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.