Gonococcal ophthalmopathy symptoms?

summary

Gonococcal conjunctivitis, also known as gonorrhea eye or gonococcal pyorrhea eye, is a very severe acute suppurative conjunctivitis. This disease is characterized by high eyelid, conjunctival congestion, edema and a large number of purulent secretions. If not treated in time, corneal ulcer and perforation will occur in a short time, leading to serious consequences of blindness. Gonococcal ophthalmopathy symptoms? Next, I'd like to share my views with you.

Gonococcal ophthalmopathy symptoms?

The latent period of gonococcal conjunctivitis in adults ranges from 10 hours to 2-3 days, and it occurs in both eyes or in one eye. The patient's condition developed rapidly to the infiltration stage, and the eyelids were highly swollen and painful; The eyelid conjunctiva was hyperemia with small bleeding points and pseudomembrane formation; Bulbar conjunctival edema, severe cases protruding outside the palpebral fissure;

There was swelling and pain of preauricular lymph nodes. At the beginning of the disease, the secretion was serous or bloody. Conjunctival scraping proved that there were many Neisseria gonorrhoeae in epithelial cells. About 3-5 days later, the eyelid swelling was alleviated and softened, and a large number of purulent secretions were replaced, which continuously flowed out from the eyelid fissure. At this time, there are a lot of Neisseria gonorrhoeae in the secretion.

After about 2-3 weeks, the purulent secretion gradually decreased, but it still contained Neisseria gonorrhoeae; Conjunctival edema subsided, eyelid conjunctival hypertrophy, nipple hypertrophy, rough surface, lasting for several months. Then, the inflammation disappears and deep scars can be left on the eyelid conjunctiva. Corneal complications are almost inevitable, except for corneal epithelial punctate fluorescein staining, partial or full ring infiltration can be seen in the superficial layer of peripheral corneal parenchyma

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