Meibomite, or as it is also called "internal barley", is an ophthalmic disease caused by inflammation of the upper and lower eyelid meybomic glands located in the thickness of the cartilaginous plates, which develops due to the ingress and subsequent development of pathogenic coccolous flora in them. In its current meibomite happens chronic and acute. The development of this disease is caused by the dysfunction of meibomian glands, most often accompanied by excessive secretion and in most cases is observed in patients with chronic eye irritation (contact lenses, smog, smoke, etc.), dry keratoconjunctivitis, seborrheic dermatitis and rosacea .
Acute meibomite in its course is very similar to the symptoms of barley, but with it, the infectious infection on the eye organs has a deeper effect. With the acute form of meibomite, the lesion of the eyelid is not observed from the margin, as in barley, but in the depth of the cartilaginous tissue that can be observed during the eversion of the eyelid. Often this form of the disease develops with systematic non-observance of eye hygiene and frequent hypothermia (open windows in the car, prolonged exposure to air conditioning, etc.). Acute meibomite is prone to frequent relapses, which are usually observed against a background of low immunity and general weakening of the body. In most of these cases, acute meibomite degenerates into chronic and almost always accompanied by conjunctivitis.
Chronic meibomite is manifested by the thickening and reddening of the edge of the affected century. Through the hyperemic infiltrated conjunctiva, there are enlarged thickened yellowish meibomian glands. In the corners of the eyes, as well as at the edge of the eyelashes, the formation of grayish-yellowish crusts is observed. The mutated secret of meibomian glands in case of contact with the conjunctival cavity often causes chronic conjunctivitis .
The clinical picture of acute meibomite is very similar to that of common barley. However, the pathological process is localized in the depth of the cartilage, and not from the edge of the century, as in barley. On the part of the conjunctiva, spontaneous dissection is sometimes observed. In case of urgent need, also from the side of the conjunctiva along the course of the meibomian glands, surgical opening is often performed. Sometimes, in patients along the edge of the lower eyelid, a peculiar foam may appear, resulting from the beating of excess fat in a tear by the blinking movements of the eyelids.
Treatment of this disease can be both operational and conservative. In acute cases, undoubtedly, the observation of a qualified ophthalmologist is indicated. Treatment of the acute form of meibomite is usually carried out with tetracycline ophthalmic ointment and disinfectant drops of 20% albucid. In addition, dry heat and ultraviolet radiation are used.
In the case of a developed extensive process, operative opening of infiltrates with simultaneous excision of the glandular capsule is performed. For complete rapid resorption of infiltration and subsequent soft scarring, the spreading of eyelid edges with yellow 1% mercurial ointment and lotion from lidase helps a lot. During the treatment, during the exit to the street, a dry aseptic bandage should be attached to the affected eye. When thickening the secretion of meibomian glands, the reception of 4 r. in the day of tetracycline by 0.25 g or 2 r. per day of doxycycline for 0.1g. for fourteen days.
Very well in the treatment meibomite proved popular medicine, which in the chronic course of the disease often comes to the fore. Below we give the most effective recipes for the infusions and fees used to treat this extremely unpleasant ophthalmic disease.
Anti-inflammatory restorative infusions. One part of the nettle and one part of the birch leaf is displaced and crushed thoroughly. Three tablespoons of the received collection to fill in 3 tbsp. water, bring to a boil, boil no more than 1 minute, then insist for three hours and drain. Received infusion take before eating 4 r. a day for 150 ml. The duration of the course is three weeks, after which it is necessary to make a two-week break and repeat the treatment. According to the identical scheme, the following collection is prepared and accepted: it is necessary to mix in root the burdock root, walnut leaf and elderberry flowers.
Make lotions and rinse the eyes well with sage and chamomile infusion. To prepare it it is necessary as follows: sage and chamomile in equal parts to mix and grind, after which one teaspoon of the received mixture to fill in 1/2 cup of water, bring to a boil, boil for about one minute, then for one hour to insist and strain. Eye wash involves instilling in this infusion five times a day for twenty drops. Particular attention should be focused on the fact that this infusion should be prepared daily, because You can only wash your eyes with freshly prepared. After washing, the edges of the eyelids are recommended to be treated with tincture of calendula.
In order to prevent possible drying of the cornea, which is often enough for a meibomite, it is recommended to instill at night two drops of peach or sea-buckthorn oil into the eyes (the procedure is performed before recovery).