Blepharitis - Causes, Symptoms and Treatment .MF .
Blepharitis - is often a bilateral chronic inflammation of the eyelids infectious or inflammatory origin.
Causes of blepharitis
The causes of a myriad of diseases.They are divided into local and general.Local
include chronic diseases of the eye (conjunctivitis, keratitis), meibomian gland dysfunction.One of the significant reasons emit demodicosis age caused by mites of the genus Demodex.In all the above cases, there is almost always an infectious agent (viral, bacterial, fungal or arthropods).
blepharitis occurs in allergic inflammation appropriate.Uncorrected refractive error (visual disturbances) often do not cause, and support for a disease due to degenerative changes in the eye.
common causes of blepharitis much more.This worm infestation, and metabolic disorders (diabetes, vitamin deficiency), diseases of the gastrointestinal tract (gastritis, colitis, pancreatitis, cirrhosis of the liver), immunodeficiencies (this includes state after surgical intervention and after prolonged treatment w
especially blepharitis often seen in the elderly due to changes in the body, leading to atrophy of the epithelium and, as a consequence, reduction of local immunity.
Symptoms of blepharitis
There are several types of inflammation of the eyelids: scaly, ulcerous, meybomievy, Demodectic blepharitis.
When scaly (seborrheic) exfoliated epithelium and the pattern resembles dandruff, only localized on the eyelids.
Ulcerative (staph) are formed crusts, which arise when combing ulcers that may heal by scarring, resulting in deformation of the eyelids and abnormal growth of eyelashes.
When meybomievom disturbed secretion outflow from the glands, eyelids giperemirovanny.At the mouth of the visible region intramarginalnom extended glands.
Demodectic blepharitis is characterized by the appearance of scales, thickened edge of the eyelid and the formation of white muftochek eyelashes.
Depending on the localization process is isolated front, rear and angular (corner) blepharitis.The front is often associated with underlying diseases of the skin (seborrhea, eczema, acne) and is located on the edge of the ciliary century.Rear occurs due to meibomian gland dysfunction thicker century and often leads to complications.When inflammation is localized in the angular corners of the eyes.
symptoms, which can be suspected inflammation of the eyelids:
- itching or burning;
- watery eyes;
- the formation of flakes when combing possible bleeding;
- fragility and loss of eyelashes;
- the accumulation of secretions in the corners of the eyes;
- quick visual fatigue.
if you experience any of these symptoms you should immediately consult an eye on the place of residence or in a private clinic.Self-medication can be not only ineffective but also harmful to health.
Diagnosis of blepharitis
For professional diagnosis is not difficult.To do this will require a simple medical history and diagnostic manipulations, such as an external examination and biomicroscopy (inspection with a microscope).
A to determine the causes of the disease and the purpose of treatment will require additional research methods, such as checking visual acuity, asrefractive errors may complicate and maintain the disease, the study of the fundus to exclude comorbidities may scrape scales from the affected areas to further their microscopy with the possible identification of the pathogen.Consultation related specialists (ENT, dentist, dermatologist, endocrinologist, etc..) To eliminate foci of infection (in the identification of their mandatory rehabilitation), immune and metabolic disorders that can cause blepharitis.
The diagnosis of demodectic mange matters microscopy eyelashes.Normal is considered no more than 2 ticks around the preparation (4 lashes with each century - a total of 16)
Laboratory Diagnostics includes general clinical tests, including a blood test for sugar, identifying the causative agent of bacterial, viral or parasitic blepharitis methods of seeding in the culture media,linked immunosorbent assay, and others.
treatment of blepharitis
Treatment should be comprehensive and desirable etiologically directed, ie,you must remove the cause of the disease.Required toilet damaged areas 2-3 times daily.
When simple blepharitis remove scales with a cotton swab moistened with a solution of furatsilina followed by careful treatment with an alcoholic solution of brilliant green 1%.2-3 times per day applied dexamethasone ointment on eyelids.
When ulcerative blepharitis e soften the crust using the ointment (1% tetracycline, eritromitsinovaya 1%) and treated with antiseptics.Hormonal ointments are contraindicated.
When dysfunction of the meibomian glands spend processing century by the method described above, and massage with a glass rod after instillation of drops of anesthetic (Dikain, Alkain).
In all cases it is necessary to bury antiseptic solution into the conjunctival sac (sulfatsil sodium solution of 20%, 0.25% chloramphenicol solution) to prevent the spread of the inflammatory process.
Demodectic blepharitis requires long-term treatment (at least 1.5 months).The skin of the face treated with tar soap.Damaged areas treated with antiseptics.2-3 times per day applied metrogil gel.If there are symptoms of allergy (itching, burning), use drops with dexamethasone (Maksideks, Oftan-dexamethasone).
Physiotherapy treatments help accelerate the healing process.If blepharitis is used:
- electrophoresis with antibiotics and vitamins;
diet should be high in protein, with the exception of possible allergens.Do not be amiss to receiving multivitamin preparations.In some diseases, such as diabetes, require a strict diet.
possible treatment of blepharitis folk remedies, and some of them have a right to exist.For example, wipe the eyelids decoction of chamomile and calendula, strong green and black tea.
blepharitis Blepharitis - a chronic disease, prone to relapse.Therefore, personal hygiene, elimination of the causes of inflammation and strengthening the immune system are the main methods of prevention.
untimely visit to a doctor may lead to serious complications such as keratitis, in which you will need hospital treatment.It is also possible scarring and deformation of the century, a violation of the lash, the occurrence of abscesses.
Ophthalmologist Letyuk TZ