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Eye Inflammation

By Bjarne Lühr Hansen PhD, MD and Philipp Skafte-Holm MD, Mentor Institute

Many children with common cold get an eye inflammation with yellow gobs in the eyes. This kind of eye inflammation does not need treatment with eye drops. In other cases it can be necessary to treat the child’s eye with eye drops of antibiotics.

Inflammation in the mucous membrane of the eye (‘the white part of the eye’) is caused by bacteria or virus. The most common kind of eye inflammation is seen in the context of common cold. Typically there are yellow gobs in both eyes while the white part of the eye does not turn red. Such an eye inflammation should not be treated with eye drops and the child can without further ado attend day care.

Another kind of eye inflammation, caused by bacteria, is typically seen by the white part of the eye turning red and sticky and yellow, thickly pus appearing in the corner of the eye. Such an eye inflammation must be treated with eye drops and the child cannot resume day care until treatment with eye drops has commenced.

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Contamination

Inflammation of the eye is highly contagious. Therefore it is important to remember to wash hands after touching the area surrounding the eye. When cleaning both eyes you must use a clean swab for each eye. The child will often transfer contagion from one eye to another.

Day Care:
A child with significant eye inflammation, which means a heavy flux of pus, being shy of the light and where the white part of the eye turns red, should be kept at home until the child has been examined by a doctor and possibly treated with eye drops.

The same can be said for eye inflammation that lasts more than one week. There is, on the contrary, no need to keep a child at home with the most common kind of eye inflammation, even if there are gobs of pus in the eye.

Thus, common cold struck children with an eye inflammation can attend day care or day nursery without being treated with eye drops.

Sometimes eye inflammation can be epidemic in a day care and hard to eradicate. In that case, it can be necessary to keep the child at home until all signs of inflammation has disappeared.

Medication

If the eye inflammation is caused by bacteria the eyes must be treated with eye drops of antibiotics. The two most common eye drops are Fucithalmic and Chloramphenicol. Fucithalmic requires application only twice a day while Chloramphenicol requires application 6-8 times a day. Therefore it is easiest to treat with Fucithalmic. The eyes are dropped until they look normal – which means without redness and pus.

What can you do?

If the child has the common cold and has yellow gobs in both eyes you can clean the eyes yourself several times a day with clean water. If the eyes are red or the eye inflammation has lasted more than a week you should contact your doctor.

Contact the doctor tomorrow

If the eye inflammation is caused by bacteria, the eyes must be treated with eye drops containing antibiotics (on prescription). The eyes are treated until they look normal, which means without redness and pus – though at least for five days. If the inflammation does not disappear, a doctor can graft for virus and bacteria to determine the infection.

Contact the doctor immediately

If the white part of the eye turns red.