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guidelines for Conjunctivitis-Conjunctivitis

guidelines for Conjunctivitis-Conjunctivitis
Compass for conjunctivitis visits answers questions that often occur when conjunctivitis patients go to hospitals, for example, what department number does conjunctivitis hang? Precautions before conjunctivitis examination? What do doctors usually ask? What tests should conjunctivitis do? What do you think of conjunctivitis examination results? Wait. The purpose of conjunctivitis treatment guide is to facilitate conjunctivitis patients to seek medical treatment and solve the doubts of conjunctivitis patients.
Typical symptom
Eyelid foreign body, conjunctival papilla hyperplasia, conjunctival congestion
Suggested visiting department
Ophthalmology
Best visit time
No special, see a doctor as soon as possible
Duration of visit
One day is reserved for the first visit, and half a day is reserved for the second visit
Frequency of follow-up visit/diagnosis and treatment cycle
Outpatient treatment: Follow-up visit every week until eye discomfort is relieved.
Preparation before seeing a doctor
No special requirements, pay attention to rest.
Common consultation contents
1. Describe the reason for seeing a doctor (when did you start and what's wrong?)
2. Is the feeling of discomfort caused by obvious factors?
3. Have conjunctival edema, subconjunctival hemorrhage and other accompanying symptoms?
4. Have you been to the hospital, have you done those examinations, and what are the examination results?
5. How is the treatment?
6. Is there any history of drug allergy?
Key inspection items
1. Conjunctival scrapes
Gram staining and Giemsa staining preliminarily determine the types of pathogenic bacteria and the characteristics of conjunctival inflammatory reaction. If neutrophil infiltration is the main factor, it often indicates bacterial or chlamydia infection; If monocytosis or multinucleated giant cells appear, it may be viral infection; If there are inclusion bodies, lymphocytes and plasma cells in the cytoplasm of epithelial cells, it indicates chlamydia infection.
2. Bacteriological examination of conjunctiva
These tests are helpful for etiological diagnosis and guidance of treatment. If chlamydia or virus infection is considered, laboratory pathogen isolation or PCR technology can be used to help diagnosis.
Diagnostic criteria
According to the patient's onset process and clinical manifestations, there can be a preliminary judgment. For example, infectious conjunctivitis usually occurs in both eyes and can involve family members; Most acute viral conjunctivitis occurs first at one eye and then in another eye. The lesion of trachoma is mainly upper eyelid; Acute follicular conjunctivitis caused by virus is mainly lower eyelid; Catarrhal symptoms of bacterial conjunctivitis are more significant; Inflammation caused by Neisseria gonorrhoeae appears a large number of purulent secretions; These pathological features are helpful for diagnosis.


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