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What Shall I Do About Recurrent Irritation, Blurred Vision And Light Sensitivity Even After Treating Viral Conjunctivitis?
Question: I had viral conjunctivitis that got really bad (confirmed as adenovirus from hospital lab). After I thought I had recovered I got recurrent irritation, slightly blurred poorer vision and light sensitivity. Finally after getting a appointment to follow up from an eye doctor he used fluorescent eye drops to take pictures of my eyes with blue light and showed me that I have some areas of inflammation/damage remaining and prescribed me dexafree eye drops. Since I am a biologist and unsatisfied with the medical care I could obtain I did my own research and found that keratitis is only ever mentioned as a result of simultaneous infection and dexafree side effects include causing or worsening infection and keratitis. Is it normal or standard to in my situation use this medicine and will it help my eye to heal or should I look for a second opinion?
Brief Answer:
Standard care prescribed
Detailed Answer:
Hi,
I understand your apprehension regarding using Dexamethasone eye drops. I checked the pictures but not as thorough as I see through my slit lamp light. Keratitis is better visualized through that.
If there is keratitis which is also possible especially when you complain of light sensitivity and blurred vision, a high possibility.
Usually it is a standard practice to prescribe Dexamethasone for all the non infectious inflammatory conditions of anterior chamber of the eye. This is especially true when there is recurrence of viral infections.
I think you should not worry about aggravation of keratitis or worsening infection at this stage. By the way what was the dose given and for how many days?
Standard care prescribed
Detailed Answer:
Hi,
I understand your apprehension regarding using Dexamethasone eye drops. I checked the pictures but not as thorough as I see through my slit lamp light. Keratitis is better visualized through that.
If there is keratitis which is also possible especially when you complain of light sensitivity and blurred vision, a high possibility.
Usually it is a standard practice to prescribe Dexamethasone for all the non infectious inflammatory conditions of anterior chamber of the eye. This is especially true when there is recurrence of viral infections.
I think you should not worry about aggravation of keratitis or worsening infection at this stage. By the way what was the dose given and for how many days?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your answer. I got a dose of one drop per eye, at 1 mg/mL three times per day for two weeks. I found the same information as you say after doing my own research about subepithelial infiltrates after adenoviral conjunctivitis on pubmed and it does seem standard to be prescribed dexamethosone treatment, but since the doctor did not explain well to me I got anxious. Thanks again for the second opinion Doctor :).
Brief Answer:
Right dexamethasone dose
Detailed Answer:
The dose is right. I am glad my perspective helped. Please close and rate my answer.
Right dexamethasone dose
Detailed Answer:
The dose is right. I am glad my perspective helped. Please close and rate my answer.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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