depending on the causative factor that provoked the inflammatory process on the mucous membrane of the eye. With catarrhal conjunctivitis, a person has moderate swelling and redness of the eyelids and the mucous membrane of the eye, and the discharge is mucous or mucopurulent. Photophobia is moderate. With catarrhal conjunctivitis, there are no hemorrhages in the mucous membrane of the eye, papillae do not increase, follicles and films do not form. This type of conjunctivitis usually resolves within 10 days without causing severe complications.

Papillary

It is a clinical form of allergic conjunctivitis, and therefore usually takes a long time. With papillary conjunctivitis, existing papillae increase in the mucous membrane of the eye, forming irregularities and roughness on its surface. A person is usually worried about itching, burning, pain in the eye in the area of ​​\u200b\u200bthe eyelid and poor mucous membranes. Most often, papillary conjunctivitis develops due to the constant wearing of contact lenses, the use of ocular prostheses, or prolonged contact of the surface of the eye with a foreign object.

Follicular

It is characterized by the appearance on the mucous membrane of the eye of grayish-pink follicles and papillae, which are infiltrates. The swelling of the eyelids and conjunctiva is not strong, but the redness is pronounced. Infiltrates in the mucous membrane of the eye cause severe lacrimation and severe blepharospasm (closing of the eyelids).

Follicular conjunctivitis, depending on the type of pathogen, can be viral (adenoviral) or bacterial (for example, staphylococcal). Follicular conjunctivitis actively proceeds for 2-3 weeks, after which the inflammation gradually decreases, completely disappearing also within 1-3 weeks. The total duration of follicular conjunctivitis is 2-3 months.

Temperature with conjunctivitis

Conjunctivitis almost never causes a fever. However, if conjunctivitis occurs against the background of any infectious and inflammatory disease (for example, bronchitis, sinusitis, pharyngitis, acute respiratory infections, SARS, etc.), then a person may have a fever. In this case, the temperature is not a sign of conjunctivitis, but an infectious disease.

Conjunctivitis - photo

The photograph shows catarrhal conjunctivitis with moderate redness and swelling, and scanty mucous discharge.


The photograph shows purulent conjunctivitis with severe edema, severe redness and purulent discharge.

What tests can a doctor prescribe for conjunctivitis?

With conjunctivitis, doctors rarely prescribe any studies and tests, since a simple examination and questioning about the nature of the discharge and the symptoms present is usually sufficient to determine the type of disease and, accordingly, prescribe the necessary treatment. After all, each type of conjunctivitis has its own signs that allow it to be distinguished from other varieties of the disease with sufficient accuracy.

However, in some cases, when it is not possible to accurately determine the type of conjunctivitis on the basis of an examination and a survey, or it occurs in an erased form, an ophthalmologist may prescribe the following studies:

  • Sowing discharge from the eye for aerobic microflora and determining the sensitivity of microorganisms to antibiotics;
  • Sowing discharge from the eye for anaerobic microflora and determining sensitivity to antibiotics;
  • Sowing discharge from the eye for gonococcus (N. gonorrhoeae) and determining sensitivity to antibiotics;
  • Determination of the presence of IgA antibodies to adenovirus in the blood;
  • Determination of the presence of IgE antibodies in the blood.
Sowing discharge from the eye for aerobic and anaerobic microflora, as well as for gonococcus, is used to detect bacterial conjunctivitis, which is difficult or not at all treatable. Also, these crops are used for chronic bacterial conjunctivitis to determine which antibiotic will be most effective in this particular case. In addition, sowing on gonococcus is used for bacterial conjunctivitis in children in order to confirm or refute the diagnosis of gonoblenorrhea.

An analysis for the determination of antibodies to adenovirus in the blood is used in cases of suspected viral conjunctivitis.

An IgE blood test is used to confirm suspected allergic conjunctivitis.

Which doctor should I contact with conjunctivitis?

If signs of conjunctivitis appear, contact an ophthalmologist (oculist) or a pediatric ophthalmologist () when it comes to a child. If for some reason it is impossible to get an appointment with an ophthalmologist, then adults should contact therapist (), and to children - to pediatrician ().

General principles for the treatment of all types of conjunctivitis

Regardless of the type of conjunctivitis, its treatment consists in eliminating the causative factor and the use of drugs that relieve the painful symptoms of an inflammatory disease.

Symptomatic treatment aimed at eliminating the manifestations of an inflammatory disease consists in the use of topical drugs that are injected directly into the eye.

With the development of the first signs of conjunctivitis, it is necessary first of all to stop pain by introducing drops containing local anesthetics into the eye bag, such as, for example, Pyromecaine, Trimecaine or Lidocaine. After pain relief, it is necessary to toilet the ciliary edge of the eyelids and the mucous membrane of the eye, washing its surface with antiseptic solutions, such as potassium permanganate, brilliant green, Furacilin (dilution 1: 1000), Dimexide, Oxycyanate.

After pain relief and sanitation of the conjunctiva, drugs containing antibiotics, sulfonamides, antiviral or antihistamine substances are injected into the eye. In this case, the choice of drug depends on the causative factor of inflammation. If there is bacterial inflammation, then antibiotics are used. sulfonamides (for example, tetracycline ointment, Albucid, etc.).

For viral conjunctivitis, local agents with antiviral components are used (for example, Kerecid, Florenal, etc.).

With allergic conjunctivitis, it is necessary to use antihistamines, for example, drops with Diphenhydramine, Dibazol, etc.

Treatment of conjunctivitis should be carried out until the complete disappearance of clinical symptoms. In the process of treating conjunctivitis, it is strictly forbidden to put any bandages on the eyes, as this will create favorable conditions for the reproduction of various microorganisms, which will lead to complications or aggravation of the course of the process.

Principles of treatment at home

Viral

With adenoviral conjunctivitis, interferon preparations, such as Interferon or Laferon, are used to destroy the virus. Interferons are used in the form of instillations of a freshly prepared solution into the eye. In the first 2-3 days, interferons are injected into the eyes 6-8 times a day, then 4-5 times a day until the symptoms disappear completely. In addition, ointments with antiviral action, such as Tebrofen, Florenal or Bonafton, are applied 2 to 4 times a day. With severe inflammation of the eye, it is recommended to inject Diclofenac into the eye 3-4 times a day. In order to prevent dry eye syndrome, artificial tear substitutes are used during the entire course of treatment, for example, Oftagel, Sistein, Vidisik, etc.

Herpes virus
In order to destroy the virus, interferon solutions are also used, which are prepared from a lyophilized powder immediately before injection into the eye. The first 2-3 days, interferon solutions are administered 6-8 times a day, then 4-5 times a day until the symptoms disappear completely. To reduce inflammation, relieve pain, itching and burning, Diclofenac is injected into the eye. To prevent bacterial complications in herpetic conjunctivitis, Picloxidine or silver nitrate solution is injected into the eyes 3-4 times a day.

Bacterial

Be sure to instill Diclofenac in the eyes 2 to 4 times a day during the entire course of treatment to reduce the severity of the inflammatory process. The discharge must be removed by washing the eye with antiseptic solutions, for example, Furacilin at a dilution of 1: 1000 or 2% boric acid. To destroy the pathogenic microbe-causative agent, ointments or drops with antibiotics or sulfonamides are used, such as Tetracycline, Gentamicin, Erythromycin, Lomefloxacin, Ciprofloxacin, Ofloxacin, Albucid, etc. Ointment or drops with antibiotics should be administered in the first 2 - 3 days 4 - 6 times a day, then 2-3 times a day until the complete disappearance of clinical symptoms. Simultaneously with antibacterial ointments and drops, Picloxidine can be instilled into the eyes 3 times a day.

Chlamydial

Since chlamydia are intracellular microorganisms, the treatment of the infectious and inflammatory process provoked by them requires the use of systemic drugs. Therefore, with chlamydial conjunctivitis, it is necessary to take Levofloxacin 1 tablet per day for a week.

At the same time, local preparations with antibiotics, such as Erythromycin ointment or Lomefloxacin drops, should be injected into the affected eye 4 to 5 times a day. Ointment and drops must be applied continuously from 3 weeks to 3 months, until the clinical symptoms completely disappear. To reduce the inflammatory reaction, Diclofenac is injected into the eye 2 times a day, also for 1 to 3 months. If Diclofenac does not help to stop the inflammation, then it is replaced with Dexamethasone, which is also administered 2 times a day. For the prevention of dry eye syndrome, it is necessary to use artificial tears daily, such as Oksial, Oftagel, etc.

Purulent

With purulent conjunctivitis, be sure to rinse the eye with antiseptic solutions (2% boric acid, Furacilin, potassium permanganate, etc.) in order to remove copious discharge. Eye rinsing is performed as needed. Treatment of conjunctivitis consists in the introduction of Erythromycin, Tetracycline or Gentamicin ointment or Lomefloxacin into the eye 2 to 3 times a day until the clinical symptoms disappear completely. With severe edema, Diclofenac is injected into the eye to stop it.

Allergic

For the treatment of allergic conjunctivitis, local antihistamines (Spersallerg, Allergoftal) and agents that reduce mast cell degranulation (Lekrolin 2%, Kuzikrom 4%, Alomid 1%) are used. These drugs are injected into the eyes 2 times a day for a long time. If these remedies do not completely stop the symptoms of conjunctivitis, then anti-inflammatory drops Diclofenac, Dexalox, Maxidex, etc. are added to them. In severe allergic conjunctivitis, eye drops containing corticosteroids and antibiotics are used, for example, Maxitrol, Tobradex, etc.

Chronic

For successful treatment of chronic conjunctivitis, the cause of inflammation should be eliminated. To stop the inflammatory process, a 0.25 - 0.5% solution of zinc sulfate with a 1% solution of resorcinol is instilled into the eyes. In addition, solutions of Protargol and Collargol can be injected into the eyes 2 to 3 times a day. Before going to bed, yellow mercury ointment is applied to the eyes.

Preparations (medicine) for the treatment of conjunctivitis

For the treatment of conjunctivitis, topical drugs are used in two main forms - drops and ointments recommended by the Ministry of Health of the Russian Federation. Also for the treatment of conjunctivitis, drops and ointments are presented in the table.
Ointments for the treatment of conjunctivitis Drops for the treatment of conjunctivitis
Erythromycin (antibiotic)Picloxidine (antiseptic)
Tetracycline ointment (antibiotic)Albucid 20% (antiseptic)
Gentamycin (antibiotic)Levomycetin drops (antibiotic)
Yellow mercury ointment (antiseptic)Diclofenac (non-steroidal anti-inflammatory drug)
Dexamethasone (anti-inflammatory drug)
Olopatodin (anti-inflammatory agent)
Suprastin
Fenistil (antiallergic agent)
Oxial (artificial tear)
Tobradex (anti-inflammatory and antibacterial agent)

Folk remedies

Folk remedies can be used in the complex treatment of conjunctivitis as solutions for washing and treating the eyes. Currently, the most effective folk remedies used for conjunctivitis are the following:
  • Pass the dill greens through a meat grinder, collect the resulting slurry in cheesecloth and squeeze thoroughly to get pure juice. Moisten a clean soft cotton cloth in dill juice and put it on the eyes for 15-20 minutes when the initial signs of conjunctivitis appear;

  • Dilute honey with boiled water in a ratio of 1: 2 and instill the eye with the resulting solution as needed;

  • Grind two teaspoons of rose hips and pour them with a glass of boiling water. Boil the berries and insist for half an hour. Strain the finished infusion, moisten a clean cloth in it and apply lotions on the eyes when pus is released;

  • Pound 10 g of plantain seeds in a mortar and pour them with a glass of boiling water, then leave for half an hour and strain. In the finished infusion, moisten a clean cloth and apply lotions to the eyes. You can also rinse your eyes with infusion as needed;

  • Collect fresh Datura leaves and grind them. Then pour 30 g of crushed leaves with a glass of boiling water, leave for half an hour, then strain. Ready infusion to use for the manufacture of lotions.

What is the recovery treatment after conjunctivitis

Conjunctivitis can provoke various visual impairments associated with damage to the mucous membrane of the eye. Therefore, after a complete recovery, a person may be disturbed by periodic discomfort, which is quite treatable. Currently, ophthalmologists recommend that immediately after the relief of inflammation in conjunctivitis, the use of local drugs that accelerate healing and complete restoration of the tissue structure (reparants) should be started.

Among the most effective and commonly used reparants is Solcoseryl eye gel, made from the blood of dairy calves.

This drug activates the metabolism at the cellular level, as a result of which tissue restoration occurs in a short time. In addition, there is a complete restoration of the damaged structure, which, accordingly, creates conditions for the normalization of the functions of the damaged organ, in this case the eye. Solcoseryl ensures the formation of a normal and uniform mucous membrane of the eye, which will perfectly perform its functions and will not create any subjective discomfort. Thus, restorative treatment after conjunctivitis consists in the use of Solcoseryl eye gel for 1 to 3 weeks.

Before use, you should consult with a specialist.
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