Blepharitis - an inflammation of the eyelid margins. It is one of the most common eye injuries.
Causes
There are numerous causes of blepharitis, such as the defeat of the eyelid margins microbes, fungi, mites.
Large group of allergic diseases of the eyelids. Increasingly, the development of persistent blepharitis due to a violation of the tear covering the cornea - with syndrome of "dry eye".
The disease can occur in violation of the general state of the organism and is found at reduced power, hypovitaminosis, metabolic disorders, tuberculosis, diabetes, Diseases of the teeth, nose, tonsils, chronic intoxications as a result of parasitic diseases. Very often the disease occurs when the uncorrected presbyopia glasses, with poor hygienic conditions of work and life.
manifestations of blepharitis
The process is accompanied by redness and thickening of the edges of the eyelids, loss of eyelashes, lacrimation, fast Eye fatigue, increased sensitivity to smoke, wind, dust, bright light, feeling an itch in the field of affected by age.
ulcerative
It called chronic staph infection of the hair follicle eyelashes, which leads to ulceration, and tissue destruction. Eyelashes may stick together at the base, a yellowish crust, the skin beneath them ulcerated, the site of ulcers scars are formed subsequently.
In severe cases, the lashes fall out individual eyelashes are white, the front edge of the eyelid may become wrinkled. When scarring skin eyelashes grow properly.
Scaled (seborrheic)
often combined with seborrheic dermatitis. At the edge of the century found small thin gray greasy scales. Sometimes there loss and graying of the eyelashes.
Demodectic
It develops in connection with tick-borne lesion edges of the eyelids. Initially worried about the constant, sometimes intolerable itching, especially after sleeping. Afternoon worried feeling cramps, pungent, sticky discharge, an irresistible urge to scratch, wipe his eyes.
Later develops a pronounced inflammation of the ciliary edges of the eyelids, which become thickened, reddened. Dried discharge accumulates in the form of flakes between the lashes, giving them an untidy "frosty" appearance.
Allergic
usually combined with eye mucosa inflammation occurs when increased sensitivity to drugs, cosmetics and perfumery products, pollen, dust (home or industrial), cockroaches, wool, feather, fluff, household chemicals, pesticides, chemical air pollution.
Acute allergic form occurs suddenly: swelling of the eyelids, tearing, mucous discharge, pain in the eyes, itching of the eyelids, photophobia. Usually both eyes are affected.
Chronic allergic blepharitis particularly characteristic stubborn, sometimes unbearable itching eyelids. Seasonal exacerbations are common for reactions caused by pollen during flowering herbs, grasses and trees. The dosage form most frequently develops with long-term use of eye drops and ointments, but may also arise when administered oral medications.
Treatment
blear-eye
Careful hygiene century. Crusts and secretions are removed with a moist cotton swab. When coarse crusts their pre-softened moist lotion or ointment lubrication edges of the eyelids. On the edge of the eyelid is applied with a glass rod or finger complex ointment containing hormones and antibiotics: Dexa-gentamicinAnd in case of intolerance to gentamicin - complex ointment maksitrol.
scaly blepharitis
An important place in the treatment of scaly dermatitis takes hygiene century. With the purpose of treatment used lubrication edges century ophthalmic ointment hydrocortisoneand, eye drops "artificial tears": natural or tear oftagel.
Demodectic blepharitis
The main goal of treatment of demodectic form - reduce the level of destruction ticks. Patients recommended hygienic care for centuries: to wipe the eyelids twice a day swab dipped in saline solution, diluted baby shampoo. The edges of the eyelids smeared eye ointment Hydrocortisone-PIC 2.5%And with proven or suspected staphylococcal infection - eye ointment Dexa-gentamicin. It is important that before going to bed the lid margin was abundantly covered with ointment, it breaks the life cycle of the mites.
allergic blepharitis
Elimination of "guilty" allergen, if possible - the most effective and safe method of treatment. Therapy of allergic blepharitis combined use comprises long antiallergic eye drops (lekrolin, alomid) And lubricate the eyelid margins anti-hormonal eye ointment (hydrocortisone-PIC).
