- Blepharitis symptoms
- Blepharitis reasons
- Treatment of the Blepharitis
Blepharitis (Latin blepharitis) - big group of various diseases of the eyes which are followed by a chronic inflammation of the edges a century and difficult giving in to treatment.
Blepharitis - one of the most frequent is also long the current diseases of eyes at which inflammatory process develops in the ciliary regions a century. The blepharitis is inclined to a recurrence, it exhausts the patient, reduces his working capacity, and in certain cases even leads to sight loss.
On characteristic signs and conditions of emergence distinguish:
• B. squamosa, or simple (B. simplex), - the blepharitis which is characterized by a hyperemia and a thickening of edge a century with formation of scales of a desquamated epithelium of the sebaceous glands and epidermis which is densely attached to skin at the basis of eyelashes.
• B. ulcerosa - the blepharitis which is characterized by a purulent inflammation of hair sacks of eyelashes and formation of ulcers on edge a century.
The state is caused by a persistent staphylococcal infection of a hair sack of eyelashes. Eyelashes can stick together at the basis, yellowish strupa are formed, skin under them is ulcerated, on site sores hems are formed afterwards. In hard cases of an eyelash drop out, separate eyelashes become white, the first line of a century can become wrinkled. When scarring skin of an eyelash grow incorrectly.
Develops at the diseases connected with follicles of eyelashes and glands. It is often combined with seborrheal dermatitis of head skin, eyebrows, zaushny areas and areas of a breast. The ulcer blepharitis proceeds easier, than. On edge of a century small thin gray grease scales are found. After their removal there is no bleeding sore left, as at an ulcer blepharitis. Sometimes there are a loss and canities of eyelashes.
• Meibomian (B. meibomiana, from armor. glandulae Meibomi - gland meybomiyeva) - the blepharitis caused by hypersecretion of glands of a cartilage of a century with insufficiency of removal of a secret.
• The Rozatsea (B. rosacea, from armor. rosaceus - pink) - the blepharitis which is characterized by emergence on skin a century of the small grayish-red small knots topped with pustules often is combined with pink eels.
The century develops in connection with tick-borne defeat of edges. Mites are found in a root of remote eyelashes. In an initial stage patients complain on constant, sometimes an intolerable itch, especially after a dream. In the afternoon the feeling of gripes, a caustic, sticky discharge, insuperable desire to scratch, wipe eyes disturbs. Further the expressed inflammation of ciliary edges a century which become reinforced, reddened develops. The secret of sebaceous glands and scraps of cells form "collar" at the basis of eyelashes. The dried-up discharge accumulates in the form of scales between eyelashes, giving them a slovenly "zaindevely" look.
It is usually combined with an inflammation of mucous, arises at hypersensitivity to medicines, cosmetic and perfumery products, pollen, dust (house or production), to cockroaches, wool, a feather, down, means of household chemicals, pesticides, detergents, chemical air pollutions. The acute allergic blepharitis arises suddenly: the century, dacryagogue, a mucous discharge, gripes in eyes, an itch a century, a photophobia swelled. Both eyes are usually affected. To a chronic allergic blepharitis the intolerable itch is a century especially inherent persistent, sometimes. Seasonal aggravations are usual for the blepharites caused by pollen in a blooming period of herbs, cereals, trees. The medicinal blepharitis most often develops at prolonged use of eye drops and ointments, but can arise also at introduction of drugs inside.
On anatomic signs distinguish:
• Front regional - a blepharitis at which only the ciliary edge of a century is surprised.
• Back regional - a blepharitis at which defeat of edges the century is followed by an inflammation of meibomian glands in the thickness of a century that can gradually lead to defeat of a conjunctiva and cornea.
• B. angularis - a blepharitis with dominance of the inflammatory phenomena in the field of corners of eyes.
The disease of reddening, swelling of skin a century, an itch, a thickening a century begins, loss of eyelashes. It is especially dangerous when eyelashes begin to grow towards a cornea and scratch it. If microbes get to a wound, the erosion and a helcoma menacing with sight loss can be formed.
At the easy course of a disease of edge a century slightly swell up a little, redden, at roots of eyelashes become covered by small grayish-white scales which easily separate, baring the reddened eyelid. The century, sometimes loss of eyelashes are noted an itch under eyelashes, heavy feeling. Eyes very quickly are tired, water, hypersensitivity by wind, bright light, dust, etc. At heavier current of a blepharitis (or inefficient treatment of an initial stage) on edge of a century purulent crusts after which department the bleeding sores are bared are formed.
Scarring of sores can lead to deformation of a century to the wrong growth of eyelashes which grow at bunches, in different directions, can grow towards an eye, constantly irritating him. Eyelashes become rare, thin, easily drop out, badly grow new. The disease can proceed also without formation of scales and sores. At the same time edges are thickened a century, red and wet - seem oiled; when pressing the oily secret is allocated for a cartilage.
The reasons of development of a blepharitis are various. Edges can be struck a century with mites демодекс. At 80% of people these ticks live on the surface of skin, in sebaceous glands, in follicles of hair. At decrease in the body resistance caused by overfatigue, overcooling or any postponed disease, mites become more active, strenuously breed and, getting on skin a century, on eyelashes, cause a demodekozny blepharitis.
At some people differing in hypersensitivity to various irritants (dust, cosmetics, flower pollen) the allergic blepharitis can develop. Usually it is complicated by an inflammation of a mucous membrane of eyes (conjunctiva), and then arises blefarokonjyunktivit. Often the blepharitis accompanies diabetes, and also diseases of the digestive system: to gastritis, colitis, cholecystitis at which the metabolism in an organism is broken there is its allergization that is reflected also in a condition of eyes, the players of releases of meibomian glands are changed, in particular, (output channels grease, or meibomian, glands are located between eyelashes).
Quite often there is a blepharitis at far-sighted people if they do not wear glasses. Muscles of eyes at the same time strain, are tired, the person has feeling of discomfort, rubs eyes hands and can bring an infection therefore the blepharitis develops. Happens that the infection gets into skin a century with a blood flow and a lymph from a painful tooth, from almonds at suffering from an adenoid disease, from any other center of an infection.
Treatment of the Blepharitis:
Scientists of much achieved in development of methods of treatment of a blepharitis. Effective medicines are created, physical therapy methods are developed.
And nevertheless treatment of a blepharitis is difficult and long. It demands patience and persistence both from the doctor, and from the patient. It is important to reveal and remove a cause of illness. Otherwise it will recur and progress, despite the carried-out treatment.
The blepharitis is ulcer.
Careful hygiene is necessary a century. Crusts and a discharge delete with a wet cotton plug. At rough crusts they are previously softened a wet lotion or greasing of edges a century ointment. The century is applied on edges with a finger or a glass stick the complex ointment containing a corticosteroid and an antibiotic: deksa-gentamycin (dexamethasone of 0,1% + gentamycin of 0,3%), and in case of intolerance of gentamycin – complex ointment макситрол (dexamethasone of 1 mg/g, Neomycinum of 3,5 mg/g, polymyxin In 6 thousand. Piece/g). At the phenomena of conjunctivitis or a regional keratitis in addition dig in eye drops deksa-gentamycin or макситрол. At a corneal epiteliopatiya or a keratohelcosis – solkoserit eye gel, eye drops витасик (the containing adenosine, thymidine, cytidine, uridine, guanine riboside, etc.) or корнерегель (декспантеол 50 mg/g).
The blepharitis is seborrheal.
The important place is taken by hygiene a century. With the medical purpose appoint: greasing of edges a century a hydrocortisone oculentum (gidrokortizon-POS – 1%, and at a heavy current – 2,5%), instillation of eye drops of "an artificial tear": tear natural or офтагель. At the phenomena of conjunctivitis appoint eye drops of dexamethasone of 0,1% (дексапос or максидекс).
The blepharitis is demodekozny.
The main objective of treatment – to reduce defeat level mites. Nekomenduyetsya hygienic care of centuries: to wipe eyelids twice a day with the tampon moistened in physical solution, the diluted children's shampoo or solution of 70% of alcohol with ether. Edges grease a century with an oculentum gidrokortizon-POS 2,5%, a deksa-gentamycin oculentum. It is important that before going to bed edges were plentifully covered a century with ointment, it breaks a life cycle of mites. At the phenomena of conjunctivitis appoint instillations of eye drops дексапос 1–2 times a day. It is reasonable to carry out massage a century with the subsequent processing of edges a century.
The blepharitis is allergic.
Elimination of "guilty" allergen if it is possible, – the most effective and safe method of treatment. Treatment includes the prolonged combined use of antiallergic eye drops (лекролин, аломид) and greasings of edges a century an antiinflammatory corticosteroid oculentum (gidrokortizon-POS). At an infectious and allergic blepharitis of edge a century grease with an oculentum deksa-gentamycin or макситрол. To prevent progressing of a blepharitis, it is impossible to self-medicate at all. And as it is frequent at emergence of gripes, puffiness a century and other symptoms of trouble patients buy the albucid which is on sale without recipe in a drugstore and begin "to be treated". It is inadmissible!
Timely it is necessary to see a doctor for sight check, especially after 40 years. At this age owing to reduction of a refractivity of a crystalline lens there are difficulties during the work at a short distance, eyes quickly get tired. And on this background as it was already told, the inflammatory disease of ciliary edges quite often develops a century.
Those who had an allergic blepharitis should preserve eyes against dust, to wear sunglasses, not to use mascara, eye shadow, and to try not to go to a blooming period of plants to the country.
Needless to say, those at whom the blepharitis is one of symptoms of diabetes or a disease of the digestive system should treat first of all this disease, to strictly keep to the diet appointed by the doctor. At other forms of a blepharitis of special recommendations about food it is not required, except for one: the diet has to contain as much as possible products, vitamin-rich.
Care of centuries at a blepharitis.
Irrespective of the reason which led to development of a blepharitis it is very important to keep to a milk and vegetable diet during an aggravation. Meat can be eaten only in a boiled look. Nothing fried is impossible, salty, marinated, sweet. All this will strengthen secretion of a gastric juice that - imagine! - the century will immediately affect a state.
Hand over kcal on the analysis to exclude a helminthic invasion. Constantly you watch a condition of digestive tract. At locks accept purgatives. Take care of so-called catarrhal diseases: the blepharitis will become aggravated. Therefore in the period of flu epidemics, a SARS take the appropriate measures.
Every morning begin with hygienic procedures. Remember that the eyelids affected with a blepharitis do not suffer cold water. You can continue a hardening (though a cold shower though an ice-hole), but wash out eyelids only warm water. Cold will cause venous stagnation and will aggravate the course of a disease, warm becomes the reason of an arterial hyperemia that in no small measure promotes fight against an illness.
After washing the century is obligatory massage. Before this procedure it is good to dig in eyes 2% solution of novocaine or 0,25% Dicainum to take off unpleasant effects. In any drugstore it is possible to buy a glass stick which has on the one hand a shovel, and with another - a ball. The ball is intended for an ointment mortgaging in an eye, and a rake - for massage. The movements at massage with small pressing towards edge of a century. At best, when process did not come still far, you will at once see bubbles of the century separated on the edge under eyelashes, and in the worst - little white worms of a dense fat secret will appear. So it is necessary to process each eyelid in turn: lower, upper, right eye, left eye.
After massage convicts wipe with alcohol mix with ether. These drugs to you will be prescribed by the doctor. Moisten with solution cotton wool or the bandage which is hardly reeled up on a match or the same stick. Wring out it that accidentally solution did not get into an eye. To outside remove with the movements a grease secret from a surface from an internal corner of an eye a century.
If solution nevertheless gets into an eye, do not worry, nothing terrible. Alcohol poshchipt and will evaporate. It is possible to remove with the same solution scales and crusts since a century.
Now dig the drops recommended to you by the oculist or put ointment. Do not drip at discretion any antibiotics, disinfectants at all. Because all these drugs can cause a bigger irritation, unexpectedly rough allergic reactions. Be very careful.
When scales "sit" very densely, soak them, for example, Furacilin solution. Cut out circles of the size of an eye from the gauze put in 5-6 layers or prepare wadded balls. Pour the warmed-up solution in a saucer, moisten a gauze, put approximately. Will cool down - change. And so within 15-20 minutes. Then scales will be removed easily. This procedure it is good to do every time for the night before going to bed.
After that process sores of diamond green. It is possible to carry out like a make-up a thin strip at the basis of eyelashes. But it is necessary to handle with this solution extremely with care. It should not get into an eye at all.
It is undesirable to use cosmetics. Refuse and from contact lenses, you wear glasses better.
The full-fledged 8-hour night dream is very important. Try to give to eyes rest and in the afternoon: at least several minutes lie down or sit blindly.
You watch TV no more than two hours in a row and from distance not less than 4 meters. Eyes have to "go", but not look in one point.
At an ulcer blepharitis from adverse atmospheric actions, dust of an eye will protect sunglasses, especially in the spring when the disease can become aggravated because of influence of ultraviolet rays of the sun. Therefore it is better not to sunbathe in the summer, and to be in a shadow.