Recurrent Conjunctivitis: Causes and Solutions

Q: Recurrent Conjunctivitis: Causes and Solutions

Hello, Manman： It is possible that your right eye has been affected by a bacterial infection, leading to conjunctivitis or eyelid involvement that has not been properly treated, resulting in fluctuating symptoms. <br>I recommend visiting a reputable ophthalmology clinic for prope

Recurrent conjunctivitis?

I would like to ask the doctor, my right eye has a slightly stronger prescription than my left eye.
Since the summer of 2019, I experienced conjunctivitis in my right eye, which caused my eye to be completely glued shut with yellow discharge in the morning, along with redness and slight irritation.
Since then, it has recurred every few months, always in the same eye.
I wear large diameter monthly contact lenses, typically from the morning when I leave for class until I return home in the evening, about 12 to 14 hours, but I clean them properly and do not sleep while wearing them.
I would like to know why I keep experiencing these recurrent episodes, as no one around me has had conjunctivitis as frequently as I have.

Manman, 10~19 year old female. Ask Date: 2020/08/14

Dr. Gao Pilin reply Ophthalmology

Hello, Manman: It is possible that your right eye has been affected by a bacterial infection, leading to conjunctivitis or eyelid involvement that has not been properly treated, resulting in fluctuating symptoms.
I recommend visiting a reputable ophthalmology clinic for proper treatment and switching to high-quality daily disposable contact lenses to see if your condition improves.
In Taiwan, you can visit the ophthalmology department at Puzi Hospital on the following schedule: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Best regards, Gao Pilin.

Reply Date: 2020/08/14

More Info

Recurrent conjunctivitis, or repeated episodes of inflammation of the conjunctiva, can be a frustrating issue for many individuals. Understanding the underlying causes and potential solutions is essential for managing this condition effectively.

Causes of Recurrent Conjunctivitis
1. Allergic Reactions: One of the most common causes of recurrent conjunctivitis is allergic conjunctivitis. This occurs when the eyes come into contact with allergens such as pollen, dust mites, pet dander, or mold. Symptoms typically include redness, itching, and tearing. If you have a history of allergies, this could be a significant factor in your recurrent episodes.

2. Infectious Agents: Bacterial and viral infections can lead to conjunctivitis. If your episodes are accompanied by yellow discharge, it may indicate a bacterial infection. Viral conjunctivitis, often associated with colds, can also recur, especially if you are exposed to the virus repeatedly.

3. Contact Lens Use: Wearing contact lenses, especially if they are not properly cleaned or if they are worn for extended periods, can increase the risk of conjunctivitis. You mentioned wearing monthly disposable lenses for 12-14 hours a day. Even with proper cleaning, prolonged wear can lead to irritation and infection. It’s crucial to follow the recommended guidelines for lens wear and care.

4. Environmental Factors: Exposure to irritants such as smoke, pollution, or chemicals can exacerbate conjunctivitis. If you are in an environment with high levels of irritants, this could contribute to your symptoms.

5. Underlying Health Conditions: Certain systemic conditions, such as autoimmune diseases, can predispose individuals to recurrent conjunctivitis. If you have other health issues, it may be worth discussing with your healthcare provider.

Solutions and Management Strategies
1. Consult an Eye Specialist: Given your recurrent symptoms, it would be beneficial to see an ophthalmologist. They can perform a thorough examination to determine the exact cause of your conjunctivitis and recommend appropriate treatment.

2. Proper Contact Lens Hygiene: Ensure that you are following all guidelines for contact lens care. This includes washing your hands before handling lenses, using the correct cleaning solutions, and not wearing lenses longer than recommended. Consider switching to daily disposable lenses if you find that your current lenses are contributing to your symptoms.

3. Avoid Allergens: If allergies are suspected, try to identify and avoid potential allergens. Over-the-counter antihistamines or prescription allergy medications may help alleviate symptoms.

4. Cold Compresses: Applying a cold compress to your eyes can help reduce inflammation and discomfort during an active episode.

5. Medication: Depending on the cause, your doctor may prescribe antibiotic eye drops for bacterial conjunctivitis or antihistamine drops for allergic conjunctivitis. It’s essential to follow their recommendations closely.

6. Environmental Modifications: If environmental irritants are a concern, consider using air purifiers, avoiding smoking areas, and reducing exposure to pollutants.

7. Regular Follow-ups: Since you have a history of recurrent conjunctivitis, regular follow-ups with your eye care provider can help monitor your condition and adjust treatment as necessary.

In conclusion, recurrent conjunctivitis can stem from various causes, including allergies, infections, and contact lens use. By identifying the underlying factors and implementing appropriate management strategies, you can reduce the frequency and severity of your symptoms. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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