EYELID DISORDERS TREATMENTS |
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Stye
Styes are treated with warm-hot compresses for 10–15 minutes, three
to four times a day. Sometimes topical antibiotics may be prescribed.
If the initial treatment is ineffective, styes are lanced and
drained.
Chalazion
About 25% of chalazia will disappear spontaneously, but hot
compresses may speed the process. Because chalazia are inside the
lid, topical medications are generally of no benefit. Medication may
need to be injected by the doctor into the chalazion or if that
doesn't help the chalazion may need to be excised. If what appears
to be a chalazion recurs on the same site as any previous one, the
possibility of sebaceous gland carcinoma should be investigated by
biopsy.
Blepharitis
Blepharitis is treated with hot compresses, with antibiotic ointment,
and by cleaning the eyelids with a moist washcloth and then with
baby shampoo. Good hygiene is essential. If the blepharitis doesn't
clear up with treatment or if it seems to be a chronic problem, the
patient may have acne rosacea. These patients may need to see a
dermatologist as well.
Entropion and ectropion
Both entropion and ectropion can be surgically corrected. Prior to
surgery, the lower lid of entropion can be taped down to keep the
lashes off the eye, and both can be treated with lubricating drops
to keep the cornea moist.
Eyelid edema
Patients with swollen eyelids should contact their eye doctor. A
severely swollen lid can press on the eye and possibly increase the
intraocular pressure. An infection needs to be ruled out. Or,
something as simple as an allergy to nail polish and then touching
the eyes can cause swelling. The best treatment for allergic eyelid
edema is to find and remove the substance causing the allergy. When
that is not possible, as in the case of plant allergens, cold
compresses and immunosuppresesive drugs such as corticosteroid
creams are helpful. However, steroids can cause cataracts and
increase intraocular pressure and patients must be very careful not
to get the cream in their eyes. This should not be done unless under
a doctor's care. For edema caused by trichinosis, the trichinosis
must be treated.
Eyelid tumors
Cancerous tumors should be removed upon discovery, and noncancerous
tumors should be removed before they become big enough to interfere
with vision or eyelid function. Eyelid tumors require special
consideration because of their sensitive location. It is important
that treatment not compromise vision, eye movement, or eyelid
movement. Accordingly, eyelid reconstruction will sometimes
accompany tumor excision. |
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| EYELID DISORDERS RELATED ITEMS |
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