Chalazion is a chronic diseasecharacterized by the development of inflammation in the region of the eyelid margin and obstruction of the meibomian gland.
To stop the pathological process, complex treatment is prescribed, which includes the use of various dosage forms: ointments for external use with antibacterial action, antiallergic drops, injectable solutions with absorbable effect.
Record content:
- 1 Features, schemes and duration of drug treatment for chalazion
- 2 Groups of drugs used
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3 Ointments
- 3.1 Vishnevsky ointment
- 3.2 Tetracycline ointment
- 3.3 Ichthyol ointment
- 3.4 Levomekol
- 3.5 Blepharogel
- 3.6 Hydrocortisone ointment
-
4 Drops
- 4.1 Tobrex
- 4.2 Floxal
- 4.3 Tsipromed
- 4.4 Maxitrol
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5 Injections
- 5.1 Levomecetin
- 5.2 Diprospan
- 5.3 Kenalog
- 5.4 Dexamethasone
- 6 Which of the drugs are allowed to be prescribed to children?
- 7 Video about the treatment of chalazion of the upper, lower eyelids
Features, schemes and duration of drug treatment for chalazion
In most cases, chalazion therapy is carried out with the help of external agents. Drops prevent the development of allergic reactions, relieve puffiness, itching and redness in the eyelids. The duration of the use of local funds varies from 2 to 8 weeks, depending on the severity of the disease.
Ointments for external use can relieve swelling and redness, as well as reduce pain. Liniments prevent the development of pathogenic microflora and prevent the occurrence of infections. The course of treatment is established based on the severity of the clinical picture and can vary from 1 to 3 weeks.
Injection solutions are prescribed as the main resorbable neoplasm of the drug. Injections are prescribed in cases where the use of surgical intervention is impractical or with mild and moderate forms of pathology. The peculiarities of the injection, as well as the duration of their use, are determined by the attending physician.
In severe cases and with the threat of the development of septic lesions (infection), drugs for oral administration can be prescribed - tablets, capsules, pills. The duration of admission is determined individually, based on the severity of the pathology and, as a rule, does not exceed 2 months. Therapy with pills is extremely rare.
Groups of drugs used
Chalazion (ointment for the treatment of the disease is prescribed in the first place) requires an integrated approach based on several dosage forms. The drugs are selected according to the established diagnosis and the severity of the pathological process. In some cases, combination therapy can be used.
Ointments
Ointments are designed to relieve inflammation and stop the action of pathogenic microorganisms. The funds are applied directly to the affected area or applied as applications. When using this group of drugs, it is necessary to be very careful and avoid contact with the eyes.
Vishnevsky ointment
This drug has a local irritant effect and exhibits antiseptic, antimicrobial and reparative properties. It helps to eliminate inflammation, reduce the affected area and remove purulent exudate.
The product contains birch tar and xeroform.
The indication for the use of the medication is wound surfaces and non-infectious damage. Liniment is applied with a cotton swab to the affected eyelid at least 2 times a day. To enhance the therapeutic effect, it is recommended to apply a gauze bandage on top. The duration of treatment is 10 to 12 days.
Contraindications:
- intolerance to the composition;
- the presence of acute purulent skin diseases.
During the period of gestation and breastfeeding, the medicine can be used only as directed by the attending specialist.
Tetracycline ointment
This agent has a wide range of antibacterial activity due to the active ingredient - tetracycline. The drug is effective against gram-positive and gram-negative microflora. Application scheme: apply a small amount of ointment to the affected area and rub gently in a circular motion.
On top, you need to apply gauze cloth. The dressing should be changed every 12 hours. The duration of treatment is 14-21 days. The medication has multiple contraindications, so it is recommended that you first familiarize yourself with them and consult with your doctor.
Ichthyol ointment
Chalazion (an ointment for the treatment of pathology is used only under the supervision of a treating specialist) responds well to treatment with drugs based on ichthyol. This agent has high anti-inflammatory and local analgesic properties. It is widely used in surgical, gynecological and ophthalmic practice.
Liniment is applied to the affected area and rubbed gently. If necessary, it is allowed to apply a bandage. The number of uses per day - no more than 1-2 times.
The duration of therapy is determined by a specialist, based on the severity of the pathology.
A contraindication to the use of the drug is intolerance to the components that make up its composition.
Levomekol
This drug contains 2 active substances at once - methyluracil and chloramphenicol. The drug has high antimicrobial, anti-inflammatory and regenerating properties.
Its action is aimed at suppressing the activity of gram-negative and gram-positive microflora, including staphylococcal pathogen, E. coli and Pseudomonas aeruginosa. The medication helps to eliminate redness, swelling and itching.
Treatment regimen: a small amount of ointment is applied to a gauze bandage and applied to the affected area. Apply 2 times a day. The duration of treatment is 7 days.
Contraindications:
- blood diseases, including aplastic anemia;
- children under 2 years of age;
- intolerance to the components.
It is also not recommended to use the drug in the presence of dermatological diseases in the affected area.
Blepharogel
This medicine has anti-inflammatory, antiseptic and cleansing properties. The active ingredients are hyaluronic acid, aloe vera extract.
Dosage regimen: the product is applied in a circular motion to the affected eyelid 1-2 times a day. As a preventive treatment, the gel is used once a day. The duration of the course depends on the severity of the disease and is set in each case separately.
It is not recommended to use the drug under an occlusive dressing or in the form of lotions.
A contraindication to the appointment of a medication is intolerance to the components that make up its composition.
Hydrocortisone ointment
This drug is produced on the basis of hydrocortisone and belongs to the group of topical corticosteroids. The medication has anti-inflammatory and analgesic properties. Treatment regimen: the composition is distributed over the affected area with a thin layer 2-3 times a day. The duration of therapy is individual and varies within 1-2 weeks.
If necessary, it is allowed to use the product under an occlusive dressing. In this case, dressings must be changed every 24 hours.
Contraindications:
- various dermatological diseases, including viral and fungal infections;
- lupus;
- violation of the integrity of the skin;
- the presence of ulcerative lesions;
- syphilis of the skin;
- malignant neoplasms;
- rosacea;
- perioral form of dermatitis;
- acne breakouts;
- children under 2 years of age.
With extreme caution, liniment can be used during the period of gestation or during breastfeeding.
Drops
For the treatment of chalazion, drip solutions for topical application are secondarily prescribed. These funds should be used only after 0.5-1 hours after using the ointment. Preparations in the form of drops helps to eliminate inflammation, hyperemia and swelling. Funds are used strictly in accordance with the instructions of a specialist.
Tobrex
This tool has broad antibacterial activity. The active ingredient of the drug is tobramycin. The medication is used to suppress the growth and activity of pathogenic microflora, relieve inflammation, and prevent the development of infectious processes.
Scheme of application: 1-2 drops of the agent in the affected eye every 4 hours. In severe pathology, 1-2 drops of solution are prescribed every hour. The duration of the course is individual and can vary from several days to several weeks.
Contraindication is intolerance to the components. During pregnancy, the medicine is used only with the permission of the attending physician.
Floxal
The main component of this remedy is ofloxacin. The drug is produced in 2 dosage forms and is used as part of a combination treatment. The action of the solution is aimed at suppressing the activity of pathogenic microorganisms and reducing inflammatory processes.
At the beginning of treatment, a drip solution is used. Scheme of application: 1 drop of the agent in the affected eye from 2 to 4 times a day. The maximum duration of therapy should not exceed 2 weeks. To enhance the effect, it is recommended to use the ointment after 20 minutes. after the solution. Apply the ointment according to this scheme 3-4 times a day.
Contraindications to the appointment of the solution are allergic reactions, the period of gestation and feeding of the child.
Tsipromed
The active substance of this drug is ciproflocascin. The drug has antibacterial, antimicrobial effects and inhibits the activity of most gram-negative and some types of gram-positive bacteria.
The dosage is calculated individually, based on the severity of the disease, and on average is 1-2 drops from 4 to 8 times a day. The duration of treatment varies from 1 to 2 weeks. In rare cases, treatment can last for 1 month.
Contraindications:
- reactions of intolerance to the components of the agent;
- the period of bearing and feeding the child;
- children under 1 year of age.
You can buy a drip solution only with a prescription from a specialist.
Maxitrol
This medication is made on the basis of several active ingredients - neomycin, dexamethasone and polymyxin B. The drug has antibacterial and local anti-inflammatory effects. It eliminates puffiness, suppresses the activity of pathogenic microflora, relieves redness, itching and irritation.
With moderate and moderate manifestations of the disease, 1 drop of the drug is prescribed from 4 to 6 times a day. With a severe course of the process, 1 drop of solution is prescribed every hour. The maximum duration of therapy should not exceed 10 days.
Contraindications:
- eye damage by viral infections;
- intolerance to the composition;
- the presence of mycobacteria in the area of the eye;
- tuberculous eye damage;
- acute development of shingles;
- the presence of purulent exudate in the eye, eyelids or eyelashes;
- fungal infection of the eyes;
- the postoperative period associated with the removal of a foreign object.
With extreme caution, the medicine can be used in the presence of glaucoma or cataracts.
Injections
Chalazion (ointment for the treatment of pathology should be applied 1-2 hours after or before injections) can be used in conjunction with local injection solutions. Preparations of this group are used only with the permission of a specialist and in severe cases of the development of chalazion.
Levomecetin
This drug is produced in the form of a powder for the preparation of an injection solution. Levomecetin acts as its active component. The drug belongs to the group of broad-spectrum antibiotics, aimed at suppressing the majority of gram-negative and gram-positive microflora.
Dosing regimen: 0.5-1 funds per application from 2 to 3 times a day. At the same time, the maximum daily dosage and only in a hospital setting should not exceed 4 g. The duration of treatment is established by the doctor, based on the clinical picture and the severity of symptoms.
Contraindications:
- violation of hematopoietic functions in the brain area;
- intolerance to the components;
- porphyria;
- lack of glucose;
- failure of the kidneys and liver;
- the period of bearing and feeding the child;
- children under 1 month of age.
With extreme caution, the drug can be used in newborns, as well as in patients who have previously undergone radiation therapy or treatment with cytostatics.
Diprospan
This medication contains 2 active substances - betamethasone disodium phosphate and betamethasone dipropionate. The drug belongs to the group of glucocorticosteroids and has a pronounced anti-inflammatory, antiallergic and immunosuppressive effect.
In severe cases, 2 ml of the drug is prescribed. In other cases, 1-2 ml is prescribed once. Repeated injections can be performed if necessary. The duration of use is individual. When the solution is applied topically, the recommended dosage is from 0.25 to 1 ml. The duration of treatment is determined individually and can be up to 1 month.
Contraindications:
- intravenous and subcutaneous administration of the solution;
- various forms of mycoses of a systemic nature;
- intolerance to the composition;
- the introduction of funds to the site of infection
During the period of childbearing and breastfeeding, the product is used only with the permission of the attending specialist.
Kenalog
This tool is produced in the form of a suspension for the preparation of an injection solution. The active ingredient of the drug is triamcinolone acetonide. The drug belongs to the group of glucocorticosteroids and exhibits high anti-inflammatory and anti-allergic properties.
The solution is injected locally into the affected area. In this case, a 40% concentration of the drug is used. The daily dosage is 30 ml. The treatment is carried out for 2 weeks. In the absence of a therapeutic effect after 3-5 injections, it is recommended to consult a specialist.
Contraindications:
- period after immunization;
- chicken pox;
- tuberculosis or syphilis of the skin;
- fungal or bacterial skin infections at the injection sites;
- rosacea.
It is recommended to refrain from using the drug in the first 5 months of pregnancy.
Dexamethasone
Chalazion (ointment for the treatment of the disease can be prescribed in conjunction with other dosage forms) requires complex therapy. The main substance of this medication is dexamethasone sodium phosphate. The drug belongs to the class of glucocorticosteroids. It helps to eliminate inflammation, relieves redness, itching and irritation.
The dosage regimen is set individually according to the severity of the disease. It is recommended to inject from 4 to 20 mg of the solution 3 to 4 times per day. The duration of treatment can vary from a few days to several weeks.
The drug has numerous limitations, including kidney and liver failure, so it is recommended that you familiarize yourself with them and consult your doctor in advance. During the period of gestation and breastfeeding, the medication is used only with the permission of the doctor, taking into account the potential risks and intended benefits.
Which of the drugs are allowed to be prescribed to children?
With the development of chalazion in children, a mandatory consultation with a doctor about the prescription of drugs is required, since some of them are prohibited for use in childhood.
Product name | At what age is it allowed to take |
Vishnevsky ointment | No data available, not recommended until 12 years of age |
Tetracycline ointment | From 8 years old |
Ichthyol ointment | From 12 years old |
Levomekol | From 2 years old |
Blepharogel | From 2 years old |
Hydrocortisone ointment | From 2 years old |
Tobrex | From 1 year |
Floxal | From 1 year |
Tsipromed | From 1 year |
Maxitrol | No data available, not recommended until 12 years of age |
Levomecetin | Newborns from 1 month |
Diprospan | No age restrictions |
Kenalog | From 12 years old |
Dexamethasone | No age restrictions |
Before using ointments, injections or drops, you must read the official instructions for using the product and consult a specialist. Additionally, it is recommended to study the reviews of patients who have used drugs in chalazion therapy.
Video about the treatment of chalazion of the upper, lower eyelids
What are the methods of treatment for chalazion: