What eye drops for children with conjunctivitis

  Children with conjunctivitis need to be treated with different eye drops depending on the type of conjunctivitis.  The common types of conjunctivitis in children are: bacterial conjunctivitis, allergic conjunctivitis, viral conjunctivitis, etc. Because the pathogenic examination of bacterial culture takes 7-10 days to have clear results, in order not to delay the treatment, the treatment of conjunctivitis is usually based on the clinical manifestations and signs of the patient to determine the type of conjunctivitis and then the empirical medication treatment. The clinical manifestations of different types of conjunctivitis have both commonalities and different characteristics. The common manifestations include redness, burning sensation, itching, discharge (commonly known as “eye droppings”), and tearing, with signs and symptoms developing rapidly and severely in the acute phase and slowly and mildly in the chronic phase. The characteristics of each are: bacterial conjunctivitis mostly develops rapidly with mucopurulent discharge; viral conjunctivitis mostly sees aqueous discharge and may be accompanied by subconjunctival hemorrhage and swollen preauricular lymph nodes, easily involving corneal epithelial cells, and has a certain tendency to heal itself; allergic conjunctivitis mostly sees mucous-like discharge, and the patient’s eye symptoms are mainly itchy. Therapeutic medications are chosen differently depending on the diagnosis. Bacterial conjunctivitis requires treatment with antibiotic eye drops. Viral conjunctivitis can be treated with antiviral drugs such as ribavirin, acyclovir, ganciclovir, and hydroxybenzole. Allergic conjunctivitis can be treated with anti-allergy medications such as cromoglycate, emetine, patanos and, if necessary, hormone therapy such as flumetron, as appropriate. If empirical treatment is not effective, treatment can be adjusted according to the results of pathogenic tests.  It is important to understand that there are no eye drops formulated specifically for the pediatric population and that children with conjunctivitis are treated with conventional adult medications. Although there is no clinical trial data on the use of medications in children, there is a large body of literature on the clinical use in pediatric patients. Therefore, parents are advised to bring their children to the ophthalmologist promptly after they discover that their child has conjunctivitis, and after a clear diagnosis, the ophthalmologist should select the appropriate eye drops for treatment.