What Is the Cause of Iritis?
Iris inflammation is called iritis (iris is the part that determines the color of the eyes). Iris is not a rare disease. It can develop at any age.
Symptoms of iris inflammation - Irisitis, eye disease, that is, inflammation of the iris. Sometimes the ciliary body behind the iris becomes inflamed together. When the iris is inflamed, the tiny white cells in the inflammation area and the excessive protein leaked from the small blood vessels in the eye float in the aqueous humor between the iris and the cornea. If there are too many cells floating in the aqueous humor, they will attack the back of the cornea and also settle in the aqueous humor. The cause of iritis is unknown. Either one or both eyes may be affected. The initial symptoms of iritis are redness, discomfort or pain in the eyes, accompanied by a slight loss of vision. If you look in the mirror, you can see the cells gathered behind the cornea with the naked eye, and the symptoms of iritis are usually not severe. Can be treated with traditional Chinese medicine, western medicine and other methods. If treated early, irisitis can be easily cured.
Basic overview of iritis
- Iris inflammation is called iritis (iris is the part that determines the color of the eyes). Iris is not a rare disease. It can develop at any age.
- Symptoms of iris inflammation
- Irisitis can be easily cured if treated early. However, it can cause complications if you do not see your doctor because of its mild symptoms. Many white cells accumulate in the aqueous humor, blocking the passage of the aqueous humor out of the eye. This can trigger acute glaucoma. Acute glaucoma can also occur if the back of the inflamed iris clings to the front of the lens and traps the aqueous humor behind the iris. Long-term iris can also cause cataracts.
- As long as your eyes show signs of unexplained redness, discomfort, or vision loss, no matter how mild the symptoms are, you should see an ophthalmologist immediately.
- Even with the earliest treatment, irisitis still recurs. However, in most cases, irisitis subsides completely and the patient's vision is somewhat impaired.
Classification of iritis
- Iritis
- Primary iris inflammation is mostly caused by iris damage and irritation of parasites in the eye; secondary irisitis is secondary to various infectious diseases (such as influenza, adenosis, foot-and-mouth disease, glanders and bovine malignant catarrhal fever) It may also be the result of the spread of inflammation in adjacent tissues. Suffering from shy eyes, tears, warming, and severe pain. The iris is swollen and deformed due to vasodilation and inflammatory exudation, the texture is unclear, and it loses its inherent color and gloss. The anterior chamber of the eye is cloudy due to accumulation of exudate. Due to the turbid degeneration of the aqueous humor and the dilation of the anterior ciliary artery, corneal nutrition is affected, so the cornea is slightly diffusely cloudy. Because of sphincter spasm of the pupil and swelling of the iris, the pupils often shrink, and the reaction to mydriasis is slow. Post-adhesion tends to occur due to pupil shrinkage and poor regulation.
Symptoms of iris inflammation
- The initial symptoms of iris are redness of the eyes, feeling discomfort or pain, and the accompanying symptoms are a slight loss of vision. If you look in the mirror, you can see the cells gathered behind the cornea with the naked eye, and the symptoms of iritis are usually not severe.
Iritis
Irisitis treatment principles
- If you have iritis, the sooner you treat it, the easier it will be to treat the disease and the less likely it will be a complication.
- Eye Anatomy
- Even with the earliest treatment, irisitis still recurs. However, in most cases, irisitis subsides completely and the patient's vision is somewhat impaired.
- The difference between iritis and red eye
- In the early stage of irisitis, the symptoms are the same as those of red eye disease (acute conjunctivitis in medicine). Both have red eyes. Therefore, the old experience thinks that it is also red eye disease, just a few days of anti-inflammatory potion is good, if you die, it will be good by the seventh day. This approach is wrong, and the reason for the mistake is not to understand the difference between the two diseases:
- First, red eye disease has a lot of eye feces (eyes) and no iritis.
- Secondly, the red eye disease is caused by the redness of the white eye film around the black eyeball, while the irisitis is particularly red here, like a red ring around the periphery of the black eyeball.
- Irisitis is one of the ophthalmic emergencies, which develops rapidly, can cause adhesions and atresia behind the pupils, and can easily lead to blindness, which cannot be delayed! Don't forget that irritation with irritation and irritation is serious. Red eyes with eye shit (eyes) are mostly mild-red eye disease.
Irisitis medication principles
- 1. In general, the treatment of acute iris ciliary body inflammation is mainly treated with atropine dilated pupils, correct eye drops and oral indomethacin treatment. If necessary, dexamethasone bulb subconjunctival injection can be used for treatment.
- 2. For severe cases or patients with granulomatous inflammation, systemic therapy with corticosteroids such as intravenous infusion or oral dexamethasone can be added, and immunosuppressive agents such as cyclophosphamide can be added for the cases in which systemic hormone therapy is not effective;
- 3. Caused by infection can be treated with antibiotics such as penicillin;
- 4. Patients with complications such as glaucoma and cataract can consider surgery.
Irisitis treatment plan
Chinese medicine treatment of iritis
- 1. TCM treatment formula for those with liver-heat and wind-heat type: In addition to eye performance, it also has dizziness, tinnitus, pain in both sides, yellow urine, red tongue, thin yellow coating, and pulse strings. Use freshly made Chai Lian Tang Hua to cut away wind and heat. Recipe: 10 grams of Bupleurum, 10 grams of Coptis chinensis, 10 grams of Scutellaria baicalensis, 10 grams of Vitex negundo, 10 grams of paeonia lactiflora, 10 grams of mangosteen, 10 grams of nepeta, 10 grams of windproof, 15 grams of red peony, 15 grams of habitat, 15 grams of Salvia miltiorrhiza, 15 grams of Weiweizi, 12 grams of gentian, 6 grams of Mutong, 6 grams of licorice, decoction.
- 2. TCM treatment formula for those who suffer from liver and gall blazing: accompanied by irritability, redness, dizziness, dysfunction, burning pain, red tongue, yellow fur, and pulse strings. Use Longdan Xiegan Decoction to clear the liver and gallbladder. Medicinal Chaihu 12 grams, 15 grams of gentian, 10 grams of scutellaria baicalensis, 10 grams of gardenia, 6 grams of diarrhea, 10 grams of psyllium, 15 grams of radix rehmanniae, 6 grams of mutong, 6 grams of licorice, decoction . If the eyes are more painful, you can choose Danpi, Chiba, Puhuang cooling blood to remove blood stasis; if the mouth is bitter and constipated, the yellow liquid is flushed, it is advisable to add raw plaster, Zhimu, rhubarb and other clear diarrhea and fire.
- 3. TCM formula for rheumatic fever: It also has sore limbs, especially the joints. In case of wind chills, the symptoms worsen, the tongue is red and greasy, and the pulse is floating. Use yinyang wine to detoxify to eliminate wind and dampness and clear heat, medicinal solitary 10 grams, 10 grams of crickets, 10 grams of phobia, 10 grams of peony, 10 grams of wind, 15 grams of vitex, 15 grams of weiweizi, 10 grams of Scutellaria baicalensis, 10 grams of Coptis chinensis, 10 grams of gardenia, 10 grams of Cork, 20 grams of Hanshui Stone, 20 grams of Rehmannia glutinosa, 6 grams of Zhimu, 6 grams of licorice, decoction.
- 4. TCM treatment formula for those with liver and kidney yin deficiency: Accompanied by softness of waist and knees, insomnia and more dreams, five upset fever, hot flashes, night sweats, red tongue and less moss, pulse count. Use Qiju Dihuang Decoction to nourish the liver and kidneys and clear the leader. Medicinal wolfberry 15g, raw radix rehmanniae 15g, mangosteen meat 15g, paeonia 10g, timid 10g, cork 10g, ligustrum 15g, hyssopus 15g, chrysanthemum 15g, weiweizi 15 grams, licorice 6 grams, decoction.
Western medicine treatment of iritis
- The primary cause of irisitis is rheumatism. Use anti-rheumatic drugs such as aspirin and rheumatism; tuberculosis patients undergo anti-diarrheal treatment; for patients with tonsil, periodontal and sinus infections, timely control of inflammatory infections is necessary. Bacterial culture is performed to select sensitive antibacterial drugs.
- 1. Fever Therapy
- Intramuscular injection of 5 to 10 ml of fresh milk caused the patient to have a fever of 38 to 39 ° C and reinjected every 20 days.
- 2. External governance law
- (1) Drop heat-clearing and detoxifying eye drops: such as Scutellaria baicalensis eye drops or 10-50% mile light eye drops.
- (2) Local hot compress: 50 grams of whole grass grass, add 300 milliliters of water, fry to 100 milliliters, heat the affected eye with the filtrate, and relieve the pain.
- (3) Topical use of pupil dilators: Drug dilation can be used to dilate pupils at the beginning of the onset of the disease, which can prevent the lack of pupils and a series of complications caused by it, and can also relieve eye pain. Use 1% atropine or ointment, 1-2 eye drops per day; if the pupils still cannot be fully dilated, use 1% atropine 0.3 ml, lidocaine 0.2 ml, and Adr 0.2 ml. Hitomi.
- (4) Local anti-inflammatory: take cortisone or dexamethasone, take eye drops every 1-2 hours, and apply eye ointment every night for those with severe inflammation, use cortisone acetate or prednisone 5-10 Mg, or dexamethasone 2.5 mg for subconjunctival injection, 1 to 2 times per week.
- 3. Acupuncture therapy
- (1) Body acupuncture: Select Tongming, Zhuzhu, Tongzizhu, Sizhukong, Ganshu, Zusanli, Hegu, etc.
- (2) Ear acupuncture: Acupoints such as ear tips, Shenmen and eyes can be taken.
Irisitis prescription
- [Prescription 1] 0.1 to 0.2 ml of atropine sulfate, 10 ml of distilled water, and eye drops 6 times a day.
- [Prescription 2] 0.05% adrenaline solution, click the eye.
- [Prescription 3] 0.5% cortisone eye drops.
- [Prescription 4] 0.5% chloramphenicol eye drops.
- [Prescription 5] 0.5% neomycin eye drops, click the eye.
- [Prescription 6] 0.5% chlortetracycline eye drops.
- [Prescription 7] 0.5% erythromycin eye ointment is applied to the affected eye.
- [Prescription 8] 0.5% chlortetracycline eye ointment is applied to the affected eye.
- Clinical manifestations of eye damage caused by ankylosing spondylitis
- Eye damage is the most common joint manifestation of ankylosing spondylitis. It is more common in acute anterior uveitis and acute iritis, and acute conjunctivitis can also occur. Eye damage is usually an acute attack, usually unilateral onset. About 25% to 30% of patients develop eye damage at some stage after the illness, and some patients have eye damage that occurs before ankylosing spondylitis arthropathy. Children Patients with ankylosing spondylitis have a lower incidence of eye damage than adults. If iris adhesions occur, pupil contraction, irregular edges, decreased intraocular pressure, and eye tenderness can occur. The above-mentioned eye diseases are mostly unilateral and multiple, and can occur simultaneously or alternately on both sides. Each attack lasts about 4-8 weeks. If timely treatment usually does not leave sequelae and has little effect on vision, such as improper treatment or delayed treatment, vision impairment can also occur.
Iriditis precautions
- Irisitis often affects the ciliary body behind it and triggers iridocyclitis. The cause of irisitis is unknown, and treatment must first identify the cause. You should go to the hospital immediately for signs of unexplained redness, discomfort, or vision loss, no matter how mild the symptoms are. The sooner you get irisitis, the easier it is to treat the disease and the less likely it is to cause complications. Drug use also needs to be applied under the guidance of a doctor. In daily life, pay attention to the use of reasonable and hygienic eyes. Do not be tired when combining work and rest. Pay attention to time when watching TV and read books. Do not use excessive eyes.
- The diet should be light, eat less fat, high sugar, fried foods, do not eat potatoes, do not drink irritating beverages such as coffee and coffee, eat less hair and spicy foods such as chili. Eat more vegetables, fruits, fiber foods, and drink plenty of water. Keep warm during treatment to avoid colds. Individuals have different physical conditions and some will relapse, so they must be checked regularly at the hospital.
- Keep your mood comfortable, ensure good sleep, strengthen physical exercise, jog, and play Tai Chi.
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