Five-month-old babies with more yellow discharge from the eyes may be due to neonatal dacryocystitis, keratitis, conjunctivitis.
1. Neonatal dacryocystitis: a secondary infection caused by congenital developmental disorders of the tear ducts and retention of tears and bacteria in the lacrimal sac. Most of them have tear overflow with mucopurulent secretion. Within half a year of age, it can be locally massaged downward from the tear sac, and antibiotic eye drops can be used after the pus is squeezed out. After half a year of treatment is ineffective, need to carry out tear duct exploratory surgery.
2. Keratitis: generally there is pain, photophobia, blurred vision and mucopurulent or purulent discharge. After initial diagnosis, broad-spectrum antibiotics should be administered as soon as possible. Afterwards, treatment with sensitive antibiotics is based on drug sensitivity tests.
3. Conjunctivitis: usually accompanied by eye redness, foreign body sensation and burning sensation. The conjunctival sac can be flushed to remove excessive secretions from the eye, and topical or systemic antibiotics can be used. Severe gonococcal, meningococcal, and Haemophilus influenzae conjunctivitis may be associated with systemic symptoms. Infants should be alerted to the progression of the disease to systemic.
Infants as young as five months old are unable to express their subjective feelings and should seek medical attention if they notice a persistent heavy yellow discharge from the eye.