Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): My child is in a small class of infants, on June 8, accidentally playing with peers with the tip of small scissors cut their left eye below the pupil horizontal scratch, the initial symptoms of tearing, look closely at the horizontal transparent white skin tract, June 10 by the Zhangye City People’s Hospital examination, need to do conjunctival suture, three stitches, June 16, discharged from the hospital. Now it has been nearly 50 days, I still have tears when I see strong light, my eyes are slightly red after nap, there is a lump of transparent white skin at the surgery, the left eye is slightly smaller than the normal right eye, it is unnatural to look at it from a distance, and the stitches have not been drawn yet. I feel that the effect of the treatment is not too good, but I am not sure. Whenever I see that my child’s eyes are not normal, it makes me feel bad. Based on the above description, can you please tell me how my child is recovering, what treatment I should take next, and what I should pay attention to in the future? Tang Jingxiao, Ophthalmology Department, The First Affiliated Hospital of Baotou Medical College
Jingxiao Tang, Ophthalmology Department, The First Affiliated Hospital of Baotou Medical College.
After reading your introduction, there is a key issue that is a bit inaccurate, that is, your child’s wound is not sure whether it is on the cornea or the conjunctiva, by your description it seems to be on the cornea. If it is on the conjunctiva, usually conjunctival wounds should be removed in 5 days, and your child has not removed the stitches for more than 50 days, then it should be a corneal wound. Corneal disease, whether injury or inflammation have symptoms of photophobia, tearing, foreign body sensation, your child’s wound has not been removed, so these symptoms are present and belong to the normal reaction, during this period should strictly follow the doctor’s prescription for medication, and observe the vision and eye pressure and the reaction in the eye, it is best to go to the hospital once a week to review, if the eye pain, vision further decline should promptly go to the hospital If the eye pain and further loss of vision occurs, you should go to the hospital promptly. In life, you should avoid strenuous exercise, avoid going to crowded and dirty environment, and avoid eating irritating food.
Thank you for your consultation and I hope to continue to receive your attention and support!