Conjunctivitis is one of the most common eye diseases nowadays, most often found in children against the background of non-compliance with the rules of hygiene and weak immunity. There are several causes of the disease. However, in any case, it requires proper diagnosis and treatment, therefore, at the first symptoms, it is necessary to consult an oculist.
Definition of the disease
Conjunctivitis is an inflammation of the conjunctiva, accompanied by tearing, hyperemia, itching and burning, as well as swelling of varying degrees. The appearance of the disease can occur for several reasons, in accordance with them and carry out the classification:
- Bacterial conjunctivitis (staphylococcus, streptococcus, gonococcus, pneumococcus),
- Viral (herpes, adenoviruses),
Symptoms such as pain, stinging and burning in the eyes, swelling of the eyelids, tearing and the release of a clear, turbid or purulent fluid may indicate the appearance of conjunctivitis.
Learn how to quickly cure viral conjunctivitis in an adult here.
For the purpose of proper treatment, ophthalmologists conduct a thorough examination, since different types of conjunctivitis require different sets of medicines. Without timely intervention, complications such as keratitis and even loss of vision may occur.
Conjunctivitis symptoms and treatment in adults requires a comprehensive set of procedures and drugs. In particular, one of the most effective forms of the drug is ointment.
Ointment against inflammation is most often prescribed for allergic conjunctivitis, but they can also be used in combination with other drugs for the treatment of other types.
- Floksal. It is used to relieve inflammation of the mucous membranes of the eye, and is effective in treating conjunctivitis of various types in combination with other drugs. There are also drops for Floksal eyes.
- Maxidex. It has anti-inflammatory (non-purulent inflammation) effect, most often prescribed for allergic conjunctivitis. Contraindicated in children.
- Tobradex. Anti-inflammatory agent containing antibiotic. ‘Effective with allergy symptoms. Not used for children and women during pregnancy.
Antibiotics in different quantities are found in many preparations against conjunctivitis. Basically use a variety of ointments, oxolinic ointment for conjunctivitis as well. But most of all substances in those ointments that are used in the treatment of bacterial conjunctivitis.
- Erythromycin. Antimicrobial agent used in the treatment of conjunctival and eyelid diseases. The composition contains antibiotic erythromycin, can be used in newborns.
- Tetracycline It is a safe remedy for eliminating conjunctival inflammation, but is contraindicated for children under eight years of age.
- Tobrex. The ointment contains a broad-spectrum antibiotic and can be used as a drug for conjunctivitis for children from two months. Used in the treatment of various inflammatory processes of the eye.
How to treat conjunctivitis in a child, read the materials.
Antibiotic eye ointments, as a rule, are marketed with “eye” marking. It is necessary when buying to pay attention to the specified concentration of the active substance, which should not be more than one percent.
As an aid in the treatment of inflammation of the eyes can be assigned to vasoconstrictor agents. They relieve pain and reduce burning and redness.
- Naphthyzinum. Effectively removes redness of the eyes, pain and burning, has a low cost. Contraindicated in children up to two years, is addictive.
- Octylia It has a calming effect on the mucous membrane of the eyes, relieves pain and redness. Not recommended for use for more than four days.
- Vizin. Popular effective vasoconstrictor. Removes redness, reduces tearing and swelling. It has a long lasting effect, but is addictive and is contraindicated for use in children. Most often prescribed for allergic conjunctivitis.
Learn about adenoviral conjunctivitis in children later in the article.
With bacterial conjunctivitis, as a rule, antibiotics and some other antiseptic ointments are prescribed.
- Colbiotsin. The tool is a local purpose against bacteria of high efficiency, is used for purulent inflammation of the conjunctiva, including chlamydia. Not recommended for use in children under eight years of age and pregnant women.
- Eubetal. It has a pronounced effect against inflammation and bacteria, is a combined drug. Not applicable for corneal diseases and high sensitivity to the components of the drug.
For the treatment of inflammation of the conjunctiva of the eye, which is of a fungal nature, ophthalmologists prescribe a complex of medicines and formulations of drugs mixed in certain proportions. Among the most commonly used antimycotic drugs are nystatin and nystatin ointment, natamycin, amphotericin B, fluconazole, intraconazole.
Rules of application
Self-medication for conjunctivitis in adults and children is not strongly recommended, as the wrong definition of the nature of inflammation will be accompanied by the wrong treatment. The optometrist can also prescribe a comprehensive examination and his instructions should be carried out strictly.
Diagnosis is usually done by smear analysis on the subject of the pathogen, and in the case of allergic inflammation - by searching for an allergen.
As a rule, eye drops from conjunctivitis for children should be used one to two to four times a day, but ointments should be placed mainly at night to increase the effectiveness of the action. Along with topical agents, oral preparations may also be indicated. In particular, in allergic conjunctivitis, an antihistamine course is prescribed.
Wash face, eyes and hands before carrying out procedures for applying local preparations.
To find out why angiopathy of the retina is dangerous, follow the link.
Many eye drops with conjunctivitis can be addictive, therefore not recommended for long-term use.
To prevent the occurrence of conjunctivitis of any kind, you must follow the basic rules of hygiene of the eyes, hands and face. It is also not recommended to touch the eyeballs and eyelids with your hands. If there are cases in the family, you should not use general hygiene items, towels and bed linen. Careful attention should be given to children, especially if there are animals in the house.
In public places it is useful to use antiseptic agents, wet wipes. It is also important to timely treatment of diseases of the body of different nature and support immunity.
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Eye diseases can be dangerous by various complications, including irreversible loss of vision. That is why in the treatment of conjunctivitis it is important to correctly determine the form of the disease and to strictly follow the instructions of the oculist. At the same time, to prevent such inflammatory processes, it is necessary to observe the basic rules of hygiene and support the health of the whole body.
How to quickly cure conjunctivitis, read here.
Medical expert articles
Conjunctivitis - an inflammatory reaction in the mucous membrane of the eye - can be caused by various factors, such as allergies, contact with the conjunctiva of viruses or microbes. Each type of inflammation requires its own specific treatment, so even the seemingly common ointment for conjunctivitis can be different: antibacterial, antiviral, or antihistamine. Some ointments even contain hormonal components - corticosteroids. In order not to be mistaken in the choice of the drug, it should be prescribed only by a doctor who, after receiving the test results, accurately determines the etiology of the disease.
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Indications for use of conjunctivitis ointment
Conjunctivitis ointment is often the main medication in the treatment of eye disease. In most cases, the doctor prescribes antimicrobial ointment, although such an appointment is one hundred percent dependent on the factor that provoked the disease.
For conjunctivitis of microbial etiology, greasy drugs with an antibiotic are used: erythromycin, tetracycline, levomycetin or ofloxacin may be the active component of such preparations.
For conjunctivitis of allergic origin, ointments with an antihistamine component are used. Sometimes hormones are also included that help to cope not only with allergies, but also with the consequences of the inflammatory process.
If inflammation of the mucous membrane of the eye is associated with exposure to the virus, then the prescribed ointment must necessarily have antiviral activity. Often in the composition of such drugs is present interferon - a protein substance that helps to increase the body's defenses in response to the invasion of a viral infection.
Find out exactly what caused the conjunctivitis, can only a doctor. Independent improper treatment of the disease can lead to the development of complications and the transition of the disease to the stage of the chronic course.
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This form of drug release, such as conjunctivitis eye ointment, is an ophthalmologic remedy intended for the treatment of bacterial and viral-allergic lesions of the visual organ. The use of the ointment is extremely rarely accompanied by side effects, since the absorbability of the drug is negligible.
Ointment from conjunctivitis may differ in consistency, spectrum and mechanism of action, in the number of adverse symptoms and contraindications to the appointment.
The ointment is applied over the lower eyelid area (a small dose of about 10 mm). The procedure is repeated up to 3 times a day. The therapeutic course can last from 7 to 14 days, depending on the decision of the doctor.
During treatment with ointment, it is recommended to temporarily abandon the use of contact lenses. If the eye drops are also prescribed for the application of the ointment, then a time period of at least 15-20 minutes should be maintained between their application.
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Types of conjunctivitis
There are several types of the disease, so treatment is prescribed only after a precise determination of the pathogen:
- Bacterial. In this form of the disease, one eye is initially affected, and then the infection passes to the second. Bacterial conjunctivitis is characterized by thick purulent discharge. The disease sometimes proceeds against the increase in body temperature and symptoms of intoxication.
- Viral. This form of the disease is often observed against the background of respiratory diseases. Two eyes begin to sour at the same time. Discharges are more often clear, but if a bacterial infection joins, then they become yellowish.
- Allergic. This form of the disease is often observed in the period of mass flowering of vegetation. In case of allergies, discharge from the eyes of a slimy character, itching and excessive tearing are observed. The conjunctiva becomes red, and the eyelids swell somewhat. Allergy symptoms include frequent sneezing and rhinitis.
- Fungal. In the fungal form of the disease, discharge from the eyes is abundant, on the conjunctiva and eyelids ulcers are formed, covered with a characteristic whitish patina. When the fungal form of antibiotics are ineffective. In addition, they can exacerbate the disease.
The doctor examines the patient, always taking backwater from the eyes. Only after receiving the results of the examination treatment is prescribed. Be sure to prescribe an ointment for the treatment of eye mucosa.
To avoid serious problems with vision, it is necessary to strictly follow all the recommendations of the doctor.
Features of the use of ointments
With conjunctivitis in children and adults, the treatment regimen is almost identical. Eye drops and ointments are prescribed. In the first days of the disease, eyes should be dripped very often, every 2 hours, then the number of procedures is gradually reduced. Ointment should be laid 3-4 times a day.
Before using eye ointments and droplets, the eyelids are cleansed of purulent masses with an antiseptic solution. This may be Miramistin or Furacilin solution. When conjunctivitis is strictly forbidden to impose eye bandages, as in this case, the disease worsens.
Viral conjunctivitis is usually observed against the background of respiratory infections. Before applying the ointment, wipe the eyes with a strong decoction of chamomile or Furacilin solution. If the doctor prescribed eye drops with interferon, then you can use the ointment no earlier than 15 minutes. In the viral form of the disease, such drugs can be prescribed:
- Bonafton It is an effective antiviral drug that has a detrimental effect on herpes viruses and adenovirus. It is put into the conjunctival sac in the amount of 1 cm several times a day.
- Florenal. It is prescribed for viral conjunctivitis provoked by the herpes virus. Before use, you should carefully read the instructions, there are a number of contraindications.
- Tebrofen ointment. This is a broad-spectrum drug, which is prescribed for viral ophthalmic diseases.
In addition, other drugs may be prescribed. The doctor may prescribe Acyclovir, Virolex and Zovirax. All these eye treatments are used at 3% dilution.
Antiviral ointments reduce inflammation and the amount of secretions, as well as accelerate the regeneration of damaged tissues. In severe cases, systemic antivirals and antihistamines are prescribed.
Viral conjunctivitis is often complicated by a bacterial infection. In this case, antibacterial drugs are shown.
With bacterial conjunctivitis
In the bacterial form of the disease, antimicrobial and antibacterial eye ointments are indicated. Can be prescribed and drugs of complex action:
- Tetracycline. This drug has a low adsorption, due to which it is possible to obtain a lasting therapeutic effect. The drug can be prescribed even for pregnant women in case of urgent need. But tetracycline ointment is strictly forbidden to use for the treatment of children under 8 years of age.
- Tobrex. This medicine helps to quickly eliminate all symptoms of conjunctivitis. Can be assigned to children of different ages. Quite often prescribed with eye drops, which have the same name.
- Floksal. Ofloxacin-based antibacterial drops. This drug can be prescribed to children from the first days of life and adults. Differs in high efficiency in relation to pathogenic microorganisms which most often lead to illnesses of eyes.
- Erythromycin ointment is also often prescribed for conjunctivitis. This drug is also effective in blepharitis, barley and keratitis.
- Levomekol. If no eye ointment is at hand, then you can use this ointment. It is laid in a small amount under the lower eyelid.
All antibacterial ointment should be used for at least 5 days. Even if the symptoms have completely disappeared, you should not stop treatment. Otherwise, the disease may worsen.
When conjunctivitis of different origin, hydrocortisone ointment may be prescribed. It is a combination drug that helps to quickly eliminate inflammation and accelerates tissue regeneration.
For the treatment of allergic conjunctivitis prescribe antihistamines systemic and local action. Most often these drugs are prescribed:
- Tobradex. This is a combined drug, which includes an antibiotic from the group of aminoglycosides and Dexamethasone. It should be borne in mind that this drug is contraindicated in pregnant women and children under 18 years of age.
- Cortineff. The composition of this drug - steroids. The drug is shown in severe forms of allergic conjunctivitis or keratitis.
- Garazon Ointment complex action, which includes an antibiotic and antihistamine. Well helps with allergic conjunctivitis, quickly eliminates all symptoms of the disease.
Allergic conjunctivitis most often occurs on the background of other allergy symptoms. It may be a skin rash, tearing and sneezing. In severe cases, antihistamines are prescribed with a large spectrum of activity - Tsetrin, Zodak, Claritin or Loratadine. In some cases, shows Suprastin injection. It should be borne in mind that this antihistamine remedy causes drowsiness.
People with a tendency to allergies are recommended to take antihistamines during the period of mass flowering of vegetation.
How to choose a drug
Ointment for conjunctivitis should be selected by an ophthalmologist. Do not self-medicate, because the wrong choice of drugs can lead to an exacerbation of the disease.
If the ointment prescribed by the doctor is ineffective for 3-4 days, then the treatment regimen is revised. In the viral form of the disease, antiviral drugs and antibiotics can be prescribed simultaneously. The latter group of drugs is needed to prevent secondary infection.
You should buy only those drugs that are prescribed by the attending physician. Do not buy analogues without the consent of the doctor.
How to apply ointment
For the treatment to be effective, it is important to properly use the eye ointment. You should follow these recommendations:
- Before treating the eyes, wash hands thoroughly with soap and wipe.
- Wipe eyes with discs moistened with an antiseptic solution - decoction of chamomile or in Furacilin. For each eye, you must take a separate cotton pad.
- Fingers gently pull the lower eyelid and gently lay 1 cm ointment in the conjunctival sac.
- If one eye is inflamed, it is still necessary to process both visual organs at once.
- After laying the ointment, the eyelids are covered and gently massaged with the fingers so that the ointment is distributed evenly.
- When treating eyes with ointment, it is necessary to ensure that the tip of the tube does not touch the mucous membrane and fingers.
Ointments have a more prolonged effect than eye drops. This is due to the thick consistency of the drug. Ointment is recommended to treat the eyes several times a day. It is especially advisable to carry out such procedures at night.
Bacterial conjunctivitis ointment
Erythromycin ointment. This conjunctivitis ointment is a common topical antimicrobial agent. The form of release offered to consumers is tubes of 3.7, 10 g each. Erythromycin is an antibiotic with bacteriostatic properties from the group of macrolides. Ointment exhibits antibacterial properties, approved for the treatment of mucosal inflammation in newborns.
Tetracycline ointment. Ointment from conjunctivitis with tetracycline is used more often than similar drugs, since it is as safe as possible due to its low absorption. Scope - bacterial forms of pathology of the mucous membrane of the eye. Do not use for the treatment of children under 8 years.
Tobrex. The ointment contains Tobramycin - a broad-spectrum antibiotic. Form release - tubes of 3.5 g. Scope - infections of the mucous eye, conjunctivitis, keratoconjunctivitis, "barley". Do not use for the treatment of newborns (up to 2 months).
Colbiotsin. The composition of the ointment with antibacterial action includes tetracycline, chloramphenicol, kolistimitat sodium. Colbiocin conjunctivitis ointment is highly effective against amoebas, spirochetes, mycoplasmas, rickettsia, chlamydia. Scope - trachoma, purulent, catarrhal conjunctivitis. Not applicable for the treatment of children under 8 years of age and pregnant women.
Eubetal. Ointment is an effective remedy with anti-allergic, anti-bacterial, anti-inflammatory action, acts against amoebas, chlamydia, mycoplasma. The composition of the eubetal ointment: tetracycline, colistin, betamezon (glucocorticosteroid), chloramphenicol. Form of release - tubes of 3 g. Not used for the treatment of patients with a history of corneal disease, high intracranial pressure, as well as persons with hypersensitivity to the drug.
List of viral conjunctivitis ointments
Before applying any ointment, you should prepare the eye mucosa. First, the eye is washed with an antiseptic (infusion of a pharmaceutical chamomile or tea). Then drops in the conjunctival sac are instilled with Interferon or Albucidum, and only after half an hour ointment can be used.
For the treatment of adenoviral conjunctivitis apply:
Bonafton The main active antiviral substance is Bromnaftoquinone, which is effective against the herpes virus and adenovirus.
Florenal. The main active ingredient is Fluorononylglyoxal bisulfate, which effectively acts against adenovirus and herpes virus.
Tebrofen ointment. Universal antiviral eye ointment, the main active ingredient is Tetrabromtetrahydroxydiphenyl. The form of release offered to consumers - tubes of 10 g.
For the treatment of herpetic conjunctivitis eye ointments are used:
The main active ingredient is acyclovir. Herpetic conjunctivitis ointment reduces the recurrence of rashes, accelerates the regeneration of the eyelid tissue, the mucous membrane of the eye.
The ophthalmologist will recommend additional drugs for the treatment of viral conjunctivitis: eye drops with antihistamine action, antibiotics in the form of ointments for the prevention of relapse.
What is the best ointment for allergic conjunctivitis?
This type of inflammation of the mucous membrane of the eye occurs simultaneously with the bacterial or viral form of the disease, as a reaction to the drugs used. Another reason for its appearance are allergens - irritants, the action of which becomes dangerous with a massive load on the immune system.
It is almost impossible to isolate from factors that provoke allergic conjunctivitis, especially during the allergy season (pollen of plants, exposure to cosmetics and household chemicals, animal dander, dust). People suffering from this pathology, are forced to regularly apply eye drops in combination with antihistamine drugs.
This treatment is considered symptomatic because it does not affect the cause of the failure of the immune system. Dramatically affect the cause of allergy modern pharmaceuticals is not possible. Immunocorrection, the use of immunomodulators have no practical significance.
Allergic conjunctivitis ointment is a hormonal agent containing corticosteroids in combination with antibiotics and antihistamine constituents. They can not be used without the supervision of an ophthalmologist and a preliminary search for an allergen.
The treatment of allergic conjunctivitis with hormonal ointments should be approached with caution, since these agents, when used systematically, act on the patient's immune system. Begin correction of allergic conjunctivitis with ointments with a minimum dosage and a small number of contraindications. And only with the ineffectiveness of the latter use the following drugs.
Tobradex. Ointment from conjunctivitis has a complex anti-inflammatory and anti-allergic effect. The main active ingredients are the antibiotic Tobramycin from the group of aminoglycosides, and the glucocorticosteroid Dexamethasone. Contraindications - pregnancy, child age up to 18 years.
Maxidex. Contains Dexamethasone, indications for use - allergic conjunctivitis, inflammation of the mucous membrane of the eye without the formation of pus. Contraindications - children's age.
Dex-Gentamicin. Ointment from conjunctivitis contains Dexamethasone to relieve inflammation and allergy symptoms, and the antibiotic Gentamicin from the group of aminoglycosides with a broad bactericidal effect. Contraindications - mycoses, eye tuberculosis, children under 18 years.
Cortineff. The main active ingredient is steroid Fludrocortisone. Scope - acute allergic keratitis, complex inflammation of the mucous membrane of the eye.
Garazon Conjunctivitis ointment contains synthetic glucocorticoid Betamethasone, which has anti-allergic effects, Gentamicin is an antibiotic. The drug is used in complex forms of conjunctivitis.
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Local forms of drugs are popular in the treatment of conjunctivitis. The disease is treated with eye ointments and conjunctivitis drops. Ointment is better to use at night, as it forms a film on the surface of the eye that impairs vision. A day use drops.
When using ophthalmic agents, short-term adverse events are possible on the part of the optic organ: burning, feeling of a foreign body in the eye, tearing, eyelid dermatosis, blurred vision. Symptoms usually disappear on their own within a few minutes. If side effects persist for a long time, increase, allergic manifestations occur, then you need to stop using the drug.
Ocular forms of drugs have a predominantly local effect, they are absorbed into the systemic circulation in a minimal amount. This reduces the risk of side effects from other organs and systems.
If the inflammatory symptoms are accompanied by dry eyes, in the complex you can use the gel "Oftagel" drops "Vizin". These funds moisturize the mucous membrane of the eye, improve metabolic processes in cells, accelerate recovery.
Let us examine in more detail the main names of ointments for the treatment of conjunctivitis in adults and children, their characteristics, methods of use. A general contraindication to all medicines is individual hypersensitivity to the drug components. Ointment from conjunctivitis for children up to one year old should be used only under the supervision of an ophthalmologist or pediatrician.
Against viral conjunctivitis
Common pathogens of viral forms: herpes virus, adenovirus. The herpes virus is more often represented by type 1 and 2. Cytomegalovirus, varicella, enterovirus can also be a possible cause of viral inflammation of the mucous membrane of the eye.
A person suffering from a viral form is contagious to those around you, then limit contact with people. For greater effect, antiviral tablets are prescribed in a complex with local forms: "Acyclovir", "Valaciclovir", "Famciclovir".
Effective against herpes viruses. Recommended dosage: 1–1.5 cm of “Acyclovir” should be planted with 5 r / d every 4 hours. Duration of treatment up to 10 days. Analogs: Zovirax, Virolex, conjunctivitis gel Zirgan. The method of application is the same. During pregnancy, use with caution. Price "Acyclovir" from 15 rubles.
Remedy against herpes and adenoviruses. 0.5–1 cm of “Bonafton” lay 3–6 p / d. The course of treatment is up to 10 days. Contraindications: pregnancy, lactation, children under 18 years. Price within 100 p.
An effective antiviral against most types of adenovirus and herpes. It has no contraindications. The instruction restricts the use of conjunctivitis ointment in children under 2 years old, since no clinical studies have been conducted on toddlers. The multiplicity of 2-3 p / d for 1 week. It costs no more than 50 rubles.
From bacterial conjunctivitis
Bacterial conjunctivitis can cause many pathogens. The most common are staphylococci, streptococci, chlamydia and gonococcal infection, and others.
Before the appointment of an antibacterial drug, it is recommended to make a bakposev discharge from the eye. The result is prepared 7–10 days. At this time, the doctor prescribes an antibiotic empirically. The clinical picture specialist determines which pathogen is characterized by the present manifestations, and prescribes a remedy. If during the period of analysis of the effect of treatment is not observed, then the antibiotic is replaced in accordance with the results of bakposev.
For treatment, antibacterial ointments for conjunctivitis with a broad spectrum of action are used for a course of 7–10 days. A long course is required for the complete suppression of pathogenic bacteria. If you do not follow the multiplicity of application or reduce the course, then resistant forms of microorganisms will develop that are not amenable to treatment with conventional drugs.
The most common ointment in ophthalmic practice for the treatment of conjunctivitis in adults and children over 8 years old. Tetracycline eye ointment is prohibited for use in children under 8 years old and pregnant, because they violate the formation of bone system and teeth. Lay 3–5 p / d. Treatment will cost no more than 30 p.
Children's ointment for conjunctivitis. An antibacterial agent of the macrolide group. The main advantage - erythromycin ointment for conjunctivitis is allowed to prescribe even to newborns. Apply 3 r / d. A tube of ointment costs up to 30 rubles.
The composition includes an antibiotic aminoglycoside group. Ointment is allowed for conjunctivitis in children from 2 months. 1 cm "Tobreksa" lay 2–3 r / d. Price up to 200 p.
Active ingredient - chloramphenicol. Ointment is allowed for the treatment of conjunctivitis in children from 1 month. Frequency of use is 3–6 r / d. It costs 10-60 rubles.
Represents a combination of 3 different antibiotics: chloramphenicol, tetracycline, sodium colysimethate. It has antibacterial activity against a wide range of pathogens. It is recommended to lay 1 cm ointment 3-4 r / d. Contraindications: pregnancy, lactation, children under 8 years old, diseases with impaired liver and kidney function. Cost from 350 r.
Antibiotic fluoroquinolone group. Method of application: up to 1.5 cm of conjunctivitis ointment should be placed in the conjunctival sac of the eye 3-4 p / d. "Floksal" is contraindicated during pregnancy and breastfeeding. The treatment will cost 150-200 rubles.
From allergic conjunctivitis
First of all, eliminate contact with the allergen that caused the hyperreactive response of the body. Allergens may be: household chemicals, pet dander, food, industrial chemicals.
When allergic conjunctivitis prescribed ointment containing hormone glucocorticosteroids. This group of drugs has a pronounced anti-allergic, anti-inflammatory effects.
Glucocorticosteroids are contraindicated for pregnant, nursing mothers, children. Use is allowed only by appointment of a specialist. Glucocorticosteroids have a large number of side effects, so during self-treatment there is a high risk of harming yourself or your child.
Do not use with bacterial, viral, fungal conjunctivitis, corneal epithelial defects. Be wary of people with kidney, liver, hematopoietic system, endocrinopathy.
Effective and other drugs, safer: drops "Allergodil", "Opatanol", "Cromohexal", tablets "Suprastin", "Tavegil", "Tsetrin".
The active ingredient is dexamethasone. Maxidex is prescribed 4–8 p / d, depending on the severity of conjunctival inflammation. Price from 300 r.
Combined drug. Combines dexamethasone (glucocorticosteroid) and tobramycin (broad-spectrum antibiotic). The multiplicity depends on the severity of the condition: 4–8 r / d. It should be at least 400 p.
The combination of 2 active ingredients - dexamethasone and gentamicin (a group of aminoglycosides). Assign no more than 2-3 p / d. Additional contraindications: eye injury, increased IOP, wearing lenses. Price starts from 110 p.
Combined agent that includes a hormonal substance (betamethasone) and antibacterial: tetracycline, chloramphenicol, sodium colysimethate. It has combined effects: antibacterial, anti-inflammatory, anti-allergic. Laying for the lower eyelid 3-4 p / d. Do not use for glaucoma and corneal damage, fungal, viral conjunctivitis. Children up to 3 years "Eubetal" is contraindicated. From 3 to 12 years old - only on prescription. Price up to 200 p.