Problem description:
I went to the hospital. The doctor prescribed diclofenac eye ointment and gave me an injection. I'm afraid I didn't have an injection. It's really good to eat the eye ointment, but you don't need to remove the roots. Is there any good way?
Analysis:
Blepharitis, commonly known as rotten eye margin, is a chronic inflammation of eyelid margin skin, eyelash hair follicle and its glands. It is often caused by bacterial infection and is closely related to general health, such as malnutrition and anemia leading to lack of sleep. People with ametropia and chronic conjunctivitis are prone to blepharitis. Clinically, it can be divided into three types: scaly blepharitis: the root of eyelashes is covered with scales similar to dandruff. After fresh debris falls off, the congested eyelid margin is exposed below, but there is no ulcer. After eyelashes fall off, they can regenerate, and the eyes have itching and burning sensation. Ulcerative blepharitis: sebaceous glands on the edge of eyelid secrete more, and eyelashes condense into bundles because of sebaceous glands scabbing. There are many pus scabs on the edge of eyelid. After removing scab skin, small pustules and hemorrhagic small ulcers can be seen, eyelashes are easy to fall off and are not easy to regenerate, and some can form eyelash baldness. Sometimes the eyelid margin ulcer is scarred and contracted, leading to trichiasis, eyelashes and cornea, which often causes corneal ulcer and affects vision.
Palpebral blepharitis: manifested as bleeding of the inner and outer canthus skin, swelling and erosion of the eyelid margin, and congestion of the conjunctiva nearby, which makes patients feel itchy in the corner of their eyes. Most of them are caused by Bacillus moabini infection, and sometimes they are related to riboflavin deficiency.
Blepharitis is a stubborn eye disease, which can only be cured by patient treatment. First of all, we should remove the cause, increase nutrition and correct the bad habit of rubbing our eyes with dirty hands. If you have ametropia, you should wear glasses to correct it.
Dandruff on the eyelid margin can be gently washed off with warm physiological saline, coated with 0.5 chlortetracycline eye ointment, or used with other antibiotic eye drops or eye ointment, 3-4 times a day. When there is scab or ulcer on the eyelid margin, clean the scab skin first, apply 1% silver nitrate solution and then rinse with normal saline, once a day 1 time, and other anti-inflammatory eye ointment or eye drops four times a day. Be careful not to touch the cornea when applying silver nitrate solution to avoid damaging the cornea. Good results can be obtained by using 0.25% zinc sulfate solution three times a day and taking riboflavin three times a day, each time 10 mg. After blepharitis is cured, it needs to be treated for 2-4 weeks to prevent recurrence. If trachoma or synhymitis is present, it should be treated at the same time.
The closure of the upper and lower eyelids is called eyelid. Inflammation of eyelid margin refers to subacute or chronic inflammation of skin, eyelashes, hair follicles and their accessory glands, which is mainly caused by bacterial infection or excessive secretion of sebaceous glands, commonly known as "rotten eye margin".
Some eyelids have scales locally, which is called "scaling blepharitis". Most of these scales are caused by the excessive overflow of sebaceous glands and meibomian glands in the eyes and face caused by sandstorm and mild bacterial infection. In this case, 3% boric acid water, 3%-4% sodium bicarbonate water, or 0.9% normal saline can be used to wash the eyelid edge locally to remove scales and scabs beside eyelashes. After drying, apply whitening eye ointment or chlortetracycline eye ointment, which can be cured three times a day, usually three to five times. Apply eye ointment 1 time every night before going to bed after recovery for 1 week to prevent recurrence.
For chronic blepharitis that lasts for a long time and recurs, you can apply egg butter three times a day. Egg butter is made by mashing 1-3 cooked egg yolks in a pot, stir-frying with low fire until oil is obtained, removing oil, mixing with borneol, and bottling for later use.
Some blepharitis is caused by staphylococcal infection, which can lead to tears, tingling and ulcers. It is called ulcerative blepharitis, which is more common in malnourished children. Suffering from this blepharitis, the local treatment can choose the method of squamous marginal inflammation. If necessary, staphylococcal toxoid can be injected in the hospital, 1 time every day, 15-30 times as a course of treatment, which can prevent recurrence.
There is a kind of blepharitis called canthus. Inflammation often occurs in the outer canthus of the eye, which is caused by HIV infection. Some parts often have itching, dryness and foreign body sensation. This blepharitis can be treated with 0.5% zinc sulfate eye drops, 4 times a day, with special effect. Before going to bed, you can apply antibiotic eye ointment to your eyelids, such as erythromycin, chlortetracycline and tetracycline. At the same time, vitamin B2 should be taken orally, 5 mg each time, 3 times a day.
Blepharitis is subacute or chronic inflammation of eyelid skin, eyelash hair follicle and its glands. Clinically, it can be divided into three types: scaly, ulcerative and keratinizing.
Blepharitis and its treatment
Ciliary blepharitis
Blepharitis, commonly known as rotten eye margin, is a chronic inflammation of eyelid margin skin, eyelash hair follicle and its glands. It is often caused by bacterial infection and is closely related to general health, such as malnutrition and anemia leading to lack of sleep. People with ametropia and chronic conjunctivitis are prone to blepharitis. Clinically, it can be divided into three types: scaly blepharitis: the root of eyelashes is covered with scales similar to dandruff. After fresh debris falls off, the congested eyelid margin is exposed below, but there is no ulcer. After eyelashes fall off, they can regenerate, and the eyes have itching and burning sensation. Ulcerative blepharitis: sebaceous glands on the edge of eyelid secrete more, and eyelashes condense into bundles because of sebaceous glands scabbing. There are many pus scabs on the edge of eyelid. After removing scab skin, small pustules and hemorrhagic small ulcers can be seen, eyelashes are easy to fall off and are not easy to regenerate, and some can form eyelash baldness. Sometimes the eyelid margin ulcer is scarred and contracted, leading to trichiasis, eyelashes and cornea, which often causes corneal ulcer and affects vision.
Palpebral blepharitis: manifested as bleeding of the inner and outer canthus skin, swelling and erosion of the eyelid margin, and congestion of the conjunctiva nearby, which makes patients feel itchy in the corner of their eyes. Most of them are caused by Bacillus moabini infection, and sometimes they are related to riboflavin deficiency.
Blepharitis is a stubborn eye disease, which can only be cured by patient treatment. First of all, we should remove the cause, increase nutrition and correct the bad habit of rubbing our eyes with dirty hands. If you have ametropia, you should wear glasses to correct it.
Dandruff at the edge of eyelid can be gently washed off with warm physiological saline, coated with 0.5 chlortetracycline eye ointment, or combined with other antibiotic eye drops or eye ointment, 3 ~ 4 times a day. When there is scab or ulcer on the eyelid margin, clean the scab skin first, apply 1% silver nitrate solution and then rinse with normal saline, once a day 1 time, and other anti-inflammatory eye ointment or eye drops four times a day. Be careful not to touch the cornea when applying silver nitrate solution to avoid damaging the cornea. Good results can be obtained by using 0.25% zinc sulfate solution three times a day and taking riboflavin three times a day, each time 10 mg. After blepharitis is cured, it needs to be treated for 2 ~ 4 weeks to prevent recurrence. If trachoma or synhymitis is present, it should be treated at the same time.
classify
Blepharitis, commonly known as rotten eye margin, is subacute or chronic inflammation on the surface of eyelid margin, eyelash hair follicle and its gland tissue, and it is a very common external eye disease. The general clinical manifestations are increased secretion of eyelid margin, congestion, swelling, hypertrophy, erosion, ulcer or scale. There are three types: scaly, ulcerative and blepharitis.
Treatment of blepharitis blepharitis is a common eyelid disease, which mostly occurs in both eyes. The condition is stubborn, sometimes light and sometimes heavy, or easy to recur. If you have blepharitis, you should check and treat it in time, otherwise, not only the above eye symptoms will appear, but also complications such as eyelash shedding and chronic dacryocystitis will occur. The treatment is mainly to drip 0.5% zinc sulfate solution, because it can counteract the action of the enzyme produced by Bifidobacterium Murmuri. Proper use of vitamin B6 or vitamin B complex tablets may also help. Ulcerative blepharitis must remove the eyelashes with folliculitis, and then the treatment is effective. Usually pay attention to the cleanliness of eyelids, and if accompanied by chronic conjunctivitis or trachoma, they should also be treated together. Pay attention to diet, don't overeat spicy and fragrant products, so as to avoid damp heat accumulating in the spleen and stomach. Avoid dust and sand. If you usually have systemic diseases such as indigestion and malnutrition, you should treat them in time to eliminate the inducement that can cause blepharitis. Develop hygiene habits and don't rub your eyes with dirty hands. These measures have an important preventive effect on blepharitis.
What medicine is used to treat blepharitis?
Blepharitis, commonly known as "rotten eye margin", is subacute or chronic inflammation of eyelash hair follicle and its nearby glands on the surface of eyelid margin, and the main infection bacteria is Staphylococcus. The onset is often related to the decline of systemic resistance. Its clinical manifestations are varied, such as itching and pain of eyelid, congestion of eyelid margin, chyme, scales, yellow scab of eyelash root and so on.
To treat blepharitis, we should first eliminate the inducement, improve the body's resistance, quit smoking and drinking, avoid spicy food and pay attention to eye hygiene. Its medication adopts the following treatment methods according to the types of diseases:
For scaly blepharitis, first wash off the scab skin on the eyelid margin with warm physiological saline, or apply it locally with 3% ~ 4% sodium bicarbonate solution, then remove the scab skin, and then wipe the eyelid margin with 1% ~ 2% mercuric or mercuric eye ointment. Three times a day. After taking the medicine, the eyelid margin should be rubbed repeatedly to promote the medicine to reach the deep part of the eyelid margin. For ulcerative blepharitis, we should first remove the eyelashes at the pustule, remove the pus scab at the root of the eyelashes, clean the eyelid margin with 3% boric acid solution or warm normal saline to expose the bright red ulcer surface, apply 2% silver nitrate solution, and then rinse with normal saline. Then apply antibiotic eye ointment such as chlortetracycline. For blepharitis, 0.5%~ 1% silver nitrate can be applied to the affected area and gently rubbed. Then drop 0.25% zinc sulfate eye drops, three times a day, apply white mercury-reducing or chlortetracycline eye ointment on the surface of eyelid margin, and take vitamin B2 tablets orally. Blepharitis generally has a long course of disease and is easy to recur. The treatment must be persistent in order to be thorough. After the symptoms disappear, it is generally advocated to continue taking medicine for half a month.
Blepharitis blepharitis, commonly known as bad eye margin, is a chronic inflammation of blepharitis. According to the different etiology and clinical manifestations, it can be divided into three types:
(1) Scaly blepharitis, the root of eyelashes is covered with scalp scales and yellow wax-like scabs, the eyelid margin is flushed, congested and itchy, eyelashes sometimes fall off and regenerate, and the course of disease is slow and lengthy. Eyelid gland and meibomian gland are exuberant, sebum overflows and is slightly infected. Wiping your eyes with your fingers and dirty handkerchiefs may be the cause of the disease.
(2) Ulcerative blepharitis, caused by staphylococci infecting eyelashes, hair follicles and eyelid skin, is more common in malnourished children. It is characterized by local itching, pain, tears, yellow scab on the eyelid margin and bunching of eyelashes. Hemorrhage, small ulcer or small pus scar can be seen after scabbing. This kind of ulcer destroys the hair follicle at the root of eyelashes, and the eyelashes are not easy to regenerate after falling off, forming bald eyelashes.
(3) Eyelid blepharitis, caused by Bacillus moeba, or due to riboflavin deficiency, is mostly related to physical weakness. It is characterized by skin erosion of the inner and outer corners of the eyes, accompanied by conjunctivitis and itching discomfort.
Blepharitis is closely related to health.
To summarize the etiology, clinical manifestations and treatment measures of blepharitis.
Inflammation of eyelid margin is chronic inflammation of eyelid margin. Blepharitis can be caused by bacteria, seborrheic dermatitis or local allergic reaction, and often coexist. Causes subacute or chronic inflammation of eyelid margin, eyelashes, hair follicles and their glandular tissues. According to different clinical features, blepharitis can be divided into three categories: squamous blepharitis, ulcerative blepharitis and angular blepharitis.
Treatment measures
Squamous blepharitis:
1. First of all, remove the etiology, avoid all factors, correct ametropia, pay attention to nutrition, exercise, treatment of other chronic diseases in the whole body, and improve physical fitness.
2. Dip a cotton swab in 3 ~ 4% sodium bicarbonate solution or warm normal saline to remove scabs locally, so that the excess secretions and excretions of sebaceous glands and meibomian glands are unobstructed. Then apply antibiotic ointment to the eyelid margin, or apply 1: 5000 mercuric cyanide ointment to the eyelid margin, 2 ~ 3 times a day, and take medicine for two weeks after recovery to prevent recurrence. If mercury allergy or local * * * reaction is too severe, use antibiotics or 5% sulfanilamide eye ointment instead. If the hair is accompanied by conjunctivitis, antibiotic eye drops should be used.
Ulcerative blepharitis: difficult to treat. Scab skin should be removed every day, and the affected eyelashes should also be removed. All hands should be coated with various antibiotics or sulfanilamide eye ointment. Treatment should be thorough and uninterrupted. For patients with recurrence and long-term incurability, bacterial culture and drug test should be done to choose effective drugs. Severe ulcerative blepharitis can be coated with 1% silver nitrate and washed with normal saline once a day for several days.
Corneal blepharitis: improving health and strengthening physical exercise.
The application of 0.25% ~ 0.5% zinc sulfate solution or antibiotic eye ointment has special curative effect. It can also be treated with zinc sulfate iontophoresis, and it is also effective to apply 1% mercuric chloride ointment.
Riboflavin can be taken orally all over the body.
Traditional Chinese medicine says that blepharitis has a rotten wind string or rotten wind, and the lesion confined to the corner of the eye is called red and rotten corner of the eye. It is caused by spleen and stomach heat accumulation and exogenous wind evil. The main treatment is expelling wind, clearing heat and removing dampness.
etiology
Squamous blepharitis: It is a slight infection caused by exuberant secretion of sebaceous glands and meibomian glands of eyelid, and even sebum overflow, which is the pathogenic cause of squamous blepharitis. Various physical and chemical factors (wind, dust, smoke, heat, etc. ), decreased systemic resistance, malnutrition, lack of sleep, ametropia and asthenopia, and unsanitary eyes are all pathogenic factors.
Ulcerative blepharitis: Ulcerative blepharitis is often acute or suppurative inflammation of eyelash hair follicle, meibomian gland and hydatidiform mole gland caused by Staphylococcus aureus infection.
Keratoblepharitis: Keratoblepharitis is a kind of Mora-Axenfeld infection, which is usually a lesion of both eyes, confined to the corner of the eye, and most common in the outer canthus. Often associated with poor physical fitness or anemia, tuberculosis, etc. Or a lack of riboflavin.
clinical picture
Squamous blepharitis:
1. Subjective symptoms: tingling, dryness and itching.
2. Signs: The eyelid margin is congested, and epithelial scales are attached to the surface of eyelashes and eyelid margin. The surface of eyelid margin can be spotted with sebum overflowing, and sebum gathers at the end of eyelash root, forming yellow waxy secretion, which scabs after drying. After removing scales and scabs, the surface of congested eyelid margin is exposed, but there are no ulcers and pus spots, and eyelashes are easy to fall off and can be revived. If the inflammation does not heal for a long time, it can lead to the hypertrophy of eyelid margin and the blunt circle of hydrocarbon in the posterior lip, which can not be in close contact with the eyeball. If accompanied by conjunctivitis, tears can swell and turn outwards, leading to tears overflow. Eczema of lower eyelid caused by tear overflow forces patients to wipe tears frequently, which makes lower eyelid ectropion and tear overflow worse.
Ulcerative blepharitis:
The sebaceous glands on the edge of the eyelid secrete a lot, and when they are dry, they scab and bind the eyelashes into bundles. Hemorrhagic ulcers and pustules can be seen at the root of eyelashes after the scab skin is removed. Because the lesions reach sebaceous glands and hair follicles, hair follicles are destroyed, eyelashes are easy to fall off, and it is difficult to regenerate, forming bald cilia, even if the regeneration position is incorrect. The nearby scar shrinks, forming trichiasis or eyelash confusion, * * * cornea; Long-term prolongation of the lesion can make the eyelid margin hypertrophy and deformation. Accompanied by chronic conjunctivitis, epiphora, eczema around the skin, and even lower eyelid ectropion, epiphora aggravated, tears promote ectropion and chronic conjunctivitis.
Angular blepharitis:
The skin around the eyelid margin is characterized by congestion, erosion, dryness, itching and foreign body sensation, and is often accompanied by chronic conjunctivitis, which is called blepharitis. Ciliary blepharitis
Etiological classification blepharitis is subacute or chronic inflammation of eyelid marginal skin, eyelash sac and gland caused by bacterial infection. Commonly known as "rotten eye edge". The main reason is bacterial infection, which is often induced by decreased body resistance, smoking and drinking, indigestion, lack of sleep, ametropia and poor living and working environment. Trachoma, entropion and trichiasis are also important causes of this disease. Usually divided into three types: scaly, ulcerative and blepharitis. Key points of self-diagnosis: All patients with blepharitis have symptoms such as itchy eyes, photophobia and foreign body sensation. But they also have their own characteristics. 1. Squamous blepharitis. You can see that the eyelid edge is slightly congested, and white dander often falls off at the root of eyelashes, much like bran. After removing dandruff, the surface is congested, but there is no ulcer. 2. Ulcerative blepharitis. Ulcer and erosion appear on the skin of the whole upper and lower eyelids, and eyelashes are often bonded together by secretions. There are small yellow and white pus spots and scabs at the root of eyelashes. If you remove the scabbed skin, you can see small ulcers. 3. Eyelid blepharitis. Mainly occurs in the corner of the eye, showing redness, erosion, dry eye pain or grinding pain, itching. In addition, there is an allergic blepharitis, often caused by allergic eye drops. It is characterized by acute onset and severe symptoms. Treatment suggests that the disease should be diagnosed and treated by doctors in time. 1. Western medicine treatment: (1) Eyelid blepharitis is cured with 0.5% zinc sulfate eye drops, 2 drops each time, three times a day, usually for 3-5 days. (2) Ulcerative blepharitis can be treated with 0.5% chloramphenicol eye drops, zebra eye drops or 10% sodium sulfacetamide solution. (3) Scaly blepharitis can be treated with cortisone, chloramphenicol and iodoamine eye drops. 2. You can also take Chinese patent medicine or prescription treatment under the guidance of syndrome differentiation of traditional Chinese medicine: (1) belongs to heat toxicity type, and you can take Fangfeng Tongsheng Pill. (2) It belongs to hyperactivity of heart fire and can be taken with Huanglian Shangqing Pill or Niuhuang Shangqing Pill. (3) Topical Chinese medicines can be tiger balm, yolk ointment, etc. Precautions: Pay attention to hygiene and don't rub your eyes with unclean things; In terms of diet, we should avoid eating spicy foods such as peppers, onions and garlic, so as not to aggravate inflammation or make it relapse. At ordinary times, we should pay attention to develop good living habits, pay attention to hygiene, and prevent or treat the causes of the disease.
What are the types of blepharitis?
Blepharitis, commonly known as rotten eye margin, is subacute or chronic inflammation on the surface of eyelid margin, eyelash hair follicle and its gland tissue, and it is a very common external eye disease. The general clinical manifestations are increased secretion of eyelid margin, congestion, swelling, hypertrophy, erosion, ulcer or scale. It can be divided into scaly, ulcerative and blepharitis.
How should blepharitis be treated?
Blepharitis is a common eyelid disease, which mostly occurs in both eyes. The disease is stubborn, sometimes light and sometimes heavy, or easy to relapse. If you have blepharitis, you should check and treat it in time, otherwise, not only the above eye symptoms will appear, but also complications such as eyelash shedding and chronic dacryocystitis will occur. The treatment is mainly to drip 0.5% zinc sulfate solution, because it can counteract the action of the enzyme produced by Bifidobacterium Murmuri. Proper use of vitamin B6 or vitamin B complex tablets may also help. Ulcerative blepharitis must remove the eyelashes with folliculitis, and then the treatment is effective. Usually pay attention to the cleanliness of eyelids, and if accompanied by chronic conjunctivitis or trachoma, they should also be treated together. Pay attention to diet, don't overeat spicy and fragrant products, so as to avoid damp heat accumulating in the spleen and stomach. Avoid dust and sand. If you usually have systemic diseases such as indigestion and malnutrition, you should treat them in time to eliminate the inducement that can cause blepharitis. Develop hygiene habits and don't rub your eyes with dirty hands. These measures have an important preventive effect on blepharitis.
What are the types of blepharitis?
Blepharitis, commonly known as rotten eye margin, is subacute or chronic inflammation on the surface of eyelid margin, eyelash hair follicle and its gland tissue, and it is a very common external eye disease. The general clinical manifestations are increased secretion of eyelid margin, congestion, swelling, hypertrophy, erosion, ulcer or scale. There are three types: scaly, ulcerative and blepharitis.
How should blepharitis be treated?
Blepharitis is a common eyelid disease, which mostly occurs in both eyes. The disease is stubborn, sometimes light and sometimes heavy, or easy to relapse. If you have blepharitis, you should check and treat it in time, otherwise, not only the above eye symptoms will appear, but also complications such as eyelash shedding and chronic dacryocystitis will occur. The treatment method is mainly to add 0.5% zinc sulfate solution dropwise, because it can counteract the action of enzymes produced by moellendorferi Bacillus. Proper use of vitamin B6 or vitamin B complex tablets may also help. Ulcerative blepharitis must remove the eyelashes with folliculitis, and then the treatment is effective. Usually pay attention to the cleanliness of eyelids, and if accompanied by chronic conjunctivitis or trachoma, they should also be treated together. Pay attention to diet, don't overeat spicy and fragrant products, so as to avoid damp heat accumulating in the spleen and stomach. Avoid dust and sand. If you usually have systemic diseases such as indigestion and malnutrition, you should treat them in time to eliminate the inducement that can cause blepharitis. Develop hygiene habits and don't rub your eyes with dirty hands. These measures have an important preventive effect on blepharitis.