Stye may cause scars after surgery. If you want to reduce the scars after surgery, you must pay attention to daily care after the operation, so that your scars will not get worse. It is best not to use surgery unless it is absolutely necessary, so as not to cause greater damage to your eyes. Alternatively, local use of some antibacterial drugs can be a good treatment. 1. Local treatment (1) The main function of flushing the conjunctival sac is to clean it. Commonly used solutions are normal saline, 2% to 3% boric acid solution, or 1:5000 to 1:10000 liters of mercuric (or potassium permanganate) solution. (2) Do not cover the affected eye. Conjunctivitis produces a lot of secretions. If you cover the affected eye, the secretions will not be easily discharged and will accumulate in the conjunctival sac. Covering the eye will also increase the temperature of the conjunctival sac, which is more conducive to the reproduction of bacteria and aggravates conjunctivitis. (3) Topical antibacterial or antiviral eye drops. According to the etiological diagnosis, choose the appropriate therapeutic drugs. 0.5% to 1% silver nitrate can be used. When dropping eye drops, turn over the eyelids and drop the eye drops on the conjunctiva. Wait for a while after dropping the eye drops and rinse with normal saline. Or use a cotton swab to dip a small amount of liquid medicine, apply it to the surface of the conjunctiva, and then rinse with saline. 2. Systemic treatment For severe conjunctivitis, such as gonococcal conjunctivitis, systemic medication is required. Conjunctival congestion and increased secretions are common characteristics of various conjunctivitis. The inflammation can occur in one eye or both eyes simultaneously/sequentially. 1. Symptoms The affected eye may experience a foreign body sensation, burning sensation, heavy eyelids, and increased secretions. When the lesion involves the cornea, photophobia, tearing, and varying degrees of vision loss may occur. 2. Physical signs The signs of conjunctivitis are an important basis for the correct diagnosis of various conjunctivitis. (1) Conjunctival congestion The characteristic of conjunctival vascular congestion is that the closer to the dome, the more obvious the congestion. The blood vessels are distributed in a reticular manner, bright red in color, and can extend into the periphery of the cornea to form corneal pannus. (2) Purulent discharge is more common in gonococcal conjunctivitis; mucopurulent or catarrhal discharge is more common in bacterial or chlamydial conjunctivitis, and often adheres firmly to the eyelashes, making it difficult to open the eyelids in the morning; watery discharge is usually seen in viral conjunctivitis. (3) Conjunctival chemosis Conjunctival inflammation causes conjunctival blood vessel dilation and exudation, leading to tissue edema. Because the bulbar conjunctiva and fornix conjunctiva tissues are loose, they bulge out significantly when edematous. (4) Subconjunctival hemorrhage is mostly in the form of dots or small patches. Epidemic hemorrhagic conjunctivitis caused by viruses is often accompanied by subconjunctival hemorrhage. (5) The papilla is a nonspecific sign of conjunctival inflammation and can be located on the palpebral conjunctiva or corneal limbus. It presents as a raised polygonal mosaic appearance with areas of hyperemia separated by pale grooves. Follicles are yellow-white, smooth, round protrusions with a diameter of 0.5 to 2.0 mm, but in some cases, such as chlamydial conjunctivitis, larger follicles may also appear; viral conjunctivitis and chlamydial conjunctivitis are often accompanied by obvious follicle formation and are called acute follicular conjunctivitis or chronic follicular conjunctivitis. |
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