Today, the public backstage received a question:
This patient is 25 years old. Six months ago, he got viral keratitis. His eyes had foreign body sensation and white spots on his black eyes. His eyes were not very red during the day, but his eyes were particularly red and painful when he got up in the morning. I used antiviral eye drops for 3 months before, but it always recurred after stopping the medicine, so I want to ask how to avoid recurrence.
In fact, the recurrence of viral keratitis puzzles many people, but how to solve this problem is still unknown. Therefore, let's use this case to analyze it today.
First of all, she said that there were white spots on her black eyes. There are usually two possibilities:
❶ it shows that her viral keratitis is in the onset stage, and the cornea appears edema, which will look white, but there is no need to worry about this situation. After treatment, the edema subsides, and the white spots disappear.
❷ it indicates that her inflammation is recovering and a scar is formed on the cornea, but this scar is permanent and cannot be resolved.
According to the patient, her inflammation appeared half a year ago. Clinically, this time is relatively long, and it also happens repeatedly. Therefore, it is determined that the white spot on her black eye is likely to be the case.
In view of this situation, regular treatment must be carried out in time, otherwise, each recurrence may leave a new scar on the cornea, and the white spot will become larger and larger in the long run.
It should be noted that if the white spot is right in the center of the cornea, blocking the line of sight, the patient's vision will be affected.
In addition, she said that the inflammation recurred after the withdrawal of drugs under the guidance of doctors, so the main reason for the recurrence may be related to her decreased immunity.
After treatment, although the patient's symptoms have improved, the virus is still lurking in the eyes waiting for the opportunity. Once the host's immunity decreases, such as staying up late, smoking, drinking, dieting and other bad habits, viral keratitis will easily recur.
So, what measures should be taken in view of her situation?
After the recurrence of viral keratitis, drugs should be used regularly according to the requirements of doctors. At the beginning of the attack, antiviral treatment is mainly carried out, and antiviral eye drops are dropped every day according to the doctor's advice. Generally, after 7-10 days, hormone eye drops are added to reduce corneal scar formation. Such medication should last for at least 2 weeks.
However, the girl has been ill for a long time and has repeated attacks. It may be necessary to extend the medication time (2-3 months) to gradually improve her symptoms such as redness, swelling and pain. As for the scar on the black eyeball, there is no way to remove it, but regular medication can control the expansion of the scar.
To tell the truth, if you want viral keratitis not to recur, the key is not what the doctor prescribes, but what the patient does.
First of all, according to the doctor's requirements. If the symptoms have improved during treatment, the eyes are not red or painful, and the eyesight has also improved, don't stop taking the medicine directly, and ask the doctor what to do next.
Secondly, live regularly and improve your immunity. Never give up bad habits such as staying up late, smoking and drinking. Girls should stop dieting, which is an unhealthy way to lose weight. They should pay attention to their bodies and ensure sleep.
Practice has proved that doing these can effectively reduce the recurrence of viral keratitis.
During the onset of viral keratitis, corneal edema leads to decreased vision. Through drug treatment, vision can be partially recovered after the edema subsides. If the cornea is found to have failed after the doctor's examination, and you want to improve your eyesight, you must have an operation.
Generally speaking, after changing the cornea, the patient's vision can be restored, but because the virus is still latent in the patient's body, poor sleep or bad living habits lead to low immunity, then the newly transplanted cornea may still be infected with the virus and cause recurrence. In case of recurrence, it is necessary to find and treat it as early as possible to avoid corneal scar again and affect vision.
Viral keratitis usually does not affect the other eye, but because the patient's immunity is low, healthy eyes are also susceptible to infection. Therefore, the key to prevention is to improve self immunity.