Follicular conjunctivitis in children

Follicular conjunctivitis in children is an allergic disease. The main victims are women and children, and the harm to these groups is the greatest. Therefore, it is recommended that female friends pay attention to their diet in life and avoid picky eating. This will help prevent follicular conjunctivitis in children. It is recommended that everyone can understand the causes of follicular conjunctivitis in children.

Follicular conjunctivitis is an allergic inflammatory reaction. Most of the patients are female children and young people, especially those with picky eating, malnutrition, weak constitution or a history of tuberculosis. It is often accompanied by facial eczema and lymphadenopathy, so it is also called eczematous or scrofulous conjunctivitis. It is a delayed hypersensitivity reaction caused by microorganisms and is related to infections with Mycobacterium tuberculosis, Staphylococcus aureus, Koch-Weeks bacteria and other microorganisms. Some people also believe that intestinal parasites can also cause this allergic reaction inflammation.

This disease is most common in the corneal margin or its translucent tissue, with millet-sized round, grayish-white or light yellow small round bubble-like protrusions, about 2 to 3 mm in diameter. There is localized congestion around the blister, and there is no pain when squeezed by hand. After a few days, the epithelium of the nodule peels off and a small ulcer forms on the top, which usually heals on its own.

Patients may experience mild eye discomfort in the early stages. When the lesions invade the cornea, symptoms such as photophobia, tearing, and eye pain may occur. Those that occur in the conjunctiva do not leave scars, while those that occur in the translucent part will leave scars after healing. Ulcers that occur at the edge of the cornea can gradually develop into fascicular opacities toward the center of the cornea. The conjunctival blood vessels also enter this fascicle and move toward the ulcer at the end of the fascicle. This is called fascicular keratitis. Superficial scleritis is usually complicated by connective tissue diseases such as rheumatoid arthritis or erythema nodosum. It is often bilateral, with an acute onset and slow progression, but is prone to relapse. Patients experience photophobia, tearing, and pain, but the symptoms may not be obvious and vision is generally not affected.

In the local area of ​​the eye, congested lentil-sized protrusions can be seen on the conjunctiva or the edge of the cornea. They appear as purple-red localized nodules and are manifestations of vasodilation of the surface blood vessels of the sclera. The nodules are tender, which is due to irritation of the ciliary nerve. The nodules develop rapidly. After each inflammation lasts for several weeks, the nodules become flat and turn white. Finally, the inflammation completely subsides, leaving a slightly depressed surface, gray-black color and traces of adhesion to the conjunctiva.

The prognosis of bullous conjunctivitis is relatively good. It can heal itself in about 10 to 14 days. It can be treated with topical corticosteroids, such as 0.1% dexamethasone eye drops, or injection under the conjunctiva. In addition, you should strengthen nutrition, exercise to improve your physical fitness, take cod liver oil pills, vitamin B2, calcium tablets, etc. If the disease is more stubborn, local freezing of the nodule can be performed. Traditional Chinese medicine treatment is based on purging lung heat and dispersing nodules.