Lecture notes, cheat sheets
Eye diseases. Inflammatory eye diseases (most important) Directory / Lecture notes, cheat sheets Table of contents (expand) 12. Inflammatory eye diseases Signs of diseases of the eyelids are very characteristic. Patients are often concerned about itching and burning in the eyelids, eye fatigue, and there may be a change in the shape and size of the palpebral fissure, the position of the ciliary edge of the eyelids, etc. The pathology of the eyelids, unlike diseases of the eyeball, is quite easy to determine already with an external examination. Since the symptoms of inflammation of the soft tissues of the eye and the optical structures themselves are not long in coming. A sharp swelling and hyperemia of the eyelids may indicate the presence of gonoblenorrhea (in children), diphtheria, as well as an abscess of the eyelids, acute meibomitis, barley. Edema, especially in the outer part of the upper eyelid, is noted in cases of inflammation of the lacrimal gland. Pronounced "cold" edema can be with allergic conditions. When examining the edge of the eyelids, attention is paid to the features of eyelash growth, the presence of skin changes at their base, the condition of the excretory ducts of the meibomian glands. To clarify the diagnosis, carefully examine the eyelids and their position under side lighting and palpation. During the examination, attention is paid to the presence of skin lesions, which can be the entrance gate for infection. 1. Abscess of the century (abscessus palpebrae). On examination, hyperemia of the skin of the eyelids is determined, palpation reveals induration (edema, infiltration) and tissue tension, their soreness. In addition, the pre-auricular lymph nodes may be enlarged and painful. If, along with all these signs, there is local softening and fluctuation, then opening the abscess (incision) is advisable. In the absence of fluctuations, the administration of antibiotics in the form of injections around the abscess and oral administration of antibiotics or sulfonamides and UHF therapy are indicated. 2. Meibomite (meibomitis, hordeolum internum). If, when examining a patient, there is limited infiltration in the eyelid area, the eyelid is painful on palpation, and when everted through the conjunctiva, a translucent yellowish focus in the cartilage is visible, then the diagnosis of meibomitis is undoubted acute purulent inflammation of the meibomian gland. Severely leaking meibomitis can lead to the formation of an extensive abscess of the eyelid. Treatment. Warming procedures, UHF therapy, disinfectants. 3. Chalazion is a tumor-like, limited, somewhat protruding formation, dense to the touch, painful, soldered to cartilage. It usually occurs after acute inflammation of the eyelid (meibomitis) and in some cases gradually increases. Treatment of chalazion (hailstones) consists in absorbable drug therapy. However, most often it is ineffective, and then surgical removal of the hailstone in the capsule through an incision in the conjunctiva of the eyelid and cartilage is indicated, followed by treatment of the chalazion bed with an iodine solution. Author: Shilnikov L.V. << Back: Methods for detecting pathological conditions of the eye >> Forward: Barley We recommend interesting articles Section Lecture notes, cheat sheets: ▪ Pedagogical psychology. Lecture notes See other articles Section Lecture notes, cheat sheets. Read and write useful comments on this article. Latest news of science and technology, new electronics: The existence of an entropy rule for quantum entanglement has been proven
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