Halyazion is a tumor-like neoplasm in the thickness of the eyelid that occurs as a result of blockage of the ducts. Further development of haljazion - edema and chronic inflammation of the sebaceous glands or as it is customary to call - meibomian glands. The glands are inside the eyelid, their the number can reach up to 70 in each. They help moisturize the eyeball, forming a tear film consisting of fatty acids, and also prevent the evaporation of tears from the surface of the eye. Therefore, when the gland canal overlaps, it prevents the secret from escaping, which accumulates in the sebaceous gland, thereby creating an inflammatory process.
In ophthalmology, the disease occurs frequently. Halyazion can occur in children, and in a more mature age.
One of the reasons for haljazion can be elementary non-observance of personal hygiene. A category of people who simply ignore water procedures in the morning and evening before going to bed, rubbing their eyes with dirty hands. Incorrect use of contact lenses also provokes this disease. This is a fairly common reason for the development of haljazion.
A common cause is the appearance of a haljason in place of barley. This occurs with improper and inadequate treatment, and sometimes its absence at all, so there are repeated relapses that can be complicated by a halasion. This is facilitated by low immunity and insufficient resistance of the body to various infections.
Hormonal disorders also provoke the appearance of this pathology, a frequent cause is diabetes , or excessive skin and sebaceous glands, as a result of congenital diseases.
Strangely enough, the reasons for the haljazion include the presence of an anamnesis of diseases of the gastrointestinal tract. These include dysbacteriosis , biliary dyskinesia, enterocolitis, chronic gastritis .
Halyazion can appear on the upper, lower eyelid, or on both at once. It has the form of a compacted formation in the form of a knot. At the beginning of the disease, the clinic is similar to barley, so it is easy to confuse, but a competent expert will make the correct diagnosis when examined. After the first two days, the symptomatology changes. When it is enlarged in size, the area of redness is clearly visible, and sometimes it is absent - a swelling in the eyelid is visualized. The skin is easily displaced, and the seal remains in place. The seal can reach up to 8 mm in diameter.
On the inner side of the eyelid there is hyperemia with a central part of gray color. At palpation the condensed site is painless. In some cases, multiple formation of halyazions is observed immediately. If the process of suppuration begins, then the clinical manifestations will be expressed in lacrimation, itching and soreness when touched.
A rise in temperature, edema of the mucosa and an increase in the size of the tumor itself are possible. This causes visual impairment, because of the size of the formation, the cornea is squeezed. Probably, spontaneous opening of a haljazion with allocation of purulent contents outside. Thus, the fistula develops. This outcome still does not exclude surgery, because the disease has not disappeared and has not passed, halyazion only decreased in size.
Halyazion of the upper eyelid
Disturbance of the sebaceous glands of the upper eyelid leads to blockage and outward release, as a result of which a seal is formed in this zone. When you join the infection, it increases in size. This can be the allergic reactions that exist before, as well as mechanical trauma to tissues - contact lenses, false eyelashes, substandard cosmetics.
Treatment of haljaziona is spent after careful inspection and survey by the doctor. With timely treatment, an ophthalmologist appoints a treatment that consists of the use of eye drops based on an antibiotic, hydrocortisone or mercury ointment, and the introduction of corticosteroids such as Dexamethasone 0.5 ml into the cavity of the chalasia. or the Kenalog solution in the same dosage. Physiotherapy procedures, including UHF therapy and lamp irradiation, are also used.
Independently patients can perform a massage of the century in circular motions, neatly with a fingertip, after your doctor explains in detail how it is carried out. From the traditional medicine can use compresses of chamomile. Such therapy of haljazion is prescribed provided that the course of the disease is not complicated. It is possible to use various folk methods if your doctor is aware of the procedures and objections.
Halyazion of the lower eyelid
With the halasia of the lower eyelid, the excretory ducts, which are in the course of the growth of the eyelashes, cease to function normally, the secret outflow is blocked outward. Because of this, education appears the size of a pea.
Halyazion of the lower eyelid resembles in appearance and by first signs barley. At the end of 1-2 days, it usually increases in size, with a visual impairment, and soreness at the site of localization, which was not observed at first. The causes of this disease can be immunodeficiency, frequent cold and viral diseases, diabetes, as well as elementary failure to comply with personal hygiene.
With anamnestic data of this kind, chaliazion can take a chronic form, which means frequent relapses. In this case, you should not carelessly treat your health and support it with vitamin therapy and immunostimulating drugs. You need to go to a medical institution and get a qualified help from an ophthalmologist. The doctor will necessarily inspect and form a further treatment tactic in this case. The most important thing is not to start the process, ignoring it and hoping that everything will pass by itself. This will only aggravate the situation.
Treatment of haljaziona is carried out locally with the appointment of eye drops and hormonal ointments, as an addition physiotherapy is connected. As a rule, the forecast is favorable. In case of running cases, it is recommended to carry out the operation. It is performed on an outpatient basis and takes only 20 - 30 minutes.
Halyazion in a child
Very often there are diseases of the eyelids in children. Usually it is barley, blepharitis , but there is also haljazion. In each century, we have about 30 glands that go to the edge of the century, providing a tear film to protect the eye. If the gland inflames, its work is violated, therefore, the nodular formation is manifested - this is haljazion. It can be easily detected at the first appearance, if it is localized closer to the outer surface of the eyelid, since a defect in the form of a convexity is visible. If the formation is located deeper, closer to the cartilaginous division of the conjunctiva, it is not immediately possible to see and detect it.
The child's habit of rubbing the eyes with dirty hands is one of the reasons for the appearance of the halazion. It's not a secret for anyone that childhood colds and viral diseases are frequent guests, it also provokes an insidious disease.
When a haljazion is detected, single and multiple lesions can be observed. Parents should know that self-medication should not be dealt with, but it is necessary to consult a doctor. Home treatment haljaziona only provokes the infection and aggravate the process of the disease. After all, the earlier visit to the doctor, the more likely to undergo conservative treatment, avoiding surgery.
Treatment is carried out with the appointment of corticosteroid drugs, in the form of ointments and disinfectant drops. It is possible to introduce a drug into the cavity of the halazion itself, this contributes to a gradual resorption of the focus. If the case is started or there is no effect from the therapy, then they resort to an operative intervention. When the capsule acquires a more dense shape and is painless, it is excised. Under local anesthesia, the capsule is eliminated, the incision is not visible, since it is carried out from the inside of the eyelid.
The therapy is carried out under the supervision of the doctor and is appointed depending on the stage of the haljazion. At the first signs you can limit yourself to warm compresses, applying them to the affected area up to 4-5 times a day. The massage is carried out gently with the pincushion of the finger in circular motions. This can help the rapid release of the accumulated secret, provided that the process of encapsulation has not yet begun.
It is better to undergo a course of treatment of halazion with the appointment of a mercury ointment and special drops for the eyes. It is possible to insert into the cavity of the capsule itself corticosteroid preparations, for example, Kenalog. It has anti-edematous and anti-inflammatory effect. To maintain the effect and improve the overall picture, we use polarized light with a Bioptron device, a helium-neon laser to relieve inflammation, and UHF therapy.
Some people prefer treatment of halazion with folk remedies. Of course, the choice is for everyone, but still it is worth first consulting with your doctor. For treatment often use cold lotions of boric acid, broth of dill and chamomile. It is better if the compresses are warm. The althaea medicinal is popular. To do this, the roots of the plant are crushed and filled with cold boiled water, after 8 hours, you can wash the eye with this solution. You can also lubricate the affected area with aloe or calanchoe juice.
Radical method of treatment of haljazion includes carrying out of operation. It is carried out quickly and painlessly for 30 minutes, under local infiltration anesthesia.
If the methods of conservative treatment do not give a positive effect or the case is severe and neglected, resort to surgery. The operation is simple and takes little time. It is carried out on an outpatient basis in compliance with the rules of asepsis and antiseptics. Let us analyze the stages of the operation.
1. To begin with, the processing field is treated with an antiseptic, that is, the part of the person where halyazion has appeared.
2. Then infiltration anesthesia is performed - subcutaneous layer-by-layer administration of the preparation with a thin needle, usually insulin. For anesthesia, Lidocaine, Novocain, Bupivacaine are used.
3. A special clamp is applied to prevent bleeding.
4. Depending on where the capsule is located, a cut of the tissues from the inside or from the outside is performed.
5. The capsule, together with the contents, is removed by vyluschivaniya.
6. The wound is treated with an antiseptic solution. If nevertheless it was necessary to make a cutaneous incision, it is necessary to impose seams.
7. Once again, the cut zone is treated and a sterile ointment dressing is applied to the eye.
After the operation, bruising and swelling will be present at first, after a few days everything passes.
A wonderful alternative to a scalpel is a laser. The operation begins with the instillation of special anesthetic drops. The laser cuts the capsule of the halazion, removing it completely. Everything, the operation is over. The advantages and advantages of this method are many. First, it is less traumatic, and secondly, bandages are not required, since the operation is bloodless, the seams are also not superimposed. Only in rare cases, when the scar zone, when touching the cornea, brings discomfort, a special lens is worn for several days. As a rule, such patients are discharged immediately. After carrying out such manipulation, you can not wet your eyes. If the usual surgery can still happen a relapse, then when using a laser, the problem is solved once and for all.