Blepharitis

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Blepharitis is a chronic inflammation of the edges of the eyelids. The transition of the skin to the mucous membrane of the conjunctiva is very sensitive to various factors. The most common symptom of inflammation is hyperemia, due to the significant vascular supply. Blepharitis is most often caused by staphylococcal infection or it occurs during sebborhoic dermatitis.

Squamous blepharitis

In this form of blepharitis, we observe the formation of scales between the eyelashes and increased blood flow in the entire edge of the eyelids. It takes place as a chronic inflammation accompanied by itching, burning and eye fatigue. Seborrheic eczema often appears on the skin of the eyelids. The cause is often uncorrected or poorly corrected refractive error. We observe squamous blepharitis more often in diabetics, in patients with chronic kidney disease or with inflammation of the alimentary canal. Aggravation of hyperemia manifests itself in smoky, cold or, on the contrary, warm premises.

Therapy

• Correction of refractive error.
• Removal of irritating factors.
• Mechanical removal of scales with a cotton brush.
• Rubbing the edges of the eyelids with a 3% AgNO3 solution.
• Massage with corticosteroid ointment in combination with antibiotics − sulfonamides.

Blepharitis ulcerosa

Blepharitis ulcerosa je způsobena purulentními bakteriemi, zejména streptokoky a S. aureus. V terénu již postiženém skvamózní blefaritidou se začinají tvořit hnisavá ložiska. Je patrná hyperémie, zarudnutí a zduření okrajů víček a mezi řasami vidíme zaschlý sekret. Řasy často vypadávají nebo se tvoří jizvy na okraji víček způsobující růst řas proti bulbu. Následkem zánětu vzniká jizevnaté ektropium, epifora, chronická konjunktivitida.

Terapie

• Lokální aplikace antibiotik (sulfonamidů).
• U těžkých zánětů celková antibiotická léčba.

Odkazy

Související články

• Záněty víček
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  • Chalazion
  • Hordeolum