Ophthalmology >>>> Blenorrea
Blenorrea.
Blenorrhea is a type of conjunctivitis caused by pathogens of purulent infection (it has gonococcal and non-gonococcal origin: streptococci, Escherichia coli, chlamydia, mixed microflora, etc.). Blenorrhea affects adults and newborns. Newborns become infected when passing through the birth canal of an infected mother (less often in utero), or through the household route if the rules of personal hygiene are violated. As a rule, both eyes are involved in the disease.
Signs of blennorrhea:
- Hyperemia and edema of the eyelids,
- The conjunctiva may bleed when touched,
- After a few days, the conjunctiva begins to fester,
- A purulent secret sticks together the eyelashes, making it difficult to open the eye,
- After two to three weeks, suppuration decreases, edema and redness of the conjunctiva decreases,
- On the mucous membrane of the conjunctiva, growths appear in the form of papillae (papillary hypertrophy),
- With a complex course of blenorrhea, scars appear on the conjunctiva after ulceration of the mucous membrane,
- With a favorable outcome of the disease, scarring does not occur and the mucous membrane of the conjunctiva takes on its original appearance.
A complication of blenorrhea may be damage to the cornea when it is compressed during the period of edema and infection. As a result, corneal opacity and thorns develop. With the penetration of the infection into the deeper layers, it is possible to develop endoophthalmitis or panophthalmitis, leading to atrophy of the eyeball.
Treatment of blenorrhea requires identification of the causative agent of the infection. General therapy of the disease includes taking antibacterial drugs according to the identified pathogen with control bacteriological studies of the conjunctival smear. Topically applied ointments (erythromycin, tetracycline), which are applied over the eyelid during sleep. The conjunctiva is washed regularly with weak antiseptic solutions of potassium permanganate or furacilin, an albucide solution is instilled.
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