Keratitis - inflammation of the cornea.
Classification
- bacterial keratitis
- viral keratitis
- chlamydial keratitis
- allergic keratitis
- Keratitis, caused by diseases of the conjunctiva, eyelids, meibomian glands
- Keratitis with general infectious diseases
- Keratitis in parasitic diseases
- neurogenic keratitis
- Keratitis in hypo-and beriberi
- Idiopathic keratitis.
Symptoms and treatment of certain types of keratitis
Keratitis with gonoblenoree
gonococcus caused when passing fetus through the birth canal. As a rule, both eyes are affected. The cornea is affected in the first week of illness. The central corneal epithelium becomes cloudy, formed purulent ulcers whitish propagating along the surface and depth in the cornea.
keratitis treatment is carried out together with venereologist. Assign intramuscular antibiotics (e.g., ampicillin), sulfa drugs orally (e.g., sulfadimethoxine), sulfacetamide, gentamycin, chloramphenicol, erythromycin as eyedrops
Keratitis in diphtheria of the conjunctiva
the cornea is involved from the early days, detect superficial and deep areas of inflammation of the white-yellow color, turning into ulcer dirty yellow. Treatment - introduction of Alexandre Besredka diphtheria serum (6000-12000 ME): 0.1-0.5 mL initially intradermally through 1 hour - rest dose intramuscularly; serum was also instilled into the conjunctival cavity. Topically applied antibiotics and sulfa preparations (eyedrops, ointments).
Keratitis, caused by diseases of the conjunctiva, eyelids, meibomian glands.
Treatment: eye drops with antibiotics and vitamins.
Keratitis with lagophthalmos
occurs when nesmykanii age due to lesion of the facial nerve that leads to corneal dryness. Typically in the lower portion of the cornea is formed matt gray inflammation prone to ulceration. Upon accession of infection - purulent fusion of the cornea, rough education walleye.
Treatment: elimination lagophthalmos, drug "artificial tears", antibiotics and sulfonamides in eye drops and ointments.
meybomievy keratitis
relapsing disease due to violation of meibomian gland secretions in the form of small surface boundary corneal inflammation rounded gray-yellow color.
Prevention - Treatment blepharitis.
neurogenic keratitis
arise as a result of the defeat of the fibers of the trigeminal nerve. The surface layers of the central portion of the cornea is formed extensive flat ulcer. Process flaccid, long without subjective sensations. Corneal sensitivity disappears. At congenial ulcer heals, leaving a gentle haze.
local treatment - vitamins, taurine, sea buckthorn oil, 20% gel solcoseryl. Also trifosadenin (1 ml of 1% solution intramuscularly for 30 days), retinol, thiamine, pyridoxine, ascorbic acid.
Rosacea keratitis,
observed at pink acne face; the disease is recurrent in nature. Against the backdrop of a sharp eye irritation on the cornea form a small (1.5 mm), grayish-white patches of inflammation, sharply limited by normal tissue, several speakers. To sites of inflammation extends beam superficial vascular branching into small loops. In the decay of sores inflammation portions formed on the bottom of which calcium salts are deposited.
Treatment - locally 1% solution of quinine, eye drops with antibiotics, sulfonamides, vitamins. electrophoresis with 1% solution of diphenhydramine alternated with electrophoresis with 1% solution of riboflavin mononucleotide (30 treatments).
1-1.5 months - electrophoresis with 0.1% solution of hydrocortisone, and electrophoresis with 0.1-0.25% solution of ascorbic acid (15 treatments).
Applied also scraping the site of inflammation, burning dilated superficial blood vessels. To speed up the healing of used biogenic stimulators, retinol, riboflavin, pyridoxine.
filamentary keratitis
manifested complaints of itching, burning, photophobia, dry eye, decreased slezoobrazovaniya. The conjunctiva is red, there is a stringy filamentous secret conjunctiva. Cornea matte in small sores. Corneal thin bands appear, one end attached to the cornea, and another - hanging freely. Two-way process, is observed more frequently in the elderly. At the same time affects the salivary and lacrimal glands, and mucous membrane of the respiratory tract.
Treatment - artificial tear preparations, vitamin drops, sea buckthorn.