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Injuries to the eye and adnexa

The accessory or auxiliary apparatus of the eye includes the eyelids, lacrimal glands, and eye muscles. Department of Ophthalmology. Eye microsurgery K + 31 diagnoses and treats all types of diseases of the adnexa.

Diseases of the eyelids

Abscess or phlegmon of the eyelid - purulent inflammation that occurs when pyogenic bacteria are introduced into the tissues of the eyelid. The main symptom is pain, a feeling of "bursting", swelling of the eyelid, its redness. The accumulation of a large amount of pus sharply narrows the palpebral fissure, up to its complete absence.

The diagnosis can be made on the basis of the clinical picture; special research methods, as a rule, are not required. Treatment of an abscess of the eyelid is carried out only in a hospital according to all the rules of purulent surgery with the use of antibacterial therapy with a wide spectrum of action.

Barley is an inflammation of the sebaceous gland associated with the root of the eyelash. Unlike an abscess or phlegmon, it is a more limited purulent process and proceeds more favorably. The patient is concerned about moderate pain, sometimes itching in the affected area of the eyelid, an oval-shaped reddened soft formation appears, which turns pale after a few days. Barley lends itself well to conservative treatment with antibiotics and antiseptics, as a result of which, on the 3-4th day from the onset of the disease, the abscess spontaneously opens, dead tissue is rejected, and the healing process begins.

Meibomite is an inflammation of the glands located in the thickness of the cartilage of the eyelid. It differs from barley only in the localization of the focus of inflammation: with barley - the outside of the eyelid, with meibomite - the inside. Maybomite treatment and management tactics are similar to those in the previous case.

Chalazion (hailstones) - the presence of a chronic sluggish inflammatory process in the same glands of the cartilage of the eyelid. That is why one of the reasons for the emergence of a halazion is considered to be a previously transferred meibomite. Clinically, the patient is only concerned about the presence of a spherical formation on the eyelid. Pain or other subjective sensations are absent. Gradina treatment is carried out at the request of the patient and is performed on an outpatient basis by husking the gradina through a small incision.

Blepharitis is basically a chronic bilateral inflammation of the edges of the eyelids and the outer corners of the eye. This disease is characterized by redness in these areas, a thickening of the edges of the eyelid, the appearance of yellowish crusts on them. The cause of this inflammation can be pathogenic microorganisms, blockage of the glands of the eyelid, pathology of the lacrimal apparatus, metabolic disorders. Treatment depends on the cause of blepharitis: if it is an infection, then general and local antibiotic therapy is used, in other cases, symptomatic therapy.

Lacrimal organ disease

Dacryoadenitis is usually a secondary inflammatory disease of the lacrimal gland, which is a complication of an existing infection in the body (flu, inflammation of the salivary gland, palatine tonsils).

Symptoms of dacryoadenitis are very characteristic : since the lacrimal gland is located at the outer corner of the eye, redness of the skin and swelling of the tissues appear in this place. Due to this, the palpebral fissure is deformed, becomes S-shaped, the eyeball "sinks" in the orbit. Severe pain later appears.

Canaliculitis ; - inflammation of the lacrimal ducts through which a tear enters the eye. A characteristic feature is the allocation of mucopurulent contents from the lacrimal openings.

Dacryocystitis ; - an infectious disease of the lacrimal sac. General inflammatory signs, purulent discharge are characteristic, but in this case they are observed at the inner corner of the eye.

Treatment of all acute conditions is carried out in a hospital. Chronic pathology is treated on an outpatient basis with the use of antibiotics, anti-inflammatory drugs, antiseptics, physiotherapy and general strengthening therapy. It is only necessary to start treatment after consulting an ophthalmologist.

Pathology of the oculomotor muscles

Isolated pathology of the oculomotor muscles is very rare and happens only as a result of an injury or as a birth defect.

More often, the oculomotor apparatus suffers from various visual impairments (for example, nearsightedness, farsightedness, etc.), when the eye tries to compensate for optical changes due to overstrain in other structures. As a result, this leads to the development of serious complications, including diseases of the oculomotor muscles. The main manifestation of this pathology is the appearance of strabismus, which in the first stages can be corrected conservatively.

If the complication is started, or squint appears as a result of a congenital pathology or trauma and cannot be corrected, then it requires radical treatment.


All specialists
Sergei Igorevich

Head of the Ophthalmology and Eye Microsurgery Clinic, ophthalmologist, laser surgeon


Svetlana Sergeevna

Ophthalmologist, Laser Surgeon

Irina Mikhailovna

Ophthalmologist, Laser Surgeon

Eugene Pavlovna

Ophthalmologist, Laser Surgeon


Olga Vladimirovna

Ophthalmologist, Laser Surgeon

Yulia Alexandrovna

Ophthalmologist, Laser Surgeon

Karina Gevorgna

Ophthalmologist, Laser Surgeon

Ekaterina Valeryevna

Ophthalmologist, Laser Surgeon

Victoria Anatolievna

Doctor ophthalmologist, laser surgeon

Eleanor Rinatovna

Ophthalmologist, Laser Surgeon

Ekaterina Sergeevna


Doctor of Sciences, PhD