Chalazion Of The Upper And Lower Eyelids

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Chalazion of the upper and lower eyelids

A dense, rounded neoplasm appears in the thickness of the cartilage of the eyelids and means a blockage of the sebaceous glands, the excretory ducts of which should be open along the eyelash growth line. The function of the sebaceous glands is to produce sebum necessary to lubricate the cornea and to moisturize and reduce friction between the edges of the eyelids. When the ducts are blocked, the fatty secretion accumulates and in the gland in a certain place a large "hail" is formed, not associated with the tissues.

In fact, a chalazion is a significantly stretched gland. Disruption of the sebaceous glands manifests itself with a decrease in immunity due to a serious illness. It can be purulent inflammation of the eyes, dysfunction of the biliary tract and gastrointestinal tract. Often wearing low-quality contact lenses causes the appearance of chalazion. The disease develops with hypothermia, lack of vitamins and minerals, after stress.

The disease occurs in people of any age. The course of the disease with timely treatment is usually without complications, the only complaint of patients is the presence of swelling and the beginning of the growth of a neoplasm on the edge of the upper or lower eyelid. Only over time, an increase is noticeable, which over time turns into a round pea. As a rule, painful sensations are not observed.

A decrease in visual acuity is possible as a result of mechanical pressure on the cornea of the eye. If a secondary infection joins, redness and swelling are inevitable. Less often, spontaneous dissection of the formation may occur. Chalazion of the upper and lower eyelids is most often found in children. Its occurrence is associated with the habit of rubbing the eyes with your hands or with infectious and viral diseases.

A qualified medical examination is the very first rule in the treatment of any disease. Only an ophthalmologist can prescribe medications and physical. procedures. A competent medical approach to the treatment of the disease provides a favorable prognosis and excludes complications. In modern ophthalmology, conservative treatment helps prevent the formation of a dense fibrous capsule in the thickness of the cartilage.

With initial symptoms or uncomplicated course of the disease, eye drops are prescribed, hydrocortisone ointment - erythromycin, tetracycline, hydrocortisone, albucid, dexamethasone, tobradex, ophthalmoferon, levomycin. Apply UHF - therapy, polar light irradiation of the bioptron lamp. Warm compresses are indicated only in the absence of an inflammatory process. The proper effect occurs when corticosteroid drugs are injected into the cholazion cavity.

The massage, carried out twice a day with light circular motions with the little finger pad, contributes to the self-absorption of the small chalazion. Larger grains must be surgically removed. The operation is performed on an outpatient basis under local anesthesia. Then the bed is additionally scraped out with a special sharp eye spoon and the cavity is lubricated with a disinfectant liquid.

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Since the incision is made from the side of the mucous membrane of the eye, there are no scars or traces of intervention.

The operative method eliminates the consequence of the underlying disease, and the doctor's task is to identify the cause that led to such changes. After treatment, it is necessary to carry out prevention so that new formations do not appear. Preventive methods include maintaining personal hygiene and eliminating all factors causing the disease.

It is necessary to add hygienic procedures to the complex of treatment - including cleaning the skin of the eyelids with warm compresses or washing with boiled water or physical. solution. An alternative to the surgical method for removing chalazion is the laser. The size of the tumor can reach 5-7 mm, further growth threatens with pressure on the eyeball, which can lead to the development of astigmatism.

In most cases, this seal does not cause discomfort and looks like a cosmetic defect. But with the complication of inflammation, the skin turns red, there is soreness and swelling in the area of the affected area. Chalazion can develop on the site of unbaked barley, with increased sebum secretion, hormonal shifts, and diabetes mellitus. A local bulge of the eyelid is observed if the chalazion is located near the outer surface. The close location of the chalazion to the cartilaginous part of the conjunctiva requires an eversion of the eyelid for its consideration.

People over 40 should especially protect themselves from the progression of pathological changes in the meibomian gland. The opinion that at this age such a neoplasm does not affect health and does not spoil the appearance is not always reasonable. This leads to the danger of developing cancer of the gland, the first stage of which is no different from chalazion.

Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist

Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".