What are the methods to treat chronic keratitis

Abstract: the basic principle of treating corneal ulcer is to take all effective measures to quickly control infection, strive for early cure and reduce the sequelae of keratitis to a minimum. Because most ulcerative keratitis is caused by external causes, it is very important to remove the external causes and eliminate pathogenic microorganisms.

1. Hot compress: dilate the blood vessels in the eyes, remove the obstruction, promote blood flow, enhance resistance and nutrition, and make the ulcer recover quickly.

2. If there are many secretions, you can use normal saline or 3% boric acid solution to flush the conjunctival sac three or more times a day, so as to flush out the secretions, necrotic tissues, bacteria and toxins produced by bacteria. In this way, it can not only reduce the factors of infection expansion, but also ensure that the local drug concentration will not be reduced.

3. Mydriasis:

A. atropine is the main and commonly used drug, with a concentration of 0.25 ~ 2% solution or ointment, drop and apply it 1 ~ 2 times a day (pay attention to press the lacrimal sac after dropping to avoid excessive absorption of the solution by the mucosa and poisoning).

B. It can not be used for simple corneal ulcer or those with insignificant irritation symptoms. It must be used for ulcer with significant irritation symptoms and potential perforation. This medicine has a dual effect on the treatment of corneal ulcer; On the one hand, it can rest the pupil sphincter and ciliary muscle, on the other hand, it can prevent iridocyclitis and its consequences. Moreover, because the spasm of intraocular muscles is relieved, it also has the effect of relieving pain and pain.

4. Bacterial preparation:

A. sulfonamide chemicals such as 10 ~ 30% sodium sulfacetamide and 4% sulfaisoxazole eye drops.

B. for the infection of gram-positive cocci, local drip of 0.1% rifampicin eye drops or 0.5% erythromycin or 0.5% bacitracin eye drops 4 to 6 times a day is sufficient to control. Some broad-spectrum antibiotics, such as 0.5% aureomycin, 0.25% chloramphenicol and 0.5% tetracycline (0.5%), are more effective.

C. for gram-negative bacilli infection, 1 ~ 5% streptomycin, 0.3 ~ 0.5% gentamicin, polymyxin B (20000 units / ml), 0.25 ~ 0.5% neomycin, 0.5% kanamycin, etc.

D. for ulcers with relatively serious condition whose results of bacterial culture and drug sensitivity test are unknown, a variety of broad-spectrum antibiotics can be tried at the beginning, dropping once every few minutes or quarter of an hour alternately, and then decreasing as appropriate. In addition, subconjunctival injection can also be used, once a day, and continuous injection for several days until the ulcer symptoms subside. Conjunctival necrosis sometimes occurs after subconjunctival injection of some drugs, which should be paid attention to.

E. antiviral drugs include 0.1% herpesin, etc. Antifungal agents include nystatin (25000 units / ml), 0.1% amphotericin B, 0.5% trichomycin and 0.5% equimycin.

5. Dressing and wrapping:

A. in order to stop the rotation of the eyeball and promote the early recovery of the ulcer, it must be wrapped… This treatment is especially suitable for winter. Because it not only prevents the eyeball from catching cold, but also has the effect of hot compress and protection.

B. if there is secretion in the conjunctival sac, it should not be wrapped, but can be replaced by Buller’s eye mask or black glasses. Moreover, if the ulcer is likely to wear out or bulge during the scarring period, it should be wrapped with compression bandage every day. If it is impossible during the day, it should be used during sleep at night in order to save the adverse consequences.

6. Etiological treatment:

A. while treating corneal ulcer, we must pay attention to the causes of ulcer and treat it.

B. conjunctival disease and malnutrition should be paid attention to most. For example, trachoma pannus ulcer, if not treated at the same time, the ulcer is difficult to recover. Another example is corneal softening. If you do not pay attention to systemic nutrition and supplement vitamin A, corneal softening will not only be difficult to recover, but also worsen.

7. Stimulation therapy: when the ulcer has completely healed and begins to scar, try to make the scar thinner and better.

and

for small, dense and central corneal leukoplakia, in order to improve visual acuity, hyperopia iridectomy can be performed. For larger leukoplakia, corneal transplantation can be performed. Sometimes corneal leukoplakia hinders beauty. Soot and Chinese ink can be used as corneal ink acupuncture.

8. Treatment of corneal ulcer complicated with disease:

A. emergency measures should be taken for corneal ulcer about to perforation. Make the patient stay in bed, give laxatives, acetazolamide and other drugs to reduce intraocular pressure, and instruct the patient to avoid sudden increase of intraocular pressure such as sneezing or coughing.

B. If corneal ulcer is perforated, it not only tends to heal, but also increases corneal nutrition. In order to achieve this goal, artificial anterior chamber puncture can also be performed. This will not only make the aqueous humor flow out slowly, but also avoid the adverse consequences of ulcer perforation, such as rainbow membrane prolapse or lens prolapse. Moreover, anterior chamber puncture can also stop severe eye pain. If anterior chamber puncture is performed at the base of the ulcer, it can be covered with conjunctival flap. Iris prolapse can be treated with iridectomy.

C. for patients with corneal fistula, cauterization, anti glaucoma surgery and conjunctival flap covering corneal fistula should be performed.

  d. β X-ray can inhibit the growth of corneal blood vessels. In addition, both heterosexual protein therapy and traditional Chinese medicine therapy can enhance systemic resistance and promote the healing of keratitis.

corneal ulcer is difficult to use a strict classification to adapt to its different clinical processes. This paper only classifies according to the viewpoint of etiology combined with clinical manifestations, and summarizes its symptoms and treatment, in order to enable readers to get a clear concept.

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people who read this article should take care of their eyes. The following products are more >

antifungal drugs. It is suitable for the treatment of fungal keratitis caused by Candida albicans, Aspergillus fumigatus, Cryptococcus and coccidium.

price: ¥ 6

this product is suitable for treatmentAcute and chronic bacterial conjunctivitis, blepharitis, wheat granuloma, meibomian adenitis, dacryocystitis, keratitis and corneal ulcer.

price: ¥ 8.5

all kinds of acute and chronic conjunctivitis, peripheral keratitis, dacryocystitis and chemical burns; Prevention and treatment of infection and inflammatory reaction before and after various eye operations.

price: ¥ 18

this product is suitable for the treatment of acute and chronic bacterial conjunctivitis, blepharitis, wheat granuloma, meibomian adenitis, dacryocystitis, keratitis, corneal ulcer and other external eye infections caused by sensitive pathogens.

price: ¥ 9

this product is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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symptomatic treatment of external eye and anterior eye (blepharitis, conjunctivitis, keratitis, scleritis, superficial scleritis, iridocyclitis and postoperative inflammation).

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It is used to treat eye infections caused by Escherichia coli, Haemophilus influenzae, Klebsiella, Staphylococcus aureus, hemolytic streptococcus and other sensitive bacteria, such as trachoma, conjunctivitis, keratitis, eyelid marginal inflammation, etc.

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is mainly used for treatment of acute and chronic conjunctivitis, keratitis, scleritis, uveitis, acute scleritis, cataract, glaucoma, corneal transplantation and ocular mechanical or chemical burns. This product can also be used for the treatment of external ear inflammation.

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for acute and chronic conjunctivitis, keratitis, iritis, scleritis, etc.

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this product is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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symptomatic treatment of inflammation of external eye and anterior segment (blepharitis, conjunctivitis, keratitis, scleritis, superficial scleritis, iridocyclitis, postoperative inflammation).

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is applicable to the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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and

are used for the treatment of blepharitis, outer eyelid adenitis, dacryocystitis, conjunctivitis, inner eyelid adenitis and keratitis (including corneal ulcer), as well as aseptic therapy in the perioperative period of Ophthalmology.

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this product is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

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this product is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

price: ¥ 5

is used to treat eye infections caused by Escherichia coli, Haemophilus influenzae, Klebsiella, Staphylococcus aureus, hemolytic streptococcus and other sensitive bacteria, such as trachoma, conjunctivitis, keratitis, eyelid marginal inflammation, etc.

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broad-spectrum anti herpesvirus drugs. For the treatment of herpes simplex keratitis.

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is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

price: ¥ 5.5

this product is suitable for the treatment of bacterial conjunctivitis, keratitis, corneal ulcer, dacryocystitis, postoperative infection and other external eye infections.

price: ¥ 5.5

this product is suitable for the treatment of bacterial conjunctivitis, keratitis, dacryocystitis and other external eye infections.

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is used to treat bacterial conjunctivitis, keratitis, dacryocystitis and other external eye infections.

price: ¥ 6

this product is a non steroidal anti-inflammatory drug, which can only be used when at least one other non steroidal anti-inflammatory drug fails to treat. It can be used for the treatment of pain such as chronic arthritis (such as osteoarthritis), operation and acute post-traumatic pain, and treatment of primary dysmenorrhea. The price of

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, Abstract: the basic principle of treating corneal ulcer is to take all effective measures to quickly control infection, strive for early cure and reduce the sequelae of keratitis to the minimum. Because most ulcerative keratitis is caused by external causes, it is very important to remove the external causes and eliminate pathogenic microorganisms., 1. Hot compress: dilate the blood vessels in the eyes, relieve the obstruction, promote blood flow, enhance resistance and nutrition, and quickly recover the ulcer., 2. Flushing if there are many secretions, normal saline or 3% boric acid solution can be used to flush the conjunctival sac three or more times a day, so as to flush out the secretions, necrotic tissues, bacteria and toxins produced by bacteria. In this way, it can not only reduce the factors of infection expansion, but also ensure that the local drug concentration will not be reduced., 3. Mydriasis:

1. Hot compress: dilate the blood vessels in the eyes, relieve the obstruction, promote blood flow, enhance resistance and nutrition, and quickly recover the ulcer.

2. If there are many secretions, you can use normal saline or 3% boric acid solution to flush the conjunctival sac three or more times a day, so as to flush out the secretions, necrotic tissues, bacteria and toxins produced by bacteria. This will not only reduce the risk of infection expansionAt the same time, it can also ensure that the local drug concentration will not be reduced.

3. Mydriasis:

A. atropine is the main and commonly used drug, with a concentration of 0.25 ~ 2% solution or ointment, drop and apply it 1 ~ 2 times a day (pay attention to press the lacrimal sac after dropping to avoid excessive absorption of the solution by the mucosa and poisoning).

B. It can not be used for simple corneal ulcer or those with insignificant irritation symptoms. It must be used for ulcer with significant irritation symptoms and potential perforation. This medicine has a dual effect on the treatment of corneal ulcer; On the one hand, it can rest the pupil sphincter and ciliary muscle, on the other hand, it can prevent iridocyclitis and its consequences. Moreover, because the spasm of intraocular muscles is relieved, it also has the effect of relieving pain and pain.

4. Bacterial preparation:

A. sulfonamide chemicals such as 10 ~ 30% sodium sulfacetamide and 4% sulfaisoxazole eye drops.

B. for the infection of gram-positive cocci, local drip of 0.1% rifampicin eye drops or 0.5% erythromycin or 0.5% bacitracin eye drops 4 to 6 times a day is sufficient to control. Some broad-spectrum antibiotics, such as 0.5% aureomycin, 0.25% chloramphenicol and 0.5% tetracycline (0.5%), are more effective.

C. for gram-negative bacilli infection, 1 ~ 5% streptomycin, 0.3 ~ 0.5% gentamicin, polymyxin B (20000 units / ml), 0.25 ~ 0.5% neomycin, 0.5% kanamycin, etc.

D. for ulcers with relatively serious condition whose results of bacterial culture and drug sensitivity test are unknown, a variety of broad-spectrum antibiotics can be tried at the beginning, dropping once every few minutes or quarter of an hour alternately, and then decreasing as appropriate. In addition, subconjunctival injection can also be used, once a day, and continuous injection for several days until the ulcer symptoms subside. Conjunctival necrosis sometimes occurs after subconjunctival injection of some drugs, which should be paid attention to.

E. antiviral drugs include 0.1% herpesin, etc. Antifungal agents include nystatin (25000 units / ml), 0.1% amphotericin B, 0.5% trichomycin and 0.5% equimycin.

5. Dressing and wrapping:

A. in order to stop the rotation of the eyeball and promote the early recovery of the ulcer, it must be wrapped… This treatment is especially suitable for winter. Because it not only prevents the eyeball from catching cold, but also has the effect of hot compress and protection.

B. if there is secretion in the conjunctival sac, it should not be wrapped, but can be replaced by Buller’s eye mask or black glasses. Moreover, if the ulcer is likely to wear out or bulge during the scarring period, it should be wrapped with compression bandage every day. If it is impossible during the day, it should be used during sleep at night in order to save the adverse consequences.

6. Etiological treatment:

A. while treating corneal ulcer, we must pay attention to the causes of ulcer and treat it.

B. conjunctival disease and malnutrition should be paid attention to most. For example, trachoma pannus ulcer, if not treated at the same time, the ulcer is difficult to recover. Another example is corneal softening. If you do not pay attention to systemic nutrition and supplement vitamin A, corneal softening will not only be difficult to recover, but also worsen.

7. Stimulation therapy: when the ulcer has completely healed and begins to scar, try to make the scar thinner and better.

and

for small, dense and central corneal leukoplakia, in order to improve visual acuity, hyperopia iridectomy can be performed. For larger leukoplakia, corneal transplantation can be performed. Sometimes corneal leukoplakia hinders beauty. Soot and Chinese ink can be used as corneal ink acupuncture.

8. Treatment of corneal ulcer complicated with disease:

A. emergency measures should be taken for corneal ulcer about to perforation. Make the patient stay in bed, give laxatives, acetazolamide and other drugs to reduce intraocular pressure, and instruct the patient to avoid sudden increase of intraocular pressure such as sneezing or coughing.

B. If corneal ulcer is perforated, it not only tends to heal, but also increases corneal nutrition. In order to achieve this goal, artificial anterior chamber puncture can also be performed. This will not only make the aqueous humor flow out slowly, but also avoid the adverse consequences of ulcer perforation, such as rainbow membrane prolapse or lens prolapse. Moreover, anterior chamber puncture can also stop severe eye pain. If anterior chamber puncture is performed at the base of the ulcer, it can be covered with conjunctival flap. Iris prolapse can be treated with iridectomy.

C. for patients with corneal fistula, cauterization, anti glaucoma surgery and conjunctival flap covering corneal fistula should be performed.

  d. β X-ray can inhibit the growth of corneal blood vessels. In addition, both heterosexual protein therapy and traditional Chinese medicine therapy can enhance systemic resistance and promote the healing of keratitis.

corneal ulcer is difficult to use a strict classification to adapt to its different clinical processes. This paper only classifies according to the viewpoint of etiology combined with clinical manifestations, and summarizes its symptoms and treatment, in order to enable readers to get a clear concept.

, A. atropine is the main and commonly used drug. The concentration is 0.25 ~ 2% solution or ointment. Drop and apply it 1 ~ 2 times a day (after dropping, pay attention to press the lacrimal sac to avoid excessive absorption of the solution by the mucous membrane and poisoning)., B. It can not be used for simple corneal ulcer or non significant irritation symptoms. It must be used for ulcer with significant irritation symptoms and potential perforation. This medicine has a dual effect on the treatment of corneal ulcer; On the one hand, it can rest the pupil sphincter and ciliary muscle, on the other hand, it can prevent iridocyclitis and its consequences. Moreover, because the spasm of intraocular muscles is relieved, it also has the effect of relieving pain and pain., 4. Bacterial preparation: A. sulfonamides, such as 10 ~ 30% sulfacetamide sodium and 4% sulfaisoxazole eye drops., B. for the infection of gram-positive cocci, local drip of 0.1% rifampicin eye drops or 0.5% erythromycin or 0.5% bacitracin eye drops 4 to 6 times a day is sufficient to control. Some broad-spectrum antibiotics such as 0.5% aureomycin, 0.25% chloramphenicol and 0.5% tetracycline (0.5%) are more effective., C. for gram negative bacilli infection,