Eye diseases. Barley (most important)

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Eye diseases. Barley (most important)

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13. Barley

Barley is a purulent inflammation of the hair follicle or sebaceous gland of the edge of the eyelid, located at the root of the eyelash. The causative agent is most often a representative of the pyogenic flora, mainly staphylococcus aureus. Infection is facilitated by blockage of the excretory duct of the gland with a secret, as well as a decrease in the overall resistance of the body and diabetes mellitus.

Clinical picture and diagnosis. It is characterized by the appearance of a circumscribed and sharply painful swelling near the edge of the eyelid, which is accompanied by swelling and redness of its skin and (often) the conjunctiva. The inflammatory formation grows quite quickly, and after two to four days it undergoes purulent melting, which can be determined by the appearance of a yellow head at the top of the stye. On the third or fourth day, its contents (pus, dead tissue) break out, after which the pain immediately decreases and the inflammation subsides. Swelling and redness of the skin disappear around the end of the week.

In some cases, the inflammatory formation consists of several closely spaced or merged heads. In such cases, barley can occur against the background of intoxication, high temperature, and regional lymphadenitis.

A similar clinical picture is observed in acute purulent inflammation of the meibomian gland, meibomite, however, the breakthrough of pus usually occurs from the side of the conjunctiva and cartilage, after which granulations (connective tissue) often grow. Streets with low body resistance barley is prone to recurrence and is often combined with furunculosis.

Complications of stye can occur due to orbital phlegmon, thrombophlebitis of the orbital veins, purulent meningitis, which is most often associated with attempts to squeeze pus out of it.

When examining the eyelids, their hyperemia, swelling, density and pain are revealed, i.e. the picture resembles a limited abscess or acute meibomitis. However, upon closer examination, the inflammatory focus is determined in a limited area of the ciliary edge of the eyelid in the form of swelling and hyperemia at the root of the eyelash. Usually after three to four days the inflammatory focus suppurates and opens.

Treatment. Dry heat and UHF are applied locally. A 23% solution of albucid, a 20% solution of erythromycin, and a 1% solution of dexamethasone are instilled into the conjunctival sac 0,1 times a day. The area of infiltration (inflammation) on the skin of the eyelid is lubricated with a 1% alcohol solution of brilliant green.

After opening the stye, 2% albucidal ointment (sodium sulfacyl), 20% syntomycin emulsion, 1% tetracycline ointment, 1% hydrocortisone emulsion, 1% yellow mercury ointment are applied to the eyelids 1 times a day.

If the disease is accompanied by symptoms of intoxication, sulfanilamide preparations are administered orally 1 g 4 times a day or tetracycline antibiotics (biomycin 100 IU 000 times a day, tetracycline or terramycin 46 g 0,25 times a day).

With recurrent barley, the patient is shown a thorough examination.

Author: Shilnikov L.V.

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