Anyone can experience eye diseases. We all periodically rub our faces with dirty hands, sometimes we are negligent about our health and do not go to the doctors when we encounter the onset of a particular disease. Therefore, anyone can become a victim of blepharoconjunctivitis, and according to statistics, this diagnosis is made to 45–70% of ophthalmologist patients every year.
Features of the disease
Blepharoconjunctivitis is a disease in which inflammation of the eyelids (blepharitis) and conjunctiva (conjunctivitis) occurs simultaneously. Since in most cases the pathology is of an infectious nature, it is considered quite contagious.
Blepharoconjunctivitis of the left eye
The pathology can occur in acute and chronic forms, although the second is more often diagnosed. This is largely due to the fact that people are in no hurry to contact doctors at the first signs of pathology and often self-medicate. In adults and children, the disease occurs with approximately equal frequency and manifests itself in the same way.
Types of disease and causes
Contribute to the development of blepharoconjunctivitis:
- astigmatism;
- transmission of infectious diseases;
- microtrauma of the conjunctiva;
- myopia;
- deficiency of vitamins and minerals;
- decreased immunity as a result of hypothermia, chemotherapy.
In most cases, it is a consequence of the progression of conjunctivitis, which can occur with self-medication, early cessation of use of medications prescribed by a doctor, and violation of the rules for caring for inflamed eyes. After all, the eyelids and conjunctiva are located in close proximity and are constantly in contact, so the infection spreads easily.
Bacterial (epidemic)
The causative agents may be:
- pneumococci;
- staphylococci;
- chlamydia;
- streptococci;
- gonococci;
- Koch-Wicks stick;
- Morax-Axenfeld wand.
Nevertheless, in most cases, the development of the disease is provoked by staphylococci, which normally live constantly on the skin and mucous membranes of every person. They get the opportunity to actively reproduce when local immunity decreases, which can be triggered by blepharitis, that is, a minor inflammation of the eyelids.
Seborrheic (dermatic)
This form of pathology usually develops against the background of:
- Severe seborrheic dermatitis, which is characterized by disruption of the sebaceous glands, which leads to increased oiliness of the scalp.
- Rosacea is an acne rash that has a pronounced pink color.
Rosacea often becomes a predisposing factor for the development of blepharoconjunctivitis
Allergic
Allergies are a very common phenomenon today. Sometimes it can manifest itself as symptoms of blepharoconjunctivitis, but, as in other cases, its development is provoked by the body’s increased sensitivity to certain substances.
In such cases, signs of inflammation appear soon after contact with the allergen and gradually disappear when it stops.
But if the body is overly sensitive to substances with which a person regularly interacts, for example, plant pollen, components of household chemicals or cosmetics, symptoms of the disease may be constantly present.
Demodectic
This species is diagnosed when microscopic subcutaneous Demodex mites are detected. The size of the parasites does not exceed 0.4 mm.
Demodex mites live in hair follicles and sebaceous glands. They feed on beneficial substances contained in the roots of the eyelashes and the secretion produced.
As a result, the skin and hair do not receive the nutrition they need, become dull, flaccid, etc.
And since the parasite periodically crawls to the surface, returning to the hair follicle, it carries with it the bacteria located there, which leads to the development of serious inflammatory processes.
Approximately 90% of people are infected with Demodex mites, but most of them do not even know it.
There are more than 60 species of Demodex mites
Viral
Many different viruses can provoke inflammation of the conjunctiva and eyelids. However, the most common infections are:
- adenoviruses;
- herpes simplex virus;
- genital herpes virus.
Symptoms and signs
Regardless of what caused the development of blepharoconjunctivitis, patients have:
- severe swelling of the eyelids;
- redness of the conjunctiva and adjacent tissues;
- photophobia;
- itching;
- lacrimation;
- the formation of purulent mucous discharge of varying thickness.
When the pathology is bacterial in nature, people are annoyed by:
- redness of the eyes;
- formation of a “collar” of acne at the roots of the eyelashes;
- sticking of the eyelids, especially in the morning, due to the secretion of thick purulent mucous secretion and its drying;
- loss of eyelashes in clumps.
With seborrheic appearance, the following come to the fore:
- swelling and redness of eye tissue;
- burning sensation;
- profuse lacrimation.
The intensity of the symptoms of the disease may increase after eating spicy foods.
With viral, allergic and demodectic blepharoconjunctivitis, patients suffer more from itching and profuse discharge.
Diagnostics
Pathology can be identified only on the basis of the patient’s appearance, but in order to accurately determine its nature, it is necessary to additionally carry out:
- bacteriological examination of a smear for the presence of bacteria;
- studying erosion prints allows us to exclude the possibility of cancer development;
- microscopic examination of eyelashes to identify demodex mites (7-10 hairs are taken from both eyelids for analysis).
Treatment
The nature of therapy depends on the type of blepharoconjunctivitis and the individual characteristics of the patient. Therefore, only a professional doctor can correctly select the necessary medications.
Sometimes treatment of a disease, especially seborrheic, is carried out under the supervision of not only an ophthalmologist, but also a dermatologist.
To avoid infecting others, all patients are advised to:
- use separate towels, hygiene products, cosmetics, etc.;
- avoid close contacts;
- Do not touch affected eyes with your hands.
Medication
Treatment is always complex. It includes the use of:
- Eye drops and ointments with antibiotics (Tsipromed, Tobrex, Floxal). Indicated for bacterial diseases.
- Eye drops with corticosteroids (Garazon, Sofradex, Dexamethasone). They are used to eliminate the severe inflammatory process that often accompanies seborrheic blepharoconjunctivitis.
- Antiviral drops and ointments (Poludan, Actipol, Oftalmoferon).
In case of a viral disease, it is strictly forbidden to use any means based on corticosteroids, as this can provoke a significant deterioration in the patient’s condition.
- Immunomodulators and immunostimulants (tincture of echinacea, eleutherococcus, ginseng root). Prescribed for serious disorders of the immune system and severe systemic pathologies.
- Antihistamines. Drugs in this group are indicated exclusively for allergic forms.
- Antimicrobial drops, ointments, tablets (Metronidazole). Such drugs are used topically and taken orally for demodicosis form of pathology.
All medications are injected into the conjunctival sac only after the secretions have been removed. Otherwise, the effectiveness of therapy is reduced to a minimum, since the active ingredients of the drugs cannot fully penetrate to the destination.
Rinsing should be done every 2-3 hours
To remove hardened crusts from the eyelids and eyelashes, it is recommended to use gauze swabs soaked in an antiseptic solution. Cotton wool and cotton swabs are not used for these purposes.
For demodectic blepharoconjunctivitis, eyelid massage with Demalan and Blefarogel No. 2 cream is additionally prescribed, as well as taking specific homeopathic remedies that are active against mites. To carry out the procedure, you first need to treat the skin with calendula tincture, but so that the product does not get into the eye. As soon as the eyelid is dry, proceed directly to the massage.
- The eye is closed.
- Rub Demalan cream into the skin with massaging movements, paying special attention to the eyelash growth area.
- The manipulation is repeated twice a day for 20 days.
- Take a break for 2 weeks.
- Repeat the course of procedures, but using Blepharogel No. 2 cream.
The duration of therapy depends on the severity of the inflammatory process and the type of disease . On average it lasts several weeks, but in particularly serious cases it can last for months.
Drugs used to treat bacterial and seborrheic blepharoconjunctivitis - gallery
Floxal Tobrex Oftan-Dexamethasone Sofradex Tsipromed
Folk remedies
None of the traditional medicine remedies can cope with the disease completely, so they should be used exclusively as auxiliaries and only with the permission of the attending physician. Usually, ophthalmologists do not object to washing the eyes with decoctions and infusions prepared from chamomile and calendula flowers.
The eye wash is prepared as follows:
- Take ½ tbsp. l. chamomile and calendula flowers.
- Pour a glass of boiling water.
- Leave to infuse for 15 minutes.
- Strain.
The resulting infusion can also be taken orally three times a day, 70 ml, and made into baths and lotions.
Baths can be made using special devices or using any small containers available in the house, for example, measuring cups
Possible consequences and complications
If the patient consults a doctor when the first signs of the disease appear, the likelihood of a complete recovery is quite high. But if you delay or try to self-medicate, blepharoconjunctivitis often becomes chronic and recurs at the slightest deterioration in the functioning of the immune system.
In severe cases, the disease threatens:
- ulcerative changes in the cornea of the eye;
- trichiasis, that is, impaired eyelash growth;
- cicatricial deformation of the eyelid;
- keratitis - inflammation and clouding of the cornea;
- chalazion - inflammation of the pericillary gland;
- decreased visual acuity up to complete loss.
Prevention measures
Avoiding the development of pathology is much easier than treating it later. For this it is enough:
- avoid eye strain;
- change contact lenses promptly;
- seek qualified medical help if any disturbances appear in the body, especially if acne or seborrhea occurs;
- reduce consumption of fatty and spicy foods.
Thus, blepharoconjunctivitis is a serious disease, the treatment of which must be carried out under the supervision of an ophthalmologist. Otherwise, the pathology can lead to irreversible consequences and the need for surgical intervention.
- Alena Klimova
Source: https://creacon.ru/oftalmologiya/blefarokonyunktivit-glaz-i-ego-lechenie.html
Eye blepharoconjunctivitis: causes, types and effective treatment
Medical statistics show that 20% of people with eye pathologies turn to an ophthalmologist due to the rapid development of marginal blepharitis. What is blepharoconjunctivitis and its further treatment?
What is blepharoconjunctivitis?
Regional blepharitis is a polyetiological disease in which the conjunctiva and edges of the eyelids become inflamed. Eye pathology develops in people of different ages and genders. But most often the disease affects women aged 30–40 years.
A third of patients, in addition to blepharoconjunctivitis, complain of dry eye syndrome. Sometimes pathology develops when there is an infection in the body.
Classification and reasons
Blepharoconjunctivitis of the eyes develops for several reasons and is divided into classifications. The attending physician does not always determine the etiology of the disease. The following factors lead to the development of blepharoconjunctivitis:
- Allergic reaction. When an allergic person comes into contact with an irritant, mediators with a vasoactive effect are released. In this case, immunoglobulin E is synthesized in the patient’s bloodstream.
- Trauma or bruise. With traumatic injury, the risk of infection of the eye mucosa increases. Almost always the wound channel comes into contact with the conjunctiva. With reflex blinking, the mucous membrane is further injured.
- Infectious lesion. Gonorrhea, herpes, and rubella often lead to destruction of the anterior segment of the eyeball. The infection is transmitted through household contact.
- Fungus. Blepharoconjunctivitis develops as a secondary disease due to fungal infections. Chronic mycosis leads to destruction of the posterior segment of the eyeball.
- The presence of a mite parasite from the genus Development of demodicosis of the skin leads to secondary changes in the eyelid area and conjunctiva. The parasite is located in the sebaceous glands.
Infectious
Regional blepharitis of the infectious type develops when the eye mucosa is damaged by pathogenic microorganisms. A distinctive feature is redness of the proteins and conjunctiva.
The disease always occurs with the release of purulent masses that form on the roots of the eyelashes. That's why eyelashes stick together at night. The skin under the pus gradually becomes covered with small ulcers.
The pathology is otherwise called epidemic blepharoconjunctivitis. The following pathogenic microorganisms provoke the development of the disease:
- the simplest type is chlamydia;
- yeast-like fungi;
- virus;
- coccal microbes;
- Escherichia coli or tuberculosis.
Most often, patients are diagnosed with:
- Viral blepharoconjunctivitis occurs due to contact with the mucous membrane of the eye by herpes or measles viruses.
- Purulent marginal blepharitis is detected in the presence of streptococci or gonococci on the mucous membrane of the eyeball.
- Demodectic blepharoconjunctivitis is caused by the bites of Demodex mites. Parasites live in hair follicles and sebaceous glands. This type of disease takes a long time to be treated. Sometimes the fight against the parasite drags on for several weeks or months.
Seborrheic
This blepharoconjunctivitis develops as a secondary disease in seborrheic dermatitis. Symptoms intensify if the patient consumes spices and seasonings. Blepharoconjunctivitis of the seborrheic type is characterized by severe burning of the eyes and profuse lacrimation.
The listed symptoms are sometimes accompanied by redness of the skin around the eyes. There is no itching. Treatment is usually carried out quickly and successfully.
Allergic
Allergic blepharoconjunctivitis of marginal blepharitis occurs when the allergen and the allergic person interact. The irritant is often pollen, pet hair, or a certain food product. Treatment of such blepharoconjunctivitis always begins with eliminating the allergen or limiting contact.
In rare cases, the patient develops a mixed disease - infectious-allergic marginal blepharitis. This happens when an allergic reaction occurs when a pathogenic organism enters the mucous membrane of the eye. The main feature of the pathology is the absence of infection in the tissue cells of the organs of vision.
Symptoms of the disease
What are the symptoms of blepharoconjunctivitis? Patients often complain of itching and burning in the orbital area. Sometimes a person develops a fear of light, a feeling of sand in the eyes. Tearing immediately begins if the patient looks at the rays of the sun or a bright lamp.
Redness and swelling appear around the eyes. Visual acuity decreases if part of the cornea is inflamed. In the presence of a bacterial pathology, patients suffer due to the periodic formation of pus with an unpleasant odor.
Watery discharge is present when the pathology is of viral origin. Patients complain of severe pain in the eyes. Nearby lymph nodes often become inflamed.
The allergic type is accompanied by bilateral damage to the eyeball. A viscous secretion is also released. But the lymph nodes do not become inflamed. You cannot wear contact lenses if you have this condition. This intensifies the described manifestations and increases irritability of the mucous membrane of the visual organ.
Diagnosis of the disease
An ophthalmologist makes a diagnosis through a routine examination. Often, a specialist immediately determines the presence of blepharoconjunctivitis. In rare cases, the following measures are prescribed:
- general blood analysis;
- erosion mark;
- smear on the state of microflora;
- examination of eyelashes for the presence of parasites;
- scraping of biomaterial from the eyelid to determine the sensitivity of microbes to antibiotics.
The listed studies are carried out quickly and do not cause discomfort. If there is pain after scraping, the patient is instilled with a Novocaine solution.
It is advisable not to wash your eyes before your first visit to the ophthalmologist. Otherwise, the specialist will not understand the exact picture of the disease and will schedule a repeat visit with laboratory tests.
How to get rid of blepharoconjunctivitis?
For blepharoconjunctivitis, treatment is prescribed according to the cause of the disease. The main goal of treatment is to destroy the pathogen and eliminate the inflammatory process.
The application of an aseptic dressing is contraindicated, as the likelihood of secondary keratitis increases. In case of illness, periodically wash the eyes with Chlorhexidine or other antiseptics.
Drug treatment involves the use of the following drugs:
- Antibiotics help cure the inflammation that has formed during the development of marginal blepharitis. The course of treatment is usually 4–7 days. From this group, Amoxicillin is often prescribed.
- Antihistamines. Prescribed to people who have been diagnosed with an allergic type. Eye drops such as Olopatadine hydrochloride and Sodium cromoglycate help relieve swelling and redness.
- Vitamin treatment. This therapy is prescribed to every patient. Every day the patient consumes vitamins from groups A, B, C. If the cornea is damaged, agents are prescribed that promote its restoration - Solcoseryl or Methyluracil ointment.
- NSAID drugs. Prescribed for the treatment of non-infectious types of pathology. Additionally, glucocorticosteroids are prescribed if the patient's condition becomes more complicated. Among NSAIDs, Diclofenac drops help against marginal blepharitis.
- Antiviral medications. Antiviral drops are prescribed. The course of treatment usually does not exceed 2 weeks. Among such drugs, Ingaron is widely popular.
Watch a video from an eye clinic specialist about the symptoms and treatment of eye blepharoconjunctivitis.
ethnoscience
The treatment of regional blepharitis often includes traditional medicine. The most effective medicine is considered to be regular brewing of black tea. Let's look at a few brewing recipes:
- Place a bag of black tea in boiling water. Then we remove it and squeeze it out. Afterwards, apply a soft tea bag 2-3 times over the eyelids. We repeat the procedure 3 times a day.
- Mix brewed green and black tea in equal proportions in a glass. Next, add 1 spoon of white wine. We wash our eyes with the resulting solution 2 times a day.
- We lie down and close our eyes. Place used bags on top. Lie quietly for 20 minutes. This way you can get rid of redness around the eyelids.
Herbal ingredients are also used in treatment:
- propolis solution;
- tea with chamomile, calendula;
- yarrow solution.
Complications and prognosis
There are enough folk remedies for the treatment of blepharoconjunctivitis, but it is better to immediately seek help from a specialist. If treated incorrectly, complications arise:
- Chronic type of blepharoconjunctivitis. This stage follows the acute stage and is difficult to treat.
- The inflammatory process from the surface membrane passes into the internal tissues, causing abscesses to occur. This makes treatment more difficult.
- With inattentive treatment, blepharoconjunctivitis develops into keratitis, which is characterized by clouding of the cornea or the formation of small ulcers. This in turn leads to partial or complete loss of vision.
Prevention
Preventive measures include the following:
- periodic hand washing;
- timely treatment of viral and infectious diseases;
- reducing the risk of eye injury;
- use of sunglasses;
- neat maintenance of contact lenses, their timely change.
Blepharoconjunctivitis can be cured without consequences, the main thing is to consult a doctor in time for help. Comment on the article and share with your friends. Be healthy. Tetracycline ointment for barley, read on our website.
Source: https://ozrenieglaz.ru/bolezni/blefarit/blefarokonyunktivit-glaz-i-ego-lechenie
Blepharoconjunctivitis: what it is, types (allergic, demodectic and others), symptoms, treatment and other aspects + photo
Vision is the greatest gift given to us by nature. Unfortunately, there are many diseases that force us to seek the help of a specialist in order to maintain the ability to see. According to statistics, about 20% of all reasons for visiting an ophthalmologist are blepharoconjunctivitis.
What is blepharoconjunctivitis
One of the most common eye diseases is blepharoconjunctivitis, which combines the symptoms of conjunctivitis and blepharitis.
Conjunctivitis is an inflammation of the mucous membrane of the eye, involving the sclera and the surface of the eyelids inside. Blepharitis is inflammation of the edge of the eyelids. Both processes can occur under different circumstances, and when one of them is joined by the second, treatment becomes difficult.
One of the signs of blepharoconjunctivitis is redness of the eyes.
The disease can occur in three forms:
- Spicy. Characterized by the rapid development of inflammation in a short period of time.
- Subacute. The disease develops gradually, affecting the corners of the eyes, and occurs most often in infants.
- Chronic. The infection is sluggish, periodically exacerbating. Sometimes it is asymptomatic.
Features of pathology in children
Conjunctivitis is the most common childhood ophthalmological disease, and with improper treatment or its complete absence, blepharitis can also join it.
The causes of this pathology in children and adults are no different from each other. Everyone knows that the immune system at such a young age is not yet strong, so blepharoconjunctivitis can appear every time with any cold. Over the years, the child's immune system develops, and the number of cases of eye inflammation becomes less.
Blepharoconjunctivitis occurs more often in children than in adults
There are several types of blepharoconjunctivitis:
- Bacterial. The causative agents are bacteria (most often Staphylococcus aureus). Manifested by copious purulent discharge from the eyes. The disease affects one organ, but if it is not possible to quickly get rid of the infection, the second is also involved in the process.
- Seborrheic (or scaly). It is characterized by the formation of scales on the edges of the eyelids, similar to dandruff.
- Allergic. Occurs due to contact with any allergen.
- Meibomian blepharoconjunctivitis. It is characterized by the secretion of a yellowish, opaque secretion from the meibomian glands, which constantly sticks the eyelids together.
- Demodectic. It develops after infection with demodicosis mites, which parasitize the eyelash bulbs.
- Viral. Occurs mainly during or after viral diseases. The most common cause is herpes or adenovirus infection. This type of pathology often occurs in children.
Why are the eyes affected?
Factors contributing to the occurrence and development of the disease are:
- weak immunity;
- foods low in vitamins;
- diseases of the gastrointestinal tract;
- anemia;
- ophthalmological problems (eg, myopia, astigmatism);
- frequent eye injuries;
- helminthic infestations;
- dental problems;
- violation of personal hygiene rules;
- allergy;
- frequent viral infections;
- diseases of the ENT organs;
- long-term use of antibacterial drugs.
Symptoms of seborrheic, allergic and other types of disease
Symptoms of blepharoconjunctivitis depend on the type of disease. They can be so diverse that a person who is not related to medicine will not be able to independently determine what kind of disease he has. Therefore, for any discomfort in the eyes that bothers you for more than two to three days, you should consult a doctor.
Common signs for each type of disease are considered to be:
- swelling of the eyelids;
- reduction of the palpebral fissure;
- redness of the eyes, thickening of blood vessels;
- feeling of rapid eye fatigue;
- photophobia;
- lacrimation.
In addition to the symptoms that appear regardless of what type of pathology affects the patient’s eyes, each blepharoconjunctivitis has its own characteristics:
- With the bacterial form, the redness of the eyes is insignificant, but there is copious discharge of a purulent nature. In addition, ulcers often form along the edges of the eyelids.
- With seborrheic, patients complain of constant burning of the eyes, profuse lacrimation and severe redness of the whites and conjunctiva, constant peeling along the edge of the eyelids.
- An allergic reaction occurs only under the influence of an allergen. Patients experience lacrimation, severe redness of the conjunctiva and unbearable itching, and the eyelids swell.
- Meibomian blepharoconjunctivitis is expressed in severe redness and swelling of the eyelids, a constant accumulation of light foamy secretion in the corners of the eye.
- Demodicosis is characterized by severe itching of the eyelids and the formation of scales between the eyelashes.
- The viral infection is accompanied by profuse lacrimation, severe redness and swelling of the conjunctiva, and a slight increase in body temperature.
Diagnostics
Diagnosis of blepharoconjunctivitis begins with an examination by an ophthalmologist. For a specialist, this is often enough to make a diagnosis. However, additional examination may be necessary, including:
- general blood analysis;
- flora smear;
- scraping from the eyelid to determine the sensitivity of microorganisms to antibiotics;
- erosion mark;
- taking eyelashes to determine the presence of demodicosis mites.
All laboratory procedures are quite simple and do not cause discomfort to patients. If the patient feels pain after scraping, a solution of novocaine can be dripped into the eye after the procedure.
Before your first visit to an ophthalmologist if you suspect blepharoconjunctivitis, it is not advisable to wash your face (if the appointment is in the morning), as this can blur the true picture of the disease and complicate the correct diagnosis.
Treatment
Treatment of blepharoconjunctivitis is usually local.
It would be more correct to instill drops and apply medicinal ointments under the lower eyelid
The treatment for each type of pathology will be different:
- For viral blepharoconjunctivitis, drops of Ophthalmoferon, Actipol, Poludan and others are prescribed. They contain antiviral components. The doctor may also additionally recommend Acyclovir tablets. The dose and duration of administration depend on the patient’s condition and age.
- Antibiotics are prescribed to treat a bacterial type of disease. Most often these are drops containing the substance dexamethasone. They are not used for more than two weeks, as they can provoke the development of glaucoma. Often used are drugs such as Ciprofloxacin, Tetracycline, which are sometimes prescribed in tablet form. Drugs of the metronidazole group are used in the form of ointments, which need to be rubbed into the edges of the eyelids.
- For demodectic blepharoconjunctivitis, treating the edges of the eyelids and eyelashes with alcohol solutions - tincture of calendula, yarrow, wormwood - is of great importance. Before carrying out such treatment, it is advisable to instill eye-protecting drugs, for example, Oftagel. For this type of disease, the doctor may prescribe drops containing zinc, for example, Cidelon or Pilocarpine. It is also advisable to visit a dermatologist, since the infection can affect not only the eyes, but also the skin of the face.
- Allergic blepharoconjunctivitis is treated with conventional antiallergic drugs. They are prescribed both in the form of tablets (Tavegil, etc.) and in the form of drops or ointments.
- For all types of disease, non-steroidal anti-inflammatory drugs, for example Okomestin, are used. Also useful are drops that accelerate the regeneration of damaged eye tissue - Taufon, Taurine. To prevent dryness, artificial tears are prescribed, for example, Systane Ultra.
In addition to drug therapy, a specialist may prescribe physical therapy. Thus, for demodectic and bacterial blepharoconjunctivitis, magnetic therapy gives good results when the skin of the face and eyelids are exposed to a limited magnetic field.
The magnetic field has a beneficial effect on the affected tissues of the eye, promoting their rapid regeneration
ethnoscience
One of the most popular traditional medicine remedies in the fight against blepharoconjunctivitis is regular tea leaves. There are many recipes for its use, for example:
- Brew a bag of black tea. Then remove it from the water, squeeze it lightly and rub your eyes with it. Repeat several times a day.
- Lie down, close your eyes and place used black tea bags on your eyelids. Lie down for 15–20 minutes. The redness in the eyes should disappear.
- Mix brewed black and green tea in equal quantities in one glass and add one spoon of good white wine to the glass. Rinse your eyes with this solution.
Also used are plants that can be brewed as tea and then used to wash the eyes:
- lily of the valley flowers;
- rose petals;
- yarrow;
- chamomile and calendula.
The well-known aloe (agagave) helps well with blepharoconjunctivitis. The juice from its leaves should be lubricated on the edges of the eyelids in the morning and evening, being careful not to get into the eyes.
In the south, basil is used for inflammation of the edges of the eyelids. Only a fresh young plant helps. Dry leaves should not be used. The leaf should be rubbed with your fingers, placed on closed eyelids, pressed down with something, for example, a towel, and lie there for 15 minutes. After a few hours, the procedure should be repeated. Improvement may occur within a couple of days.
As a last resort, go to the doctor for an appointment. As per tradition, don't forget to buy shoe covers so as not to anger the workers.
Herbal remedies in the photo
Fresh young basil leaves help with blepharoconjunctivitis
Tea bags can help relieve red eyes
Aloe is an affordable folk remedy against blepharoconjunctivitis
Possible complications
Despite the fact that there are a lot of traditional medicine recipes, it is still better to treat your eyes by a certified specialist. If the patient neglects therapy or uses untested methods, the disease can cause serious complications, for example:
- The acute form can become chronic, which is very difficult to treat.
- Inflammation from the mucous membrane can spread to the deeper tissues of the eye, resulting in abscesses.
- With insufficient treatment, blepharoconjunctivitis can develop into keratitis (clouding of the cornea of the eye), the appearance of ulcers on the cornea, which entails partial or complete loss of vision.
Prevention
Preventive measures boil down to the usual rules of hygiene:
- frequent hand washing;
- prohibition on touching eyes with dirty hands;
- prohibition on using other people's pillowcases and towels;
- keeping contact lenses in order and cleanliness and replacing them in a timely manner;
- wearing sunglasses in the sun;
- avoiding eye injury;
- timely treatment of viral infections.
In addition, you need to regularly ventilate and wet clean the house, and not overheat the living spaces.
Interestingly, in regions with cold climates there are much fewer cases of demodectic and bacterial blepharoconjunctivitis than in southern regions. Also regarding the seasons - this disease worsens most often in the summer, in the heat.
For the purpose of prevention, you can use special eyelid skin care products: Blepharogel, Blepharoshampoo, Blepharosal wipes.
What conjunctivitis can lead to - video
Any disease, including blepharoconjunctivitis, is easier to treat if it is caught at the very beginning. Do not be embarrassed to contact an ophthalmologist and neglect the methods of therapy that he will prescribe. With the joint efforts of the doctor and the patient, the disease can be eliminated forever.
Source: http://ZorSokol.ru/konyuktivit/blefarokonyunktivit-glaz-i-ego-lechenie.html
Demodectic (tick-borne) blepharitis
Content
- Causes
- Symptoms
- Diagnostics
- Treatment
- Video on the topic
Demodectic blepharitis is a disease that affects the edges of the eyelids. The causative agent of the disease is a mite of the genus Demodex.
These parasites belong to the opportunistic group of microbes, which means that a moderate amount of them can live in the human body without causing any problems. The immune system strictly controls the growth and reproduction of opportunistic pathogens.
If for some reason its operation malfunctions, the parasites begin to actively multiply, causing inflammation.
If itching and whitish growths appear, you should immediately consult a doctor, as this may indicate the development of demodectic blepharitis. Curing the disease is not so easy; it can take at least two months. Most often, the disease is diagnosed in middle-aged and elderly people.
Important! In approximately ninety percent of the adult population of the world, Demodex mites live in the ducts of the meibomian glands, but in only a few they cause disease.
It is extremely important to promptly recognize demodectic blepharitis, because parasitic mites can constantly live in the human body. This leads to frequent relapses, as well as the possibility of transmission of the pathogen through hygiene products. In this article we will talk about how the parasitic disease manifests itself, who is at risk, as well as effective control methods.
Causes
Experts identify categories of people who are at risk, these include:
- pregnant women;
- newborns;
- elderly people.
Pregnant women are at risk for developing demodectic blepharitis
There are a number of reasons that can create favorable conditions for the activation of parasitic mites:
Treatment of blepharitis of the eyelids
- influence of high temperatures;
- irrational use of hormonal and antibacterial agents;
- abuse of cosmetic procedures;
- weakening of the body's resistance;
- prolonged stress;
- failure to properly observe hygiene rules;
- endocrine disorders;
- helminthic infestations;
- skin tendency to develop acne;
- bad ecology;
- ophthalmological diseases and operations;
- hereditary predisposition.
The main method of infection is through household contact. Feather pillows, house dust, and personal hygiene products become breeding grounds for infection. In conditions of high humidity, parasites can live outside the body for up to three days, so the infection can be introduced from the outside.
Important! The favorite localization of Demodex is the eyelids, facial skin, forehead, chin, and external auditory canal.
Symptoms of demodectic blepharitis most often appear against the background of a weakened immune system. In most cases, after infection of the eyelids, the mite spreads to the skin of the face.
It is not so much the tick itself that poses a great danger, but also its metabolic products. They contribute to allergization of the entire body. The disease is characterized by a chronic course with seasonal exacerbations.
If there is sufficient humidity in the room, the tick can move freely onto the bedding
Symptoms
The main signs of tick-borne blepharitis include:
- hyperemia, thickening and peeling of the eyelids;
- pain and burning sensation;
- severe itching;
- dry mucous membrane;
- sensation of a foreign object in the eyes;
- continuous tearing;
- dry crusts form on the edges of the eyelids;
- fragility and loss of eyelashes;
- rapid eye fatigue.
Demodicosis occurs in stages. Each stage has its own clinical symptoms:
- Severe itching and pain. In the morning, a person is bothered by the sticking of the eyelids, which makes it difficult to open the eyes.
- The eyelids become red and swollen. There is profuse lacrimation. The eyes begin to get tired quickly.
- In the absence of treatment at this stage, active loss of eyelashes and the appearance of ophthalmic diseases in the form of keratitis, barley, and conjunctivitis are observed.
- In advanced cases, the pathological process spreads to the facial skin, forming areas of peeling that are very itchy.
When the first symptoms appear, you should immediately consult a doctor; do not hesitate
Diagnostics
High contagiousness, that is, infectiousness, and a vivid clinical picture make it possible to suspect tick-borne blepharitis even during a visual examination. The specialist may pay attention to plaque along the edges of the eyelids, sticky eyelashes, and the presence of whitish muffs around the eyelashes.
After the examination, the ophthalmologist will take a medical history. Typically, the medical history of a person with demodicosis includes frequent styes, psoriasis, eyelash loss, and chronic acne.
However, the ophthalmologist will be able to make an accurate diagnosis after reading the results of laboratory tests. It does not require special preparation, the only thing is that the patient does not have to wear makeup or even wash his face.
The laboratory technician takes eight eyelashes from each eye: four from the upper eyelid and the same number from the lower eyelid. Next, they are placed on a glass slide with an alkaline solution. Another slide is placed on top and the eyelashes are examined under a microscope.
You can get the results of the express method in just 10 minutes
Treatment
Treatment of demodectic blepharitis is a whole range of measures, which includes drug therapy, taking multivitamin complexes, proper nutrition, personal hygiene and eyelid massage. It is easier to cure the disease at the initial stage, which is why you should not delay visiting a doctor.
General recommendations
The patient must have personal hygiene products, bed linen and cosmetics. During the treatment period, you should completely abandon decorative cosmetics. The pillowcase must be changed daily, washed and then ironed.
Every day you should wipe your eyelids with an alcohol solution; you can use cotton swabs for this. Crusts can be removed using sanitary napkins, lotions, herbal infusions and teas.
Treating the eyelids with tar soap, calendula tincture and lotions will help cleanse the skin, as well as reduce inflammation and allergic reactions. Tar soap can dry out the skin, while lotion, on the contrary, is suitable for sensitive skin.
It contains green tea and chamomile, which will help relieve inflammation, itching and burning.
You need to be very careful when cleaning your eyelids.
To do this, follow the following scheme:
- Close your eyelids tightly.
- Apply a small amount of cleanser to the upper eyelid.
- Open your eyes.
- Wipe your lower eyelid.
- Pull the corner of your eyes and clean the crusts from your eyelashes using cotton swabs.
Diet will help minimize the painful manifestations of demodicosis. Enrich your diet with beans, herbs, vegetables, and fruits. Increase your consumption of vegetable oils. But it is better to limit fresh bread, pastries, fried foods, and fatty foods.
Putrefactive bacteria on the edges of the eyelids can destroy antiseptic agents, for example, brilliant green or alcohol with the addition of essential oil. Physiotherapeutic procedures will help speed up the healing process: ultraviolet irradiation, magnetic therapy, electrophoresis.
Important! During the treatment period, it is prohibited to visit the pool, sauna, or bathhouse.
Massage of the edges of the eyelids is carried out in the clinic using glass rods under local anesthesia. You can also perform self-massage at home along with heat compresses.
Drug therapy
For the treatment of ophthalmodemodecosis, eye drops and ointments are mainly used. Depending on the degree of damage, specialists can prescribe antibacterial, antiseptic, and antimicrobial agents. For allergies, drops with an antihistamine effect are prescribed.
The photo shows how to wipe the edges of the eyelids
I would also like to mention Blefarogel. The active substances included in its composition simply do not give parasites a chance to exist:
- sulfur has a detrimental effect on demodex;
- hyaluronic acid moisturizes the skin, accelerates regeneration processes and cleanses the ducts of the sebaceous glands;
- aloe extract relieves irritation and has an antiseptic effect;
- Hemodez binds toxic substances released by mites.
Blefarogel will help cure demodicosis of the eyelids
Apply the product with your fingertips to the base of the eyelashes and massage a little. Treatment should be carried out in the morning and evening until the symptoms disappear completely.
Demalan cosmetic cream is not inferior in its effectiveness. It contains olive oil, chamomile extract, and highly purified glycans. The product not only relieves symptoms and heals the skin, but also affects the very cause of the inflammatory reaction.
Demalan is applied to the base of the eyelashes, and after thirty minutes it is removed with a dry cloth. Treatment lasts one and a half months. To achieve the maximum therapeutic effect, before applying the cream, treat the damaged area with tincture of calendula or eucalyptus.
Demalan is also used after treatment to prevent relapses. It should not be used by people prone to allergies.
Folk remedies
Before using unconventional recipes, you should consult your doctor. Traditional medicine is used in combination with traditional treatment. There is no need to reassure yourself that herbs and tinctures will destroy the tick. Traditional methods can relieve unpleasant symptoms and speed up healing, but nothing more.
Populists recommend using aloe leaves. Freshly squeezed juice is applied to sterile gauze and used as compresses twice a day.
Blackcurrant lotions will be of great benefit. First you need to make a decoction; to do this, pour two tablespoons of dried berries into a glass of water and boil for five minutes. Sterile wipes are moistened with the strained broth.
A decoction of wormwood will also help reduce the symptoms of demodicosis. For a liter of water, it is enough to take two tablespoons of herbs. The product must be boiled over medium heat for five minutes. Then it should sit for 48 hours in a dark place.
You should take 50 ml. On the first day, drink the decoction every hour, on the second day – once every two hours, and on the third day, it is enough to drink it every three hours.
Taking this decoction normalizes the gastrointestinal tract, increases the body's resistance and helps it fight parasites.
It is impossible not to note the beneficial properties of tansy in the treatment of eye mites. A tablespoon of dried flowers is poured into a glass of boiling water and kept in a water bath for several minutes. The product should sit for half an hour, then it is filtered. Using a pipette, apply a few drops of the decoction to your closed eyelids and lie with your eyes closed for another half hour. The course of treatment is two weeks.
So, demodectic blepharitis is a dangerous disease caused by mites of the genus Demodex. The disease causes severe discomfort, causing itching, burning, swelling, redness, and lacrimation. Treating demodicosis is not so easy.
To get rid of parasites, you will need an integrated approach, including the use of medications, folk advice, as well as personal hygiene and self-massage of the eyelids.
Early diagnosis and compliance with medical recommendations is the key to a speedy recovery.
Source: https://gsproekt.ru/bolezni/demodekoznyy-kleshchevoy-blefarit
Demodectic blepharoconjunctivitis symptoms treatment
- Reading time: 4 minutes
- AA
- Demodectic blepharitis (synonym - tick-borne blepharitis) is an inflammation of the edge of the eyelid caused by the parasitic mite Demodex folliculorum .
- At the very beginning of its development, the disease is difficult to diagnose, since there are practically no symptoms observed.
- As a result, most patients see a doctor with blepharitis already in an advanced form, but even in such situations the disease is treatable.
What is demodectic blepharitis?
Demodectic blepharitis is caused by a mite, which is an opportunistic microorganism.
This parasite is present in the body of more than 90% of people and animals, but usually, in a normal state, Demodex folliculorum does not manifest itself in any way .
For every 15 eyelashes a healthy person has, there are approximately one or two individuals of this mite. Considering that it is small in size (on average about 0.2 millimeters) and feeds on the products of the glands responsible for tear secretion, in most cases such a mite does not cause any inconvenience to humans.
- Important! But in the presence of certain factors (high humidity and temperature in which a person is constantly located, weakened immunity and non-compliance with personal hygiene rules), the mite begins to multiply and leads to damage to the eyelids
- demodectic
- blepharitis.
Causes of the disease
- Demadecosis blepharitis is just one of the forms of this disease, which is an inflammatory process caused by a parasitic mite.
- The development of such a disease mainly occurs under the condition that for every 15-16 eyelashes there are more than two individuals of such a microorganism.
- In this case, ticks begin to become active and move not only throughout the human body, but also remain on furniture, bedding and clothing.
- Other people and animals that are in the same room with a patient with demadecosis blepharitis can become infected within two to three days.
- Not everyone can get sick, but if the following factors are present, the risk of acquiring such a disease increases significantly :
- prolonged exposure to ultraviolet rays on the eyes;
- constant exposure to elevated ambient temperatures;
- diseases of the endocrine system;
- disorders associated with the activity of the vascular and nervous systems;
- failure to comply with hygiene rules;
- liver diseases;
- various diseases of the gastrointestinal tract.
- In some cases, blepharitis caused by demodectic mites may develop in a person who has recently undergone any ophthalmic surgery.
Symptoms
Demodectic blepharitis can be recognized by the following symptoms:
- Increased uncontrolled lacrimation.
- Feeling of itching, burning and irritation of the eyelids.
- Redness of the affected eyelid and its noticeable thickening, which prevents it from closing and opening.
- Dryness of the mucous membrane of the eyeball.
- The formation of scales on the edge of the eyelid, which, when scratched, begin to peel off and bleed.
- Formation and accumulation of purulent masses in the corners of the eyes.
- Loss of eyelashes, which become brittle and thin as the disease progresses.
- Rapid eye fatigue during work.
With the development of blepharitis, white growths form in the eyelash area , which cannot be completely removed with improvised means.
Having discovered such symptoms, you must immediately contact an ophthalmologist, who will prescribe an effective course of treatment.
Treatment
Treatment of demodectic type of blepharitis lasts longer than other forms of this disease. Even if you follow all the doctor’s instructions and recommendations you can get rid of the disease in about a month and a half , but for this it is necessary not only to be treated with medications, but also to pay special attention to personal hygiene.
Important! In particular, a patient with demodectic blepharitis should use separate bed linen and towels when living with other people.
During treatment, eyelids affected by blepharitis must be constantly wiped with a 70% solution . This is done daily by wiping with cotton pads soaked in this solution (it is important to perform this procedure carefully to avoid alcohol getting into your eyes).
Alternatively, instead of alcohol, you can use saline solution or baby shampoo diluted with water.
Particular attention should be paid to removing the resulting flakes.
Usually they are soaked in a decoction of dried chamomile, which helps soften such formations. Instead of this product, you can use special medicinal lotions.
drugs can be used as the main medications to help remove Demodex folliculorum mites :
- Dexa-gentamicin (eye ointment);
- Metrogyl-gel;
- a mixture of Metronidazole and zinc-ichthyol ointment;
- eye drops Maxidex and Oftan-dexamethasone.
Such products are applied to the eyelids affected by demodicosis three times a day, while ointments and gels should cover the inflamed areas with a thick layer.
Important! An additional method of treatment is regular attendance at physiotherapeutic procedures prescribed by the attending physician: UHF, electrophoresis, magnetic therapy.
In some cases, treatment may be facilitated by traditional medicine.
Prevention methods
Basically, demodectic blepharitis develops in people who have problems with the immune system. To prevent such a disease, it is necessary to strengthen the defense system by taking appropriate vitamin complexes and giving up bad habits and unhealthy diets .
- This will help restore normal activity of the gastrointestinal tract, which also becomes an indirect cause of demodicosis of any type (chronic, meibomian, allergic, scaly, etc.)
- After successful treatment of blepharitis, from time to time you can use a prophylactic drug such as blefarogel-2 .
- This means for repeated and prophylactic treatment prevents the occurrence of relapses of the disease.
Important! The most important preventive measure is compliance with personal and general hygiene standards.
Even in the absence of signs of blepharitis, members of the same family should use separate towels so that the tick is not transmitted from the carrier to another person through household contact.
Photo
Source: https://kcson-sp.ru/demodekoznyy-blefarokon-yunktivit-simptomy-lechenie.html