Conjunctivitis, that is, inflammation of the mucous membrane of the eye, is known to many. But not everyone knows about chlamydial conjunctivitis, which is often encountered by ophthalmologists. The causative agents of this disease – chlamydia – are intermediate between viruses and bacteria. As viruses, they multiply in the cells of the human body, and as bacteria die under the influence of antibiotics and sulfa drugs.
Chlamydia can affect not only the mucous membrane of the eyelids, the eyeball, but also the mucous membranes of the respiratory tract, the lower part of the gastrointestinal tract, and the urinary organs. Most of all clamidia are transmitted through sexual transmission, therefore caused by their illness, relate to discharge of venereal diseases.
Signs of chlamydial diseases are diverse, sometimes difficult to detect, since the infection may not manifest itself.
The forms of chlamydial eye disease are different: trachoma, chlamydial conjunctivitis (adult paratrachoma), epidemic chlamydial conjunctivitis, newborn chlamydial conjunctivitis (paratrachoma of the newborn) and a number of others.
TRAHOMA was widespread in pre-revolutionary Russia and was the main cause of blindness. In the Soviet Union, this disease was eliminated.
Chlamydia conjunctivitis, or adult paratrahoma, occurs predominantly in people of young age (20–30 years). The infection is transmitted mainly through sexual contact. The pathogen is transferred by contaminated hands from the urogenital organs to the eyes, less often from the affected eye to the healthy one. The disease usually begins as an acute inflammation of one eye: photophobia, tearing, reddening and swelling of the eyelids appear. Patients mistakenly believe that they have a banal viral or allergic conjunctivitis and do not need to consult a doctor. They are engaged in self-treatment for a long time, which is not only useless, and in some cases even harmful. When the disease is neglected and starts to be seriously disturbed, the patient goes to an ophthalmologist. And often his insistent recommendation to consult a urologist, gynecologist and otolaryngologist is puzzling. This requirement is due to the fact that in chlamydial conjunctivitis an infection is almost always found in the urinary organs (non-specific urethritis, cervicitis); in about 20% of cases, this disease is accompanied by inflammation of the inner ear, also caused by chlamydial infection.
Treatment, as a rule, is carried out in stationary conditions, since it is almost impossible to carry out intensive, massive therapy on an outpatient basis.
A full course of treatment lasts 4 to 6 weeks. The disease is cured, as a rule, without complications, there is almost no recurrence. However, this should not give rise to frivolous attitudes towards chlamydial conjunctivitis. IN PREVENTION OF ILLNESS, THE MAIN THING IS NOT TO ACCEPT RANDOMS OF SEXUAL CONTACT. IF CHLAMYDA CONCENTS IS DISCOVERED IN A MAN OR WOMEN, AND A PARTNER IS DISCOVERED TO TAKE A TREATMENT COURSE FOR HIM AND TODAY.
Infection is possible, although it happens quite rarely, through polluted water, bedding, and a towel. toilet items used by the patient. And although chlamydia outside the human body quickly die, nevertheless, when caring for the sick, you should wash your hands in warm running water with soap or treat them with a 2% solution of chloramine and other antiseptic agents.
The epidemic clamidia conjunctivitis usually occurs in the form of flashes among visitors to the baths and pools. From here and its other name – bath, or basin, conjunctivitis.
It should be borne in mind. that even one patient suffering from chlamydial urethritis or conjunctivitis can be a source of infection for all pool attendants. Therefore, in the presence of chlamydial infection, it is impossible to visit the pool! Strict adherence to the rules of water chlorination in them helps to prevent the spread of this infection.
Chlamydial conjunctivitis of newborns (paratrahoma of newborns) occurs in 25 – 50% of children born to sick mothers. Infection occurs when the fetus passes through the birth canal.
A woman who is going to become a mother must undergo a special examination, especially if she suffers from urethritis, cervicitis, cervical erosion. The course of treatment must be carried out under the supervision of a physician and terminated before delivery. It is also necessary for the husband to undergo examination and treatment, even if he does not present any complaints. Indeed, in men, chlamydial infection of the urinary tract may be asymptomatic.