What are the treatments for keratitis in children?

Generally speaking, after children suffer from keratitis, in order to prevent the inflammation of the cornea of ​​the child's eye from becoming infected, timely treatment measures are the best way to solve children's keratitis. So, what are the treatments for children's keratitis? In fact, when dealing with children's keratitis, you can take the following methods. Let's take a look together.

1. Hot compress

It dilates the blood vessels in the eyes, relieves congestion, promotes blood flow, enhances resistance and nutrition, and allows ulcers to recover quickly.

2. Rinse

If there is a lot of secretion, the conjunctival sac can be flushed 3 times or more a day with normal saline or 3% boric acid solution to flush out the secretion, necrotic tissue, bacteria and toxins produced by bacteria. In this way, not only the factors that spread the infection are reduced, but also the concentration of the local medicine is ensured not to decrease.

3. Mydriasis

Atropine is a commonly used drug with a concentration of 0.25-2% solution or ointment, which is dripped or applied 1-2 times a day (be sure to press the lacrimal sac after dripping the medicine to prevent the solution from being excessively absorbed by the mucous membrane and causing poisoning). It is not necessary for simple corneal ulcers or those with mild irritation symptoms, but it must be used for ulcers with significant irritation symptoms and those that are about to perforate. This medicine has a dual effect in treating corneal ulcers; consequences. Furthermore, since the intraocular muscle spasms are relieved, it also has a relieving and analgesic effect.

4. Antibacterial agents

(1) Sulfonamide chemical preparations such as 10-30% sodium sulfacetamide and 4% sulfisoxazole eye drops.

(2) For Gram-positive coccal infections, topical application 4 to 6 times a day of 0.1% rifampicin eye drops, 0.5% erythromycin, or 0.5% bacitracin eye drops can control the disease. Some broad-spectrum antibiotics, such as 0.5% chloramphenicol, 0.25% chloramphenicol and 0.5% tetracycline, are more effective in antibacterial effects.

(3) For infections caused by Gram-negative bacteria, you can choose 1-5% streptomycin, 0.3-0.5% gentamicin, polymyxin B (20,000 units/ml), 0.25-0.5% neomycin, 0.5% kanamycin, etc.

(4) For ulcers of a more serious condition where the results of bacterial culture and drug sensitivity tests are not yet known, multiple broad-spectrum antibiotics can be tried simultaneously at the beginning, alternating between dripping once every few minutes or quarter of an hour, and then decreasing in increments as appropriate. In addition, the drug can be administered by subconjunctival injection once a day for several consecutive days until the ulcer symptoms subside. Conjunctival necrosis sometimes occurs after subconjunctival injection of some drugs, which should be paid attention to.

(5) Antiviral drugs include 0.1% herpes net, etc. Antifungal preparations include nystatin (25,000 units/ml), 0.1% amphotericin B, 0.5% trichostatin and 0.5% pimaricin.

From the above, we can see that hot compresses, flushing, mydriasis and the use of antibacterial agents are the methods that can be used to treat children's keratitis. When it comes to choosing a specific treatment method after a child develops keratitis, it is actually best for parents to make a choice based on the child's condition.