EYE DISEASES : THE ACUTE CONJUNCTIVITIS (CONJUNCTIVITIS ACUTA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Infection. Most often caused by pneumococcus, the Bacillus of Koch-weeks, diplobacillus Morax-Axenfeld.
The pathogenesis. The exogenous infection. Contribute to the development of its moments that weaken the conjunctiva (cooling, odors, disease of the nose) or damaging it.
Symptoms. Acute onset, almost always in both eyes. Complaints of a burning sensation and pain in the eyes. Sharp hyperemia, loosening, swollen conjunctiva of the eyelids and transition folds, injection of the vessels of the conjunctiva of the sclera, sometimes bleeding in the transitional fold of the conjunctiva and the sclera. Copious Muco-purulent discharge, flowing for ever and gluing them for the night.
For sharp, from 8 days to 2 - 3 weeks. Often complicated marginal corneal infiltrates.
From diseases of the eye (e.g., iritis) is characterized by the absence of changes in the iris, nature of redness (bright red, not bluish) and copious discharge; if the grain is, the diagnosis can sometimes be made only after prolonged observation, in many cases, slit lamp examination; the diagnosis is and type of bean with trachoma and conjunctivitis are often different. From amenorrhea ogledalce the lack of significant swelling of the eyelids; bacteriologically - lack gonoreynogo of the pathogen in Muco-purulent discharge.
Abundant and frequent washing of the conjunctiva. Cold lotions of boric acid solution. Once a day cauterization of the conjunctiva 1 - 2% solution of silver nitrate. A solution of silver nitrate is applied to the everted conjunctiva of the eyelids dropper or cotton swab wrapped on a wooden stick. Swab carried by the conjunctiva, pressing with different power, depending on the severity of the process. The number of droplets is also determined by the severity of conjunctivitis, usually burned 3 to 4 drops. After burning the excess silver nitrate is neutralized, washing the conjunctiva saline solution. When it subsided phenomena pass to albucidum, and then to zinc. Good effect of local application of a solution of penicillin: 20 000 units in 1 ml 1 - 2 drops 6 times a day. Effective rapid method penicillin: puscarie for 2 hours 12 times the same solution of penicillin in the conjunctival SAC. The eye drops.