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Dx Eye Infections Treatment:

Eye Infections: Conjunctivitis

N.H.S. Choices states:
"Conjunctivitis is redness and inflammation of the thin layer of tissue that covers the front of the eye (conjunctiva). It is very common. People often refer to conjunctivitis as red eye.

Other symptoms of conjunctivitis include itchiness and watering of the eyes, and sometimes a sticky coating on the eyelashes (if it's caused by an allergy). Conjunctivitis can affect one or both eyes.

The conjunctiva can become inflamed as result of: *a bacterial or viral infection – this is known as infective conjunctivitis
*an allergic reaction to a substance such as pollen or dust mites-- this is know as allergic conjunctivitis
*the eye coming into contact with substances that can irritate the conjunctiva, such as chlorinated water or shampoo, or a loose eyelash rubbing against the eye – this is known as irritant conjunctivitis

Treating conjunctivitis
Conjunctivitis often doesn't require treatment as the symptoms usually clear up within a couple of weeks. If treatment is thought necessary, the type of treatment will depend on the cause but in most cases antibiotic eye drops can be used to clear the infection.
  Irritant conjunctivitis will clear up as soon as whatever is causing it is removed.

Allergic conjunctivitis can usually be treated with anti-allergy medications such as antihistamines. If possible, avoid the substance that triggered the allergy.
  It's best not to wear contact lenses until the symptoms have cleared up. Any sticky or crusty coating on the eyelids or lashes can be cleansed with cotton wool and water.
  Washing your hands regularly and avoiding sharing pillows or towels will help prevent it spreading.

See your GP immediately if you have: *eye pain
*sensitivity to light (photophobia)
*disturbed vision
*intense redness in one or both of your eyes
*a newborn baby with conjunctivitis

Medications Used in Treatment:
1.  Quinolone Antibiotics: Ciloxan®/ciprofloxacin, Iquix®/levofloxacin, Zymar®/gatifloxacin, Quixin®/levofloxacin, Ocuflox®/ofloxacin,Vigamox®/moxfloxacin, Besivance®/besifloxacin, Zymaxid®/gatifloxacin, Moxeza®/moxifloxacin
2.  Aminoglycoside & Polypeptide Antibiotics/Corticosteroid: Coly-Mysin®S/colistin-hydrocortisone-neomycin-thonzonium, neomycin-polymyxin b-hydrocortisone,Ak-Polu-Bac/bacitracin/polymyxin-b, Neosporin®/neomycin-polymyxin-b-gramicidin (no steroid), Pred®G/gentamicin-prednisolone, Tobradex®ST/dexamethasone, tobramycin
3.  Aminoglycoside
4.   Corticosteroid: neomycin/polymyxin-b/bacitracin, Tobrex® Tobradex®/tobramycin-dexamethasone, Gentak®/gentamycin, Maxitrol®/neomycin-polymyxin-b-dexamethasone, Zylet®/loteprednol-tobramycin
5.  Sulfa Antibiotics: sulfacetaminde/prednisolone, sulfadiazine, Blephamide®/prednisolone-sulfacetamide, Bleph®10/sulfacetamide
6.  Polypeptide/Antifolate Antibiotic Combinations: Polytrim®/polymyxin b-trimethoprim, bacitracin
7.  Macrolide Antibiotics: Azasite®/azithromycin
8.  Polyene Antifungals: Natacyn®/natamycin:
9.  Tetracycline: Alodox®/doxycycline
10.  Corticosteroids: Lotemax®/lotepredenol

11. Herpes: Viroptic

Suggested Links:
*[Editor] No treatment necessary? The most recent review in JAMA 2013 states "The majority of cases in bacterial conjunctivitis are self-limiting and no treatment is necessary in uncomplicated cases. However, conjunctivitis caused by gonorrhea or chlamydia and conjunctivitis in contact lens wearers should be treated with antibiotics. Treatment for viral conjunctivitis is supportive. Treatment with antihistamines and mast cell stabilizers alleviates the symptoms of allergic conjunctivitis."

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