Do children with conjunctivitis blink frequently?

Do children with conjunctivitis blink frequently?

Conjunctivitis is a common eye disease in children in real life. Conjunctivitis can easily cause itching, tears, or swelling of the eyes, and can also cause frequent blinking, which is very harmful to children's health and life. It can be treated with medication and some eye drops.

Child blinks frequently

Frequent blinking in children is clinically known as abnormal blink syndrome. In the past, it was often thought to be caused by conjunctivitis, and simply treating it with antibiotic eye drops was often ineffective. Recently, as the incidence rate among children has increased, it has received widespread attention and research, making it clear that the causes of the disease are mostly related to refractive errors, visual fatigue, chronic eye inflammation or abnormal twitching.

examine

Check children's frequent blinking: funduscopy and intraocular pressure.

Frequent blinking in children may also be a symptom of tics. The symptoms of tics are varied. Simple motor tics are commonly manifested as blinking, eye rolling, tilting the nose, sticking out the tongue, turning the head, nodding, stretching the neck, opening the mouth, shrugging the shoulders, straightening the abdomen, and inhaling. The complex tics of motor tics in children present in strange and diverse postures and ugly shapes, such as impulsive touching of people or objects, stabbing movements, stomping of feet, whole body shaking as if electrocuted, walking in circles, turning the waist and hips, squatting and kneeling, or a series of repeated continuous meaningless movements.

Differential Diagnosis

The differential diagnosis should be made with the following symptoms:

Mandibular blink syndrome is a disease symptom in which the patient has unilateral ptosis and superior rectus muscle insufficiency, but the ptosis disappears with mandibular movements such as opening the mouth and chewing... If the ptosis disappears when the patient opens his mouth or chews, it can be diagnosed as mandibular blink syndrome.

It is caused by congenital abnormal connection between the trigeminal nerve and the oculomotor nerve center or terminals and is usually unilateral. When the mouth is opened and the jaw moves left and right, the palpebral fissure changes differently: the upper eyelid is lifted, and the palpebral fissure opens wider, even larger than the healthy eye; when the mouth is closed, the upper eyelid returns to its drooping position. When chewing, the eyelids blink continuously with the chewing movement of the jaw. Partial ophthalmoplegia, esotropia.

Mitigation methods

Frequent blinking in children is abnormal and noticeable. Improper handling may affect the children's normal life, study and even physical and mental development. Parents, teachers or classmates should be advised to understand and comfort them. Do not force training, scold loudly or laugh at them, so as to prevent the children from becoming overly nervous and increasing their blinking movements. For children with abnormal blinking, we should first inquire about their living habits in detail. Those who are fans of TV and computer games should be restricted as much as possible, and those with picky eating habits should be corrected. Secondly, the eye condition should be carefully examined, and those with conjunctivitis, trachoma, punctate damage of the corneal epithelium, and refractive errors should be actively treated. Finally, those children without any symptoms should be given psychological and behavioral treatment to distract their attention and overcome bad habits. After comprehensive treatment, most children can recover.

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