Do Corneal Opacities After Conjunctivitis Require Treatment? - Ophthalmology

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Hello, if corneal opacities remain after conjunctivitis and do not affect vision, is treatment necessary? Will the opacities disappear or worsen? If low-dose steroid eye drops are used for treatment, what is the general recommended duration for the treatment? Thank you.

Ms. Chen, 40~49 year old female. Ask Date: 2020/11/25

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Chen: What you are referring to is likely a corneal scar left by keratitis, similar to how we have scars from injuries.
Depending on the severity of the injury, the scar may fade over time, but in severe cases, it may remain permanently.
However, there are no other underlying causes that would lead to worsening.
The use of corticosteroids is intended to reduce the inflammatory response and minimize scar formation.
The duration of use should be determined based on the symptoms.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons 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.
Gao Pi-Lin

Reply Date: 2020/11/25

More Info


Corneal opacities, or corneal scars, that develop after conjunctivitis can be a concern for many patients. Whether or not they require treatment largely depends on their impact on vision and the underlying cause of the opacities.
If the corneal opacities do not affect vision, treatment may not be necessary. However, it is essential to monitor these opacities over time, as they can change. Some opacities may remain stable, while others can become more pronounced or lead to complications, such as decreased visual acuity or glare.
In cases where the opacities are due to inflammation from conjunctivitis, the use of low-dose topical corticosteroids may be beneficial. Corticosteroids can help reduce inflammation and promote healing of the cornea. The duration of treatment with corticosteroids can vary based on the severity of the condition and the response to therapy. Typically, a course of treatment may last from a few days to several weeks, but it is crucial to follow the prescribing physician's recommendations closely.
It's important to note that while corticosteroids can be effective, they should be used cautiously. Prolonged use can lead to potential side effects, such as increased intraocular pressure or cataract formation. Therefore, regular follow-up appointments with an eye care professional are essential to monitor the condition and adjust treatment as necessary.

In summary, corneal opacities following conjunctivitis may not require treatment if they do not affect vision. However, they should be monitored for any changes. If treatment is deemed necessary, low-dose corticosteroids may be prescribed, with careful consideration of the duration and potential side effects. Always consult with an ophthalmologist for personalized advice and treatment options tailored to your specific situation.

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