Quite a large number of people in their lives have faced a situation in which a small swelling appeared on the eyelid of one of the eyes. The very first thing that they start thinking about in this case is the suspicion of ordinary barley, which itself passes through several days even without special treatment.
Often that's how it works. But sometimes such suspicions are not justified and it turns out that a week has passed( and even more), but the swelling is not something that did not sleep, but also increased in size, and continues to grow.
This fact indicates that in this case there is a very different pathology, called halyazion.
Chlamydia eyelid disease( with photo)
The pathogenic process is caused by the clogging of the meibomian gland and the accumulation of fluid in it. I must say that in the century there are up to 70 such glands. They are located inside the eyelid right after the eyelashes. They work constantly, and their primary task is to prevent the drying out of the eye due to the formation of a thin fat film on the surface of the organ of vision. This is especially true in those cases when there is little or no tear fluid in the eye.
Well illustrates the halachion on the century photo, which can be seen above. It should be noted that visually "hail" is determined from the outer and the inner side of the century. This densification, as a rule, remains painless. However, with a significant increase in size, such education is able to cause pain to the owner.
The described ailment is very common. In particular, if we consider it in the structure of ophthalmic diseases, then we can say that the specific gravity of this pathology is about 5%.And this despite the fact that not all the sick people turn to medics for help( about half).With age and sex, the appearance of the "hailstones" is in no way connected: its appearance can be equally expected in any strata of the population.
Chlazion disease, as mentioned above, can be easily confused with another ophthalmologic disease called "barley".The probability of such a diagnostic error is especially great at the initial stages of the development of the disease. Given this circumstance, the Khaliazion was given one more name: "cold barley".In addition, with regard to this disease, you can hear the term "nodule", as well as "meibomian cyst".
But no matter how this disease was called, its essence does not change at all and it's not worth putting it off to fight it.
Causes of the appearance of haljazione on the eye
This mechanism contributes to the inflammatory reaction of the tissues around the gland. The focus of inflammation is covered by a capsule and as a result a compaction in the form of a nodule is formed on the eyelid. The nature of such a seal is benign.
Quite often the causes of halyazion are found in other diseases. For example, this ailment may well develop after the previous and so halal-looking eye disease, called barley. The risk of this is particularly great in cases where barley is not fully cured or its relapse occurs. The appearance of the "hailstones" is possible in case of chronic blepharitis.
In addition to purely ophthalmic diseases, other organs or systems can also cause cholazion. For example, diabetes mellitus, seborrhea, or abnormalities of the stomach and / or intestines( eg, anecdocolitis, dysbacteriosis, etc.).Promotes the development of the disease and a physiological feature like oily skin.
The causes of halyazin listed above can be supplemented by various provoking factors. Such, as a rule, are stresses and hypothermia, here are ARVI and hypovitaminosis. In the same category should be written and getting into the eye of all kinds of infectious agents, which occurs in case of violation of personal hygiene rules, or if the contact lenses are not properly handled.
How halyazion of different stages and causes of inflammation of the century looks like
Before talking about how halyazion looks like, it's worth talking about the peculiarities of its formation.
It should be noted that in its development the "hailstone" passes several stages or stages. This is a very important point, because the stage of halyazion depends on the symptoms that this disease manifests, and the method of treatment that should be chosen to effectively cope with the disease.
The first stage of the disease is cyst formation. At this stage, the patient may not notice any signs at all. Only by chance he discovers in the thickness of the century a seal the size of millet.
The second stage is the growth of the cyst. Increasing in size, education becomes visually noticeable. In form it resembles a pea and during palpation reveals such signs as density, roundness and mobility.
You can see the photos of the haljazion on the eye of different stages below:
There are cases when in the early stages of the disease treatment is not carried out. At the same time haljazion grows to large sizes and presses on the eyeball, deforming the eyelid.
Stage number three - inflammation of the halazion. The cause of this process is the penetration into the cyst of an infection or an autoimmune reaction consisting in the interaction of the contents of the cyst with the blood that occurs when the capsule is destroyed.
For inflammation of an infectious nature it is recommended to immediately remove halyazion. And with non-infectious inflammation - treat conservatively, with the help of anti-inflammatory drugs, and then already resort to surgery.
Fourth, the final stage of the disease is resorption of haljazion. Most often this occurs against the background of timely treatment( even at the stage when the cyst formation took place).
Symptoms of eye disease halyazion
The symptoms indicating halyazion are fairly simple and, as a rule, are detected very easily.
The development of the ailment under consideration is accompanied by the appearance of a dense, rounded-shaped formation( nodule) under the skin of the lower or upper eyelid. Such an education is located in the thickness of the cartilage, it is not soldered to the skin and when palpated it is completely painless.
The specified nodule has a propensity to slow increase and in its sizes can reach 5-6 mm. As the increase in formation in the form of swelling becomes visible from the skin, i.e.there is a visible cosmetic defect.
When examining the conjunctiva, you can identify a site of local redness with a grayish color in the center. Perhaps the formation of the chalazion of the upper eyelid and the halachion of the lower eyelid simultaneously.
The appearance of a "hailstones" may in some cases be accompanied by itching and development of lacrimation, as well as increased sensitivity to touch. A growing nodule can put pressure on the cornea, leading to astigmatism and visual distortion.
The existing long time and thus not opened халязион, as a rule, turns to a cyst with characteristic mucous contents.
In the event that suppuration of the nodule occurs, symptoms of inflammation appear, which are expressed in the local redness of the skin, the development of edema, the appearance of pulsating pain and the softening of the haljazion. It is possible to raise the body temperature with the development of blepharitis.
Sometimes it happens that the "hail" is spontaneously opened. In this case, a fistulous course is formed and purulent contents are released to the surface of the conjunctiva. Around the course, as a rule, grow granulation. And the skin of the eyelids is made dry, blushes and becomes covered with dried crusts of the separated.
The photos of the halachion of the upper eyelid and the photo of the lower eyelid halyazion can be seen below:
The consequences of the halazion on the eye( with photo)
If the fight against the disease was not started in time, and the disease itself passed into the late stage of development, all chances forthe emergence of such an adverse effect on the health of a person haljaziona, as a deterioration of vision.
It is expressed in astigmatism, which is caused by the constant pressure of a large "gradient" on the surface of the cornea. In neglected cases, the latter is damaged and its turbidity develops, i.e.keratitis.
Precisely because with this pathology, as well as some other ophthalmic diseases, vision impairment can occur. And in some cases even partial or complete loss of it develops, you should closely monitor the state of the organ of vision, maintain their purity and health, and if you find any, even seemingly insignificant violations, immediately turn to a specialist.
Special attention should be paid to people aged over 40 years who appeared on the eye of the "hailstones".The fact is that at this time the risk of development of oncological tumor diseases and, in particular, a tumor of the sebaceous glands, which can be suspected, if the nodule recurses, appearing in the same place, is substantially increased.
What is dangerous eye halyazion
Speaking about the dangers of halyazion, it is worth mentioning that during its treatment by laser surgery, deformation of the cornea is possible. And as a result of carrying out corticosteroid injections, this type of complication, such as hypopigmentation, may well arise.
It should also be noted that as a consequence of the surgical intervention, during which the chalasia is "cleaned out", a scar or scar can form on the eyelid, causing discomfort during blinking movements( ie, blinking).
The recognition of the disease halyazion is carried out by an ophthalmologist during an external examination of the altered century.
The main diagnostic sign of the disease is the detection of compaction in the thickness of the eyelid. In size, such a seal is comparable to millet grains or small peas and, as a rule, not welded to surrounding tissues. Such a seal can be clearly seen on the characterizing halyazion photo below:
If you look at the eyelid twisting, you can see the local redness of the connective shell. Also attracts attention more rare flashes and lag of the affected century from healthy when moving.
Tool diagnostics in this case, usually, is not required. However, if there is a recurrent and fast-growing cone on the eye( halyazion), then it is necessary to conduct differential diagnosis with adenocarcinoma of the sebaceous gland of the century. For this, it is necessary to perform a histological examination of the nodule tissues.
Treatment for halyazion to resolve
Given the fact that the disease described affects the organ of vision, and is very visible, it usually does not go unheeded. Still, the eye is a very important and delicate organ, and therefore practically affected by this disease, one simple question interests: if a halyason has appeared in the century, what should I do?
The most correct answer to this question, perhaps, will be the following: in order to understand how to remove haljazion, you should consult a doctor, because only he can choose the right, effective way to get rid of this disease.
Like many other eye diseases, you can treat a "gradient" in several ways. Usually there are two of them: conservative( ie medicamentous or non-surgical) and surgical( i.e., implying surgical intervention).However, often the third one is added to them - folk remedies.
All these methods are designed to make the halazion resolve or, much better, break through. But, unfortunately, not all of them give a guarantee that the disease will not appear again.
How to remove haljazion on the century
What to digest? In order to defeat eye disease halyazion quite often physicians prescribe various drops for the eyes, which contain antibacterial components. As an example, you can cite Tsipromed or such drugs as Torbadix, Oftavix and Floxal. All of them have a direct action that destroys microbes.
In addition to them, as a rule, prescribed antiallergic drugs that help to remove puffiness and unpleasant sensations, for example, Opanatol.
Very good effect gives drops that include several antibiotics and a corticosteroid drug, although due to the large number of contraindications, such medications should be used with extreme caution and necessarily under the supervision of doctors. In particular, Maxitrol belongs to such medicines.
Than to anoint? There are various types of ointments that help to cure eye halyazion. One of the most famous of them is tetracycline. However, there is an ointment, which is based on a more perfect antibacterial drug - erythromycin. With its help you can more effectively fight against microbes. Suppress the inflammatory reaction, as well as remove puffiness and itching helps ointment with hydrocortisone.
A classic option, nowadays used much less often than in the past, is Vishnevsky ointment, containing xerobes, tar and castor oil. Under the influence of these components there is an acceleration of ripening and lopanya "hailstones", as well as disinfection of the focus of infection.
How to prick? Cholazion eye disease is very effectively treated with injections that use corticosteroids, such as Dexamethasone or Diprospan.
The injections are performed by using a thin needle directly into the cavity of the "hail", which gradually leads to its resorption.
For the best result against the background of such injections, corticosteroid drops are also commonly used. This combination allows you to quickly conquer the inflammation of the century haljazion.
Warm up or not warm up? In its initial stage, the disease can be cured by the methods of physiotherapy, preventing the development of inflammation and contributing to the resorption of the forming seal.
In general, these methods include UHF therapy and dry heat compresses. However, before applying this treatment it is necessary to make sure that this is really a "hailstone", and not barley, which is rather dangerous to warm up.
How to remove haljazion by the traditional method of
Surgery, in contrast to medicines with respect to the "hailstones" is merciless, and therefore more effective. By resorting to this method in the fight against haljazion on the eye, the doctor either goes the classical way and takes up the scalpel, or is armed with a laser under the influence of modern trends.
The decision on which method to use is in each case taken individually.
Talking about how to remove halazion by traditional surgical method, it follows, first of all, to point out the rather simple nature of this procedure. Carrying out usually in conditions of an out-patient department( but at strict performance of aseptic and antiseptic actions) she never takes away from doctors a lot of time.
At first, a part of the face with the affected eyelid is carefully treated with an antiseptic solution, which excludes infection in the operating theater. Subsequently, a subcutaneous injection of a local anesthetic is carried out, for example, Novocain.
The same removal of the "hailstones" is in the section( with a special hemostatic clamp applied) and the capsule of the nodule and its contents. The cut may be on the inside or on the outside of the eyelid, depending on where the halachion is located.
The operation is completed with another antiseptic treatment, as well as suturing( in the event that a cut of the eyelid skin was made), followed by the application of a sterile eye bandage and the prescription of an antibiotic-containing ointment.
All of the above actions take no more than 20 minutes for the operating doctor.
Modern method of removing cones on the eye of halyazion
The modern method of removing halazion is laser treatment, which consists in the fact that the doctor, after performing local anesthesia, applies the final clamp to the eyelid, and then, using a diode laser beam, cuts the capsule of the "hailstones".Such a cut is done, as a rule, from the inner side of the eyelid, and an obligatory condition for its implementation is the direction of the line of incision along the course of meibomian glands.
The next step after this dissection is the evacuation of the contents of the "hailstones".This manipulation is carried out using a special tool called a spoon of Volkmann.
After these actions, laser radiation is used again: the haljazione capsule is very carefully processed by the laser from the inside. It is necessary in order to prevent the occurrence of relapses of the disease.
At the final stage, an ophthalmic ointment with tetracycline is placed behind the eyelid, and the patient can be released home, without applying a bandage. The control examination is carried out in 2-3 days.
In the case where the postoperative scar is located in the upper eyelid in the projection of the cornea, the patient is usually assigned to wear a soft silicone-hydrogel contact lens of the required refraction for the purpose of protection. Such a measure is able not only to protect the cornea from damage, but also to correct abnormalities of refraction, if necessary.
In order to prevent the development of infectious complications in the postoperative period, the doctor prescribes to the patient an antibiotic with a wide spectrum of action. Typically, the drug in the form of eye drops.
It is worth noting that the treatment of the "hailstones" with the radiation of a diode laser is very effective, and also more reliable and the main thing is radically compared with conservative methods. In addition, the laser is applicable to seals of any size.
Compared with traditional surgery, the laser version is also beyond doubt more effective. First of all it concerns the duration of the postoperative period and the possibility of recurrence. In addition, laser treatment of halazion also benefits by being an anemic and aseptic procedure.
Halyazion burst: what to do if halyazion broke
In practice, there may be a situation that halyazion burst. At once it is necessary to note that according to the statements of the doctors this is a much better option than the resorption of the "hailstones" followed by its re-emergence. However, in itself, this is a rather unpleasant and frightening process. And quite natural is the fact that patients are always interested in the question: if halyazion broke, what should I do?
First of all, do not panic. If there was a breakthrough "hailstones", then this fact can well be called a favorable sign. This is the expected outcome of adequate treatment.
Halyazion revealed: how to break through halyazion
Nevertheless, do not relax after breaking through halyazion. Treatment must continue.
The most important measure in such cases is to provide antibacterial protection around the lesion. As a rule, to achieve this condition, it is necessary to perform treatment with antibacterial ointment( for example, tetracycline).
I must say that with this disease it is necessary to monitor the temperature of the body so as not to miss the abscessing haljazion. If the latter still takes place, then after the halyazion is opened it is required to clean the capsule. It is done only by a doctor and usually under general anesthesia.
Eye disease prevention haljazion
Prevention of haljaziona first of all consists in strict observance of hygiene. Do not wipe your eyes with dirty hands. If necessary, scratch the eyes should wash hands beforehand. Care should be taken to use contact lenses: do not wear them for longer than the prescribed time, and also change the solution in a timely manner.
If possible, avoid stressful situations, eat fully, get enough sleep, take vitamins and boost immunity. It is necessary to treat diseases that can lead to the formation of a "hailstones" in a timely manner.
Observing all these simple rules you can not only protect yourself from the halazion of the century, but also prevent the development of many other diseases.