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Friday, February 3, 2012

Pink Eye

Pink eye-About Pink eye:

Pink eye is contagious conjunctivitis, also known as an outbreak of the eyes of fire, is an acute infectious ophthalmia.Pink eye prevalence and dangers of viral conjunctivitis.Pink eye can occur throughout the year, more common in spring and summer. Pink eye is contagious eye disease, such as contact with used towels, wash utensils, faucets, doorknobs, swimming pool water, communal toys and so on.Pink eye often widely disseminated in kindergartens, schools, hospitals, factories, and other collective units, resulting in the outbreak.

About Pink eye:

Pink eye, acute onset, generally in the infection of bacteria within 1-2 days of onset, and most eye disease.Infectious pink eye, pink eye due to cure people with low immunity, repeated infections (such as contact with sick people can get sick), from a few months infant - 89-year-old elderly are likely to develop the disease. Popular fast, after suffering from pink eye, is often a person has the disease in 1-2 weeks, resulting in the wide dissemination of the family, kindergartens, schools, factories, all ages, a large number of patient infections.

Pink eye, many eyes have the disease, the illness early, the patient felt his eyes burning, burning, photophobia, red eye, conscious eye grinding pain, pain unbearable like to enter the sand camel roll, followed by eyelid swelling, eye gum, sensitive to light tears, the morning when the eyelids are often secretions stick, not easily opened. Small bleeding or bleeding spots on the conjunctiva of some patients, secretions were mucopurulent, sometimes surface in the conjunctiva layer of white pseudomembrane edge of the cornea may have a gray infiltration points, may be associated with severe headache, fever, fatigue preauricular lymphadenopathy and other systemic symptoms.

Pink eye generally does not affect the vision, if the mucopurulent secretion adhesion to the corneal surface, temporary blurred vision or rainbow (see Rainbow-like aperture), Once secretions wipe, depending on the material can be clear . If bacterial or viral infections that affect the cornea, photophobia, tearing, pain worsened visual acuity decreased to some extent.

Pink eye - etiology
Common pathogen the pneumococcus kochweeks bacilli, influenza bacillus, Staphylococcus aureus and Streptococcus can be seen, the latter two bacteria usually parasitic in the conjunctival sac, does not cause conjunctivitis, but in other conjunctival lesions and local or systemic resistance is lowered, sometimes caused by the onset of acute conjunctivitis. Bacteria through a variety of media direct contact with the conjunctiva, in public places, collective units, such as kindergartens, schools and families spread rapidly, cause popular. Especially in spring and autumn, a variety of respiratory diseases such as influenza, the prevalence of rhinitis, conjunctivitis pathogens may be spread by respiratory secretions.

Pink eye - infection pathway
The reason for acute conjunctivitis is the most common virus infections, other bacterial infections can also cause symptoms of acute conjunctivitis, more often encountered in the outpatient acute conjunctivitis is caused by viral infection. Mainly by exposure to infection from, it is recommended that most people must wash their hands frequently. As for the classification of chronic conjunctivitis, but the outpatient among the most common allergies are caused by chronic conjunctivitis. In addition, some cases are also easy to mistakenly think conjunctivitis, in fact, eyelid inflammation of the eye next to the dry eye is likely to cause eye irritation of the situation, most allergies, dry eyes, eyelid inflammation often occurs.

The disease is spread through contact, the most common eye - hand - the spread of the eye. In addition, contact with the patient used towels, handkerchiefs, wash utensils, electronic games, computer keyboard, etc., or to contact the patient pool, Jacuzzi and other local swimming, bathing, there may be infected with the disease.
Pink eye - diagnostic tests based on

An outbreak, infectious;

(2) intense pain, photophobia, tearing and severe irritation and watery secretions;

(3) a high degree of conjunctival hyperemia, edema, subconjunctival hemorrhage;

Corneal diffuse punctate epithelial shedding;

5 preauricular or submandibular lymph nodes;

Individual cases of conjunctivitis subside after the paralysis of the legs.

Pink eye is a highly infectious eye disease, therefore, to prevent pink eye and prevention of other infectious diseases, we must seize to eliminate the source of infection, cut off the transmission and improve the body resistance to three sessions. Aggressive treatment of pink eye patients, and appropriate isolation. Pink eye treatment period, as far as possible to avoid contact with patients and their used items, such as face towels, washbasin. As far as possible less than a public place to go (such as swimming pools, theaters, shops, etc.). Personal items (such as towels, handkerchiefs, etc.) or kindergartens, schools, barber shop, bathrooms, and other public goods should pay attention to disinfection and isolation (sterilized by boiling). Individuals to pay attention to do not have dirty hands and rubbed my eyes, Qin nails, washing hands before meals and after. Conditions the use of antibiotics or antiviral eye drops. Shall be open to the affected eye can not cover the risk of eye, cover the affected eye, eye discharge can not be discharged, while increasing the local temperature and humidity of the eye, and conducive to the proliferation of bacteria or virus, aggravate the condition.
Pink eye - the symptoms of particular disease
Pink eye or both eyes conjunctival hyperemia, mucopurulent secretions, but generally does not affect vision. If left untreated, while others turn into a chronic conjunctivitis. Specific treatment is as follows:

(1) since the beginning of the eyelid and conjunctival swelling, can be used cold, three times a day, every 20 minutes. A risk of red eye, the other two are not yet infected, should prevent the healthy eye is also transmitted in the wash or eye drops drug should head to the affected side, sleeping head to the affected side to prevent the discharge inflows health the eye.

(2) increased secretion, the daily flush eyes with normal saline or warm water 3-4 times, the clean eye secretions. It should be noted that: suffering from pink eye should not, cover the eye, cover the eyes, the eyes the temperature increased, which is conducive to bacteria growth, reproduction, secretions difficult to discharge, but the inflammation.

(3) Eye drops 0.25% chloramphenicol or other anti-inflammatory eye drops every two hours, before going to sleep coated with anti-inflammatory ointment. Someone suffering from pink eye, requiring doctors to fight anti-inflammatory needles to treat, in fact, did not need anti-inflammatory for pink eye, the role is very small. If the infant red-eye is more serious, eye drops drugs more difficult, can be oral sulfa emulsion.
Pink eye - a common type

1) wind-heat type since the beginning of red eye, itching alternating tears ached, photophobia photophobia, thin yellow tongue coating, slippery pulse number.

2) heat toxin type eye red swollen significantly, burning, photophobia, headache, eye pain, the gum tears bond, red tongue, yellow greasy moss, floating and rapid pulse.

Pink eye - treatment program

Had pink eye after active treatment, the general requirements should be promptly and thoroughly, adhere to. Once discovered, the immediate treatment, do not interrupt, and will need to continue to treat symptoms disappeared completely after one week to prevent recurrence. Treatment can rinse the eyes, suffering from eye secretions more, to use the appropriate rinsing agent such as saline or 2% boric acid water to flush the conjunctival sac 2-3 times daily, and sterile cotton swab to wipe the lid margin. Can also be suffering from eye eyedrops or coated with ointment. Such as bacterial infections, and select the most effective antibiotic eye drops, eye drops, check out the bacteria according to the severity, every 2-3 hours or hourly eyedropper, commonly used in eye drops 10% -20% of sulfonamides sulfacetamide sodium, 0.3% norfloxacin, 0.25% chloramphenicol eye drops, etc., at night before going to bed can be coated with antibiotic ointment, such as ciprofloxacin, chlortetracycline or tetracycline eye ointment, every time some medicine before secretion being cleaned, in order to improve efficacy. Mixed virus infection of conjunctivitis in addition to medication, but also anti-viral eye drops 0.1% hydroxyl benzyl yl eye drops are available, such as adenovirus, 0.1% peptide the butylamine emulsion, such as 0.1% available for small viruses herpes net, 0.1% acyclovir eye drops, 2-3 times daily, if necessary, can also be applied interferon. Conditions for bacterial culture and drug sensitivity test to the choice of appropriate antibiotics.Got pink eye in accordance with the principle of "prompt, thorough, adhere to the" active treatment, even if the symptoms disappeared completely after one week will need to continue treatment to prevent relapse. More eye secretions due to acute conjunctivitis, so we can not rely solely on drug therapy, hospice care eye is also very important to keep clean.Treatment, the available saline or 2% boric acid solution, eyewash or eye bath, 2 or 3 times a day, and sterile cotton swab to wipe eyelid, then instillation of eye drops in order to give full play to its efficacy. Beginning when the eye of acute conjunctivitis are advised to make cold compress to help swelling withdrawal red.Such as bacterial infection, effective antibiotic eye drops eye drops can check out the bacteria, according to severity, each 2 to 3 hours or drops of 1 per hour, so as to maintain adequate drug concentrations. Commonly used in eye drops 10% to 20% sulfacetamide sodium, 0.3% norfloxacin, 0.25% chloramphenicol eye drops and so on.Mixed virus infection of conjunctivitis in addition to medication, but also anti-viral eye drops 0.1% hydroxyl benzyl yl eye drops are available, such as adenovirus, 0.1% peptide butylamine emulsion. In recent years, found that the effect of acyclovir or ganciclovir was slightly better, when necessary, interferon. Conditions for bacterial culture and drug sensitivity test to the choice of appropriate antibiotics. Inflammation is not under control, avoid using hormones eyedrops.In addition to the treatment of pink eye generally do not advocate the use of eye ointment, because the pink eye patients have been secretions on the conjunctiva coated with ointment will cause higher temperatures, bacteria grow and reproduce faster, secretions should not be out of the eye, but can make the disease increased.Patient during treatment to avoid light and heat stimulation, and do not barely read a book or watching TV, to go and wear sunglasses, avoid the sun, wind, dust and other stimuli. Home-based treatment condition did not improve, or significant systemic symptoms, such as headache, fever, indicating that there may be complications, should see an ophthalmologist immediately.