Blepharitis, causes of blepharitis
Blepharitis - a disease of the ciliary edge of the eyelid. Causes of blepharitis are many and varied. There are general and local reasons, sometimes a combination thereof.
- infectious and chronic infectious and allergic diseases
- worm infestation
- diseases of the gastrointestinal tract (gastritis, colitis, peptic ulcer disease, goiter, etc.)
- dental disease
- uncorrected or improperly korregirovat refractive error (for nearsightedness, farsightedness)
- akkomadatsii disorder
- chronic conjunctivitis
- diseases of lacrimal system
- work in difficult environments: vozdeysvtie wind, dust, smoke
What are the symptoms of blepharitis
There are simple (or scaly), ulcerative,meybomievy, Demodectic blepharitis. For all forms of blepharitis is characterized by a long, chronic, accompanied by itching, heaviness age, fatigue the eye, increased their sensitivity to bright light. In severe cases of blepharitis may lead to chalazion (dense rounded education in the thickness of the cartilage century), keratitis (inflammation of the cornea).
In a simple blepharitis: lid margin slightly bloodshot, sometimes thickened, covered with fine gray-whitish scales (dandruff) or yellowish crusts.
blear-eye It is characterized by the formation of pus on the edge of the eyelidscrusts, which are exposed after removing the bleeding ulcers, might fester hair follicles and sebaceous glands. As a result of scarring occur persistent loss of eyelashes, their growth is abnormal (trichiasis), eversion of lacrimal point or the entire century.
meibomian blepharitis characterized in that the hyperemic and thickenededge of the eyelid seems oiled, with pressure on the cartilage century of meibomian glands secrete an oily muddy secret that veils the cornea as plenochki. Meybomit is acute or chronic.
Acute meybomit at the clinic is similar to barley, but the pathological process raspalagaetsya not at the edge of the century, and in the depth of the cartilage, which can be seen at reversing centuries.
Barley-acute purulent inflammation of the sebaceous glands (Iron Zeiss) Karian century, located at the root of the eyelashes due to infection (usually staphylococcus)
How is the diagnosis of blepharitis
Diagnosis is based on clinical presentation inby conventional examination of eyelashes and eyelids using the ophthalmic microscope (called a slit lamp). In some cases a laboratory study of cell and microbial composition of scraping the conjunctiva and definition Demodex mites in the roots of eyelashes.
If any signs of blepharitis, the patient should be evaluated and other specialists: consultation shows dentist otoloringologa, gastroenterologist, allergist, and others.
How is the treatment of blepharitis
Locally conducted toilet ciliary edge of age: remove scales, crusts, edges treated with antiseptic solution using ointments with antibiotics or sulfonamides, in conjunctival cavity buried antibacterial and hormonal preparations. When meybomievom blepharitis spend massage eyelids with a glass rod, squeezing out the contents of the meibomian glands, then the edge of the eyelids treat alcohol solutions.
For demodectic blepharitis add specific drugs: Demalan, Blefarogel 2, zinc-ihtiolovaya ointment. For all types of blepharitis can be laser therapy.
Treatment of chronic leaking of blepharitiscomplex: restorative measures, sanitation foci of infection (teeth, tonsils, etc.), nutrition, treatment of intestinal dysbiosis, hygienic working and living conditions, proper correction of anomalies.
Often the treatment of blepharitis is long and requires patience from the patient.
Systemic treatment is usually only leads to a periodic process improvement, so as to establish and eliminate the cause is not always possible.