Common eye diseases with increased eye discharge and treatment

The common name for conjunctival secretions is “eye stool”, which indicates the presence of inflammatory eye diseases. The common eye diseases that cause an increase in eye discharge are: 1. Acute conjunctivitis 1. If the inflammation involves the cornea, symptoms of keratitis such as photophobia, lacrimation and vision loss will occur. 2, treatment: local treatment is the main, commonly used broad-spectrum aminoglycosides or quinolones (such as tobramycin eye drops, ofloxacin eye drops, etc.), the acute stage can be once an hour dotted eyes; if the discharge is too much, you can first use saline rinse or swab with a wet cotton swab to remove the secretions and then medication; if the inflammation involves the cornea, then according to the treatment of keratitis. 3, advice: acute conjunctivitis is mostly contact infection, it is recommended to pay strict attention to personal hygiene, develop the habit of washing hands regularly; avoid direct or indirect contact with the secretions and tears of the patient’s eyes, pay attention to patient isolation to reduce the spread of infection. Chronic dacryocystitis 1, characteristics: mostly secondary to narrowing or obstruction of the nasolacrimal duct, the tear sac with bacterial infection caused; in addition to eye stool, often accompanied by watery eyes and lower lid skin eczema; pressure on the inner corner of the affected eye, there is often a flow of secretions; confirmed diagnosis requires tear duct flushing out. Adults have unilateral onset, while infants and children have unilateral and bilateral onset. 2, treatment: (1) infants and children with secretions: first press the tear sac area to squeeze out the secretions in the tear sac, and then point antibiotic eye solution; (2) infants and children without secretions: only local massage, no drugs; (3) adults: surgical treatment (such as nasolacrimal duct placement, nasal lacrimal sac anastomosis). 3. Note: (1) The potential threat posed by chronic lacrimal sac infection to the eye should be given high priority, especially before internal eye surgery, the lacrimal sac infection must be treated first. (2) Most neonatal dacryocystitis can heal spontaneously with age and generally does not require surgical treatment, but if the child does not heal spontaneously after the age of half a year, lacrimal duct exploration can be considered. C. Entropion and impingement 1. Characteristics: Curling of the lid margin toward the eye causes the eyelashes to fall back toward the eye; it can cause damage to the epithelium of the conjunctiva and cornea, resulting in eye pain, photophobia, foreign body sensation, tearing, and “eye stool”. If the number of adults with impingement is high, it can also cause corneal clouding, neovascularization, and even corneal ulcers, resulting in vision loss. (2) Treatment: (1) Adults: impingement can be removed with tweezers or electrolysis; impingement with lid entropion requires surgery to correct lid entropion; (2) Pediatric patients: some can heal on their own and surgery is not necessary; if irritation symptoms such as photophobia and tearing are obvious and secretions are high, surgery is required. (3) Recommendations: congenital entropion tends to heal itself as the child ages and the nasal bridge develops, and the eyelashes of infants are fine and soft, causing relatively little damage to the ocular surface, so there is no need to rush surgical treatment. In addition, inflammatory eye conditions such as blepharitis, blepharitis, and keratitis can also manifest as increased eye stool, and the specific treatment plan depends on the eye disease that is present. Therefore, it is recommended to go to the hospital first to confirm the diagnosis if you have increased eye stool to avoid delaying treatment.