What Are the Different Blepharitis Symptoms?

Inflammation of the eyelid margin is a chronic inflammation of the eyelid margin. Blepharitis can be caused by bacteria, seborrheic dermatitis, or local allergic reactions, and often coexist. Causes subacute or chronic inflammation of the eyelid marginal surface, eyelashes, hair follicles and glandular tissues. According to different clinical characteristics, blepharitis can be divided into three categories: scaly blepharitis, ulcerative blepharitis, and keratoconus Yuan Yan.

Blepharitis

Inflammation of the eyelid margin is a chronic inflammation of the eyelid margin. Blepharitis can be caused by bacteria, seborrheic dermatitis, or local allergic reactions, and often coexist. Causes subacute or chronic inflammation of the eyelid marginal surface, eyelashes, hair follicles and glandular tissues. According to different clinical characteristics, blepharitis can be divided into three categories: scaly blepharitis, ulcerative blepharitis, and keratoconus Yuan Yan.

Eyelid inflammation, also known as eyelid inflammation.

[Treatment]

Scaly blepharitis:

1. First remove the cause of the disease, avoid all irritants, correct refractive errors, pay attention to nutrition, exercise the body, and treat other chronic diseases throughout the body to improve the body's quality.

2. Use a cotton swab to dipped 3 ~ 4% sodium bicarbonate solution or warm physiological saline to remove the scalp skin and make the excess secretion of the meibomian glands and meibomian glands clear. Then apply antibiotic ointment on the edge of the eyelid, or smear the margin with a 1: 5000 mercury cyanocyanate ointment, 2 to 3 times a day. The medication should be applied for two weeks after recovery to prevent recurrence. If allergic to mercury or local irritation is too severe, use antibiotics or 5% sulfa eye ointment instead. If it is accompanied by conjunctivitis, antibiotic eye drops should be used.

Ulcerative blepharitis: It is more difficult to treat. Remove the scalp skin and remove the affected eyelashes daily. Use various antibiotics or sulfa eye ointment to paint on all sides. Treatment must be thorough and uninterrupted. For patients with frequent and long-term healing, bacterial culture and drug tests should be performed to select effective drugs. Severe ulcerative blepharitis can be coated with 1% silver nitrate. Rinse with saline once a day for several days.

Keratoconanitis: Improve health and physical fitness.

Eye spot application of 0.25% to 0.5% zinc sulfate solution or antibiotic eye ointment has special therapeutic effects. It can also be treated with zinc sulfate iontophoresis, and it is also effective to apply 1% Baijiangmei ointment.

Riboflavin can be taken orally throughout the body.

Traditional Chinese medicine calls blepharitis a rotten or rotten string, and those whose lesions are confined to the crotch are said to be rotten. Because of spleen and stomach accumulation warm and exogenous wind evil. Governance is mainly based on Qufeng Qingre dehumidification.

Palate palpebral inflammation: manifested as bleeding from the skin of the inner and outer palate, redness and erosion of the edge of the eyelid, and congestion of the nearby joint membrane. Mostly caused by a Mobella infection, sometimes associated with a lack of riboflavin.

Blepharitis is a more stubborn eye disease that requires patience in the treatment and can only be cured by persistent treatment. First, remove the cause, increase nutrition, and correct the bad habit of rubbing the eyes with dirty hands. If you have refractive errors, you should wear glasses to correct them.

The dandruff on the edge of the eyelid can be gently washed away with warm normal saline, and coated with 0.5 aureomycin eye ointment, or other antibiotic eye drops or eye ointment, 3 to 4 times a day. When the rim of the eyelid is crusted or ulcerated, the scalp skin should be washed and removed, and then washed with physiological saline after applying 1% silver nitrate solution, once a day, and other anti-inflammatory eye ointments or eye drops, 4 times a day. Be careful not to touch the cornea when applying silver nitrate solution, so as not to damage the cornea. For palpebral inflammation of the palate, use 0.25% zinc sulfate solution 3 times a day and take riboflavin 3 times a day at 10 mg each time to get good results. Blepharitis should be treated for 2 to 4 weeks after the cure to prevent recurrence. If trachoma or combined meningitis is present, it should be treated at the same time.

Etiology

Squamous blepharitis: It is due to the strong secretion of the eyelid sebaceous glands and meibomian glands, and even a mild infection due to sebum overflow is the cause of squamous blepharitis. Various physical and chemical stimuli (wind, dust, smoke, heat, etc.), reduced body resistance, malnutrition, insufficient sleep, refractive error, and visual fatigue are all factors that cause the disease when the eyes are unsanitary.

Ulcerative blepharitis: Ulcerative blepharitis is often an acute or purulent inflammation of the eyelash follicles, Zeis, and Moll glands caused by Staphylococcus aureus infection.

Sacral blepharitis: Angular blepharitis is a Mora-Axenfeld bifidus infection. It is often a disease of the eyes and is limited to the crotch region. It is most common in the outer crotch region. Often related to poor constitution or anemia, tuberculosis, etc. or due to lack of riboflavin.

[Clinical manifestations]

Scaly blepharitis:

1. Subjective symptoms: tingling, dryness, and itching.

2. Signs: Hyperemia of the eyelid margin, epidermal scales attached to the eyelashes and the eyelid margin surface, the eyelid margin surface may have a bit of sebum overflow, sebum collected at the root of the eyelashes, forming a yellow wax-like secretion, crusts after drying, scaling and scalp skin removal Later, the surface of the congested eyelid is exposed, but there are no ulcers and pus spots, the eyelashes are easy to fall off, and they can be regenerated. If the inflammation does not heal for a long time, it can cause the lip hydrocarbons to be obtuse after the hypertrophy of the eyelid margin, and cannot be in close contact with the eyeballs. If accompanied by conjunctivitis, swelling of the tear spots and flipping outwards may cause tears. The tears cause eczema on the lower eyelid, forcing the patient to often shed tears and eversion of the lower eyelid, which increases.

Ulcerative Blepharitis:

A lot of sebaceous glands secrete from the eyelids, and they crust after drying, and stick the eyelashes into a bunch. After the skin is removed, bleeding ulcers and small pustules can be seen at the root of the eyelashes. Because the lesions reach the sebaceous glands and hair follicles, the hair follicles are damaged, the eyelashes are easy to fall off, and it is not easy to regenerate, forming bald eyelashes, even if the regeneration position is not correct. The nearby scars shrink, forming trichiasis or eyelashes irritation, irritating the cornea; prolonged lesions can deform the lid margins. Accompanied by chronic conjunctivitis, tear overflow, eczema around the skin, and even ectropion of the lower eyelid, etc., leading to worsening of tear overflow, tears also promote eversion and chronic conjunctivitis.

Keratoconjunctivitis:

The eyelid margin and nearby skin are significantly congested and erosive, consciously dry and itchy and foreign body sensation, often associated with chronic conjunctivitis, called condylar conjunctivitis.

Etiology of blepharitis

Etiology

Squamous blepharitis: It is due to the strong secretion of the eyelid sebaceous glands and meibomian glands, and even a mild infection due to sebum overflow is the cause of squamous blepharitis. Various physical and chemical stimuli (wind, dust, smoke, heat, etc.), reduced body resistance, malnutrition, insufficient sleep, refractive error, and visual fatigue are all factors that cause the disease when the eyes are unsanitary.

Ulcerative blepharitis: Ulcerative blepharitis is often an acute or purulent inflammation of the eyelash follicles, Zeis, and Moll glands caused by Staphylococcus aureus infection.

Sacral blepharitis: Angular blepharitis is a Mora-Axenfeld bifidus infection. It is often a disease of the eyes and is limited to the crotch region. It is most common in the outer crotch region. Often related to poor constitution or anemia, tuberculosis, etc. or due to lack of riboflavin.

Blepharitis, commonly known as rotten eye, is a subacute or chronic inflammation of the surface of the eyelid, the eyelash follicles, and its glandular tissues. It is a very common external eye disease. The general clinical manifestations are increased secretion, congestion, swelling, hypertrophy, erosion, ulcers or scales of the eyelid margin. Can be divided into three kinds of scaly, ulcerative and palate blepharitis. The treatment of blepharitis is a common eyelid disease, which is usually caused by both eyes. The condition is more stubborn, and sometimes mild or severe, or easily recurrent. If you have blepharitis, you should check and treat it in time, otherwise not only the above eye symptoms, but also the complications such as eyelash loss and chronic dacryocystitis. The treatment is based on the use of 0.5% zinc sulfate solution, because it can offset the effect of enzymes produced by M. aeruginosa. Proper vitamin B6 or multivitamin B tablets may also help. For ulcerative blepharitis, the eyelashes with folliculitis must be removed before treatment can be effective. Usually pay attention to eyelid cleanliness, such as accompanied by chronic conjunctivitis or trachoma, should also be treated together. Pay attention to diet conditioning, do not eat spicy and dry products, so as not to become hot and humid spleen and stomach. Avoid dust, sand and wind. If there are usually systemic diseases such as indigestion and nutritional disorders, they should be treated in time to eliminate the causes that can cause blepharitis. Develop hygienic habits, do not rub your eyes with dirty hands. These measures have important preventive effects on blepharitis.