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Treatment for conjunctivitis or "pink eye" can vary widely, depending on what causes the eye condition.
Antibiotics usually are the mainstay of treatment for bacterial forms of conjunctivitis, while relief of symptoms often is the best approach for viral types of pink eye that must simply run their course. Warm compresses placed on closed eyelids may help soothe your eyes if you have viral or bacterial conjunctivitis. If your eyes are itchy, scratchy and irritated most of the time, you may need eye drops or pills to treat eye allergies associated with this form of non-contagious pink eye.
Whenever you have symptoms such as eye redness, runny eyes or sensitivity to light (photophobia), however, it's always best to consult your eye doctor for advice about proper treatment.
Usually, a broad-spectrum antibiotic treatment in the form of eye ointments or drops is used to treat conjunctivitis or "pink eye" infections caused by bacteria. Daily lid cleansing and medicated eye drops usually are the first line of defense against pink eye. Standard antibiotic treatments often will work for ordinary bacterial infections related to staphylococcus (staph) or streptococcus (strep) infections, which are the usual causes of bacterial conjunctivitis in adults. A typical antibiotic treatment often will work for these types of bacterial infections without the need to swab the eye and send off a sample (culture) for evaluation.
Your eye doctor might prescribe an eye cleanser to keep your eyes clean or to prevent a bacterial infection from starting. If the discharge from the eye is severe, gonococcal (gonorrhea) conjunctivitis may be an underlying cause, particularly in newborn babies who, while being born, contact mothers who have been infected with a sexually transmitted disease. Ideally, a mother-to-be should be tested before her baby is born to make sure any pre-existing infection can be cleared up with antibiotics to avoid the possibility of transmitting it to the baby. If gonococcal conjunctivitis is confirmed in a newborn infant, then antibiotic treatment must be given intravenously (through veins) or through muscles, as well as in the form of topical eye drops or ointments.
Any newborn baby with pink eye must be evaluated for gonococcal and chlamydial conjunctivitis (STDs). Again, not all instances of conjunctivitis that occur right after or within a few weeks of birth (ophthalmia neonatorum) are caused by sexually transmitted disease. Some form of conjunctivitis is found in 1.6 percent to 12 percent of all newborn babies in the United States, according to Ferri's Clinical Advisor 2008.
Measures such as applying silver nitrate and antibiotic ointments to the eyes of newborn infants within an hour of birth have greatly reduced the rate of gonococcal conjunctivitis in the U.S.
This preventive method does not stop chlamydia-based conjunctivitis, however, which must be treated with antibiotics after diagnosis. Antibiotic treatment for conjunctivitis related to chlamydia or gonorrhea also may be needed for sexually active adults exposed to secretions containing these infectious agents. Because many forms of conjunctivitis are viral, for which there is no curative treatment, it's important to pinpoint exact symptoms to determine the underlying cause of pink eye before treatment (if any) is considered. Antibiotics may be prescribed for bacterial conjunctivitis, but they don't work on viral forms.
Usually, a person with viral conjunctivitis has redness in one or both eyes along with watery or a small amount of mucus discharge.
If you or your child first had an upper respiratory infection such as a common cold, then resulting pink eye may be due to an adenovirus that commonly invades moist, membrane-like tissue lining nasal passages and eyes.
This is why viral conjunctivitis spreads easily when infected children sharing close quarters with family members or classmates start sneezing and coughing. Virus-based illnesses such as measles and mumps, while not nearly as common as they once were, also can lead to viral forms of pink eye. Your eye doctor also may look for other signs to confirm viral infection, such as small bumps (follicles) on the eye or eyelids and an enlarged lymph node located in front of the ear. Other common allergic symptoms are a stuffy, runny nose (rhinitis), "scratchy" throat and dry, hacking cough. The diagnosis of allergic conjunctivitis is confirmed by the lack of infectious signs on microscopic examination in the eye doctor's office. Depending on the degree of symptoms, many people get relief from over-the-counter vasoconstrictor and antihistamine eye drop combinations for relief of red eyes and itchiness.
If this approach is ineffective or symptoms are more severe, a mild steroid eye drop medication may be used temporarily.
People whose allergic conjunctivitis symptoms can be controlled only with steroids and who require ongoing treatment must be monitored for potential increases in eye pressure and cataract development that are potential side effects of steroids. Soft contact lens wearers represent the great majority of people afflicted with giant papillary conjunctivitis (GPC). GPC is related to immune responses and inflammation associated with a contact lens, artificial eye (ocular prosthesis) or even an exposed stitch (suture) in the eye in some postoperative patients. Removing the foreign body, such as a contact lens, that has caused the abnormal immune response and leaving it out for at least a month or longer.
After the condition resolves, wearing soft contact lenses only for limited time periods or switching to gas permeable contact lenses to decrease the risk that GPC might recur. Using strict contact lens hygiene (such as using appropriate contact lens solutions) and changing lenses frequently to help reduce the chance of GPC.
Finally, irrigating the eye's surface with a sterile salt water (saline) solution several times daily may give additional relief.
People interested in continuing to wear contact lenses and who already have had GPC might consider using mast-cell stabilizing agents in eye drops to help suppress release of mediators (histamine, etc.) of inflammation in the eye, caused by the body's immune responses.
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Text and images on this website are copyright protected and reproduction is prohibited by law. Stye infection is very similar to chalazion in which a cyst develops on the glands of the eyelid.
In case of severe drainage from the infected eye, your doctor may lance the pus keeping you under local anesthesia. A stye is tender bump like structure found on the base of eyelashes or inner side of eyelids. Bump like growth may be found either on the glands found in the inner corner of eyelids or on the hair follicles. Sty commonly occurs on all persons but persons with history of diabetics, blepharitis and chronic illness like seborrhea are more prone to stye than others. No special examination is required for diagnosing sty since your doctor will easily identify it by examining your eyes. Instead of squeezing the infected eyes, you have to wait patiently for the infection to drain on its own.
The AOCD was recognized in 1958 as a Specialty College of the American Osteopathic Association. The AOCD's Dermatologic Disease Database contains information on more than 240 dermatologic diseases and 40 drugs and treatments. Consultant, Division of Ophthalmology, Groote Schuur Hospital and University of Cape Town, Private Bag, Observatory, 7937, South Africa. Drawings by Zambian primary school children during a Draw and Write research excercise supervised by Dr Boeteng Wiafe and Victoria Francis. Particular attention is required if a foreign body is involved or if the injury may have perforated the globe.


Prophylaxis for tetanus infection is required for a patient with lacerations, particularly if dirty. Corneal foreign bodies can be removed after adequate topical anaesthesia under magnification with good illumination. A sub-conjunctival haemorrhage is quite common after trauma and can be managed conservatively (Figure 4). However, occasionally it can be the only sign of a ruptured globe, when it may be associated with a low intraocular pressure (IOP) and an abnormally deep anterior chamber. The risk of further bleeding into the eye is increased by the use of aspirin, and may be decreased by topical steroids. Proptosis or diplopia (double vision) suggests serious eye injury for which specialist assessment and management is required. The first aid management of chemicals in the eye is immediate and profuse irrigation with clean water after instilling local anaesthetic drops. Corneal abrasions, conjunctival, tarsal, superficial corneal foreign bodies and small lid lacerations not involving the lid margins, can be managed by ophthalmic nurses and general practitioners. Piercing is done as a fashion in many parts of the body like nose, lip, nipples, ears and nose.
Normally piercing gets infected depending on the area in which piercing is done and on the tools used for piercing.
The area in which piercing is done will be pinkish red for some days and it will assume normal color in few days. Because these two conjunctivitis types are contagious, you also should practice good hygiene such as frequent hand washing to keep from infecting your other eye or people who share your environment.
In certain cases where an underlying infection elsewhere in the body may be causing your eye symptoms, you may be prescribed antibiotics to swallow in tablet form.
If the initial treatment doesn't work, then a culture may be needed so that treatment can be changed to a more specialized type of antibiotic. Artificial tears are another common prescription for pink eye, to relieve dryness and discomfort. However, staphylococcus, streptococcus and other infectious agents should be considered as well, so appropriate treatment can begin. A baby's eyes can become infected from exposure to other types of bacteria during the birth process. In some cases of viral conjunctivitis, your body's immune responses and eye inflammation may cause deposits to form near the eye's surface to create problems such as hazy vision.
But it is quite possible that once the steroids are discontinued, the disease may continue to run its course. However, most ordinary cases of viral conjunctivitis will run their course without treatment within several days or weeks. For those with particularly severe GPC, a short course of corticosteroid eye drops may be prescribed. This develops when there is any infection on the glands of the eyelid or on the hair follicles.
When stye is left untreated for long time, there is possibility for chalazion cyst to develop. Generally the glands keep the eyeballwell lubricated but due to some reason, the glands get clogged and cannot produce oily substance anymore. People with a history of chronic illness like diabetes, blepharitis and seborrhea are more prone to eye infection than others. You can apply warm compression over the affected eye for 10 minutes and repeat this process for 5-6 times a day. Avoid sharing the eye cosmetic with others and do not touch your eyes without washing your hands. A condition known as blepharitis which causes infection of the meibomian glands can give rise to stye.
Mostly sty will settle down with warm compress, but you should not take a chance if the infection extends for long time.
The AOCD now oversees 32 dermatology residency programs that are currently training 163 residents in dermatology.
Many are minor but, if not treated quickly and appropriately, can lead to sight-threatening complications.
For example, a history of a blow to the eye by a broomstick suggests blunt trauma, but if the weapon was the tip of a rotten broomstick, one would look for a retained foreign body; if the fist was the weapon but the assailant was wearing a ring, one would look for lacerations to the globe as well as contusion or bruising of the lids and orbit. A corneal abrasion is often caused by a finger, resulting in an extremely painful eye that can be examined once topical anaesthetic has been instilled.
Diffuse punctate staining is visible over the whole cornea when stained with fluoroscein, and the symptoms are similar to that of a corneal abrasion, but usually in both eyes. A shield only should be placed over the injured eye – eye pads must not be used so as to avoid any pressure on the eye. Patients should be advised to avoid non-steroidal anti-inflammatory drugs for one week aftera hyphema. The intraocular pressure may increase in the acute phase and a lens extraction may be indicated.
The patient should lie flat while water is poured into the eye generously for at least 15 minutes (see page 109).
Evisceration is thought to carry a risk of sympathetic ophthalmia, but there is little evidence to support this.
When a patient complains of a sudden onset scratchy eye, and no corneal foreign body can be found, the lid should be everted to check for foreign bodies. A stab at the lateral margin of the orbit resulted in cranial penetration and a pneumocranium, as seen on CT scan. Clinical and surgical skills and equipment vary from place to place and country to country so that the management of serious eye injury requires a variety of alternative strategies. Injuries such as deep corneal foreign bodies and large hyphaemas should be managed in centres where slit lamp examinations can be performed and intraocular pressure (IOP) can be measured.
Practitioners may manage patients differently according to the availability of equipment, skills, finances and transport. Unless otherwise stated, all content is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
For instance the private parts like genitals and lip are more prone to develop infection than other parts of the body, since it has more moisture content.
Also, babies who are only a few weeks old can be exposed to pink eye from other bacterial sources after they go home. Furthermore, long-term steroid use may be associated with development of cataracts or glaucoma. Mast cells release histamine and other causes of eye inflammation and ultimately are responsible for itching.
The symptoms of reddish eye and pus like discharge will settle down when you apply warm compress.
In medical terms, sty is called hordeolum and is classified as external hordeolum if the sty occurs at the corners of eyelash or hair follicle of the eyes. Sometimes, it can cause dot like spots inside the eyes which can be painful till it begins to rupture for draining out the pus.


Sometimes the oil gland gets blocked (chalazion) and your doctor may give you a steroid shot for curing the infection. Avoid sharing cosmetics like lash-curlers and eyelids with others which may trigger infection. Human bites, or penetrating injuries caused by dirty or used kitchen utensils, may cause fulminant infection, so the patient should be treated with systemic antibiotics.
Vitreous haemorrhage is a sign of serious intraocular trauma, and is characterised by the loss of the red reflex compared with the other eye.
In the same patient as Fig 5, the brown discolouration below the limbus is the iris prolapsing through a scleral laceration just below the limbus. Both blunt and perforating injury may cause a cataract requiring extraction, either very soon after injury if it is causing complications, or later when the eye is quiet and recovered from the injury. The first aid management is to apply antibiotic ointment generously all over the conjunctiva, cornea and burned eyelids. After this time the eye can be examined with fluorescein to see if there is any evidence of corneal ulceration.
Evisceration may be more appropriate (for non-malignant conditions) in developing countries, because the procedure is simpler than enucleation, the results offer better cosmetic results and there is less danger of systemic infection if the eye is infected.
In principle, if a health care worker can diagnose and treat a condition and recognise the complications, then he or she can manage that case. Open globe injuries, lid lacerations involving the lid margin or canaliculi, blow out fractures with diplopia in the primary position and any potential intraocular foreign body should be referred to a well equipped eye care centre.
You may also feel irritating pain and itching sensation on that area, it can be due to infection. A stye is called external hordeolum when it develops on the base of hair follicle and it is called as internal hordeolum when it occurs on the glands. Very often, it is the Staphylococcus bacteria that cause stye infection on the glands and on the hair follicles of the eye. Sometimes, increased level of blood fats can trigger blockages in the eye glands causing stye.
Sometimes, when you are sharing makeup substance with others who have infection, you have more chance to develop eye stye. You have to apply mild pressure on the infected eyes by gently pressing it with warm compress. It may spread up around the nose, and occasionally the eyes while avoiding the skin adjacent to the lips.
When metal hits metal (such as hammer and chisel), the velocity of the metal fragment is enough to leave the slightest of marks on the cornea as it tracks through the globe to the vitreous cavity, whereas the grit from a coal engine embeds itself in the corneal epithelium as a corneal foreign body. Lacerations involving the lid margins should also be referred to a specialist who is familiar with the technique of opposing the lid margins with fine precision. All cases of vitreous haemorrhage should be referred for further examination to exclude globe rupture or perforation, or other sight-threatening complications such as retinal detachment (Figures 5 & 6). If there is ulceration, the patient should be given topical antibiotics, and an eye pad and seen daily. Normally it takes 2 to 3 days for the skin to get healed but sometimes it may develop into severe infection giving pain and inflammation on the affected part.
Do not delay in visiting your doctor if the piercing infection does not settle down in one or two days.
The gland is present beneath the eyelid which secretes oily liquid into the eyeball that keeps them well lubricated. The meibomian gland is responsile for secreting oil like substance in the eyeballs and sometimes stye occurs in these glands causing excess of oily secretion giving rise to bacterial infection.
Intraocular foreign bodies, such as glass, may be inert but the reaction caused by a copper fragment can destroy the retina within days.
Medial canthus injuries should be assessed to see if there is a tear of the lower canaliculus (a lacrimal probe can be used).
Perioral dermatitis may come and go for months or years.There may be more than one cause of perioral dermatitis.
With chemical injuries it is important to know the type of substance that caused the burn, and how long the substance had contact with the eye.
If damaged, the patient should be referred to an eye specialist for canalicular repair (Figure 3). The sight- threatening complications of hyphaema are caused by raised IOP, which is managed by oral acetazolamide (Diamox).
There is chance for infection to develop if unsterilized tools and needles are used for piercing the skin. You can also see tiny yellowish spot around the bump which is nothing but the pus rising from the surface. One of the most common factors is prolonged use of topical steroid creams and inhaled prescription steroid sprays used in the nose and the mouth. An irritant such as pepper would cause discomfort but no actual damage, alkali and hydrofluoric acid burns are the most dangerous, while acid burns caused by chemicals with a low pH tend to be less severe than alkali burns. Surgical washout of a hyphaema is very rarely required and carries particular risks, so should only be resorted to for specific indications. Other causes include skin irritations, fluorinated toothpastes, and rosacea.A dermatologist diagnoses perioral dermatitis by examination. They should be referred to an ophthalmologist, as they will require intensive topical steroids, tetracycline and vitamin C drops. The first step in treating perioral dermatitis is to discontinue all topical steroid creams, even non-prescription hydrocortisone.
Once the steroid cream is discontinued, the rash appears and feels worse for days to weeks before it starts to improve. Think of the face as a cream junkie that needs a "fix"- one needs to go "cold-turkey".A mild soap or soap substitute, such as Dove or Cetaphil should be used for washing.
These can be continued for several months in order to prevent recurrences.Even after successful treatment, perioral dermatitis sometimes comes back later. It is not intended nor implied to be a substitute for professional medical advice and shall not create a physician - patient relationship.
If you have a specific question or concern about a skin lesion or disease, please consult a dermatologist.
Any use, re-creation, dissemination, forwarding or copying of this information is strictly prohibited unless expressed written permission is given by the American Osteopathic College of Dermatology. For example, a lung abscess may form following a bout of pneumonia; a brain abscess may form after a penetrating head wound (an injury in which the outer covering of the brain is pierced), etc. For a skin abscess, this involves a small operation to cut the top of the skin and allow the pus to drain.



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