Persistent Eye Irritation: When to Seek Further Treatment for Conjunctivitis - Ophthalmology

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Red, itchy eyes, conjunctivitis, and stinging sensation?


Last week, I noticed red streaks in the whites of my eyes, both eyes were itchy, and my left eye had a stabbing pain.
I went to an ophthalmologist who said there might be dirt or PM2.5 particles that got in.
He mentioned that my left eye is close to developing a stye and prescribed two bottles of eye drops: Koshuyuan and Haoshiduo.
I've been using them, and the red streaks are gone, but I'm still experiencing itchiness and pain.
How long can I continue using the eye drops, and how many weeks should I wait before returning for another check-up if it doesn't improve?

Hong, 20~29 year old female. Ask Date: 2019/05/09

Dr. Cai Wenyuan reply Ophthalmology


Hello: Please follow the physician's instructions on the medication bag.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/05/09

More Info


Persistent eye irritation, especially when associated with symptoms like redness, itching, and pain, can be quite distressing. In your case, it seems that you initially experienced conjunctivitis, possibly exacerbated by environmental factors such as dust or PM2.5 particles. The fact that you were prescribed medication suggests that your eye care provider is addressing the inflammation and irritation.

When it comes to the use of eye drops, particularly anti-inflammatory or antihistamine drops like the ones you mentioned (可舒炎 and 好視多), it is essential to follow the prescribed regimen. Generally, these medications can be used for a few weeks, but the duration can vary based on the severity of your symptoms and the underlying cause of your irritation. If you notice that your symptoms persist despite following the treatment plan, it is crucial to seek further evaluation.

Here are some guidelines on when to seek further treatment for conjunctivitis or persistent eye irritation:
1. Duration of Symptoms: If your symptoms do not improve within one to two weeks of starting treatment, it is advisable to return to your eye care provider. Persistent symptoms may indicate that the underlying cause has not been adequately addressed or that a different treatment approach is necessary.

2. Worsening Symptoms: If you experience an increase in pain, swelling, or discharge, or if your vision becomes affected, you should seek immediate medical attention. These could be signs of a more serious condition, such as a bacterial infection or corneal involvement.

3. New Symptoms: If you develop new symptoms, such as increased sensitivity to light, severe redness, or a feeling of something stuck in your eye, it is essential to consult your eye doctor promptly.

4. Response to Treatment: If you are using the prescribed eye drops as directed and do not notice any improvement after a week, or if your symptoms worsen, it is time to revisit your eye care provider. They may need to reassess your condition and possibly prescribe a different medication or treatment strategy.

5. Underlying Conditions: If you have a history of recurrent eye issues or underlying conditions that may affect your eyes (like allergies, autoimmune diseases, or previous eye surgeries), it is wise to keep your eye care provider informed and to seek their advice sooner rather than later.

In addition to following your treatment plan, here are some self-care tips that may help alleviate your symptoms:
- Avoid Rubbing Your Eyes: This can exacerbate irritation and introduce more allergens or irritants.

- Cold Compresses: Applying a clean, cold compress to your eyes can help reduce swelling and soothe irritation.

- Maintain Eye Hygiene: Ensure that you wash your hands frequently and avoid touching your eyes to prevent further irritation or infection.

- Environmental Control: If you suspect that environmental factors are contributing to your symptoms, try to minimize exposure to dust, smoke, and other irritants. Using an air purifier can help improve air quality indoors.

In summary, while it is essential to follow your doctor's instructions regarding the use of eye drops, you should also be vigilant about your symptoms. If your condition does not improve within a reasonable timeframe, or if you experience any concerning changes, do not hesitate to seek further evaluation. Your eye health is paramount, and timely intervention can prevent complications and promote recovery.

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