Barley on the eye
Barley on the eye is an infectious process on the eye, manifested by acute leakage. Barley begins its development due to the entry into the follicle of the ciliary hair or to the meibomian gland of infectious agents. Barley is the most common disease among eye infections. It is proved that during the life of barley, about 85% of the population. Barley is very often formed in children and adults around 35-55 years.
The course of barley is usually acute, which can be manifested by a severe pain syndrome in the inflamed eye. The identification of barley does not present significant difficulties and consists in the internal examination of the affected eye. The formation of barley on the eye is not considered a simple cosmetic problem, but represents a serious infectious disease, therefore its treatment should be treated with the utmost care.
Complications of barley may present severe purulent-septic lesions of the eyes and a protracted course of the disease, becoming chronic. It is important in the treatment of differentiating barley with another process on the eye (halyazion, swelling or adipose tissue).
Barley on the eye of the cause
Barley on the eye occurs due to the penetration of pathogenic pathogens into the sebaceous gland or the follicle of the eyelash hair. The sebaceous glands of the age are also called meibomian glands. They have the property of clogging, thereby worsening the course of barley. Pathogenic bacteria in the development of barley include staphylococcus aureus and streptococcus. Normally, these microorganisms inhabit a certain proportion of the human skin and make up about 10% of the positive microflora composition. At certain factors, they can begin their reproduction, penetrating and spreading to healthy surrounding tissues. In certain cases, the cause of the development of barley on the eye may be a demodex mite, which is considered a conditionally pathogenic inhabitant of the skin. Microscopically, this tick resembles a worm in the size of 0.1 to 0.5 mm. As a rule, he lives at the mouth of the hair follicle in mammals and humans, but can migrate to the ducts of the glands that produce the sebaceous secret on the skin of the face, into the meibomian sebaceous glands. You can also find demodex on the surface of the skin, which does not cause any skin diseases. But, for example, with a decrease in immunity, allergic reactions to the products of its vital activity can be caused, which manifest as a disease of acne (acne) or barley on the eye.
Barley on the eye begins with the fact that pathogenic organisms enter the duct of the sebaceous gland or into the follicle of the eyelash hair, which leads to clogging of the excretory canal. This channel opens into the hair follicle, and because of its obstruction the inflammation of its walls and the formation of purulent contents begin. The penetration of pathogenic bacteria into the hair follicle and into the meibomian gland cavity is promoted by inadequate observance of the rules of personal hygiene (wiping the face with soiled towels, scratching the eyes with unwashed hands, microtraumatizing the eyelids during combing, applying decorative cosmetics of bad or questionable quality, using decorative cosmetics after another person and t .P.)
Separately, the role of immunodeficiency states in the development of barley on the eye should be highlighted. Experts argue that a decrease in immunity contributes to the onset of purulent-inflammatory processes on the skin. Many factors lead to such states. Separate primary immunodeficiency and secondary.
Primary is congenital, it occurs in about 5% of patients with immunodeficiency and is caused by severe developmental defects, cardiovascular diseases, disruptions in the endocrine system.
Secondary immunodeficiency occurs most often. Occurs in certain diseases. It is worth mentioning that the term "immunodeficiency" in itself means a decrease in immunity in the human body and a decrease in the body's resistance to bacterial and viral infections. Immunodeficiency is caused by chronic foci with infection (tonsillitis, adenoiditis, sinusitis , sinusitis, hepatitis , cholecystitis, etc.). Also, parasitic infestations contribute to a decrease in immunity. Manifestations of barley on the eye are just observed when infection with trichinosis or toxocar. In trichinosis, especially at the onset of infection, barley appears on both eyes with severe swelling in some cases. Rubella, toxoplasmosis, ascariasis is sufficiently pronounced to suppress immune defense in the body, therefore, carriers of toxoplasm can often observe barium recurrence on the eye. HIV infection gradually suppresses the growth of lymphocyte killers, which are involved in resistance to infections. With HIV, there is a chronic course of not only barley on the eye, but also other bacterial infections on the skin.
The presence of diabetes mellitus increases the risk of barley several times. Blepharitis , a particular chronic course, is often complicated by the development of barley on the eye. Presumptive factors are also considered: seborrheic dermatitis , furunculosis , gastrointestinal tract diseases, hyperlipidemia, vulgar acne, stressful situations, hypovitaminosis, conjunctivitis .
Barley on the eye symptoms
There are two types of localization of barley on the eye. Outer barley is detected more often and is characterized by the inflammatory process of the sequential, or as they are called, malleus glands, which produce a specific secret that performs a protective function on the surface of the eye. These glands are located in the root zone of the eyelashes. The consequence of blockage of the molluscum gland by its own fat secret is the occurrence of infection in it and the appearance of edema on the eyelid.
Internal barley on the eye, or meibomite , develops as a result of the clogging of meibomian sebaceous glands. They are located in the thickness of the inner age. The process of inflammation with internal barley on the eye affects the cartilaginous plate of the eyelid. With frequent relapses of barley, the eye is said to develop into a chronic stage. Chronic internal barley on the eye contributes to the appearance of a halazion.
Barley on the eye is represented as a single rash, and the form of numerous rashes, which can affect two eyes at once. But, numerous and often occurring barley appear when the infectious process spreads from one follicle in the hair to another. This, most often, occurs in elderly people or people with severely weakened immunity (HIV infection, malignant formations, chronic viral hepatitis, etc.)
The growth of barley on the eye occurs in a short time, usually characterized by a sharp current. The signs of barley on the eye at the beginning of the inflammatory process are: itching on the edges of the eyelids; the appearance of hyperemia and swelling on the eyelids; pain syndrome, which is observed in the state of rest, and is strengthened when pressing on the inflammatory site. Sometimes, puffiness on the eyelids can be so severe that a patient with barley can not open a sick eye. The development of numerous barley can be accompanied by febrile temperature, body aches, chills, headache , increased submandibular and parotid lymph nodes.
In the course of the disease, a pustule forms in the focus of inflammation on the barley, when the pain subsides, the pain subsides. With the spontaneous opening of barley, the cavity is emptied of purulent contents. After that, all the signs of barley on the eye gradually disappear. Infectious and inflammatory process with the growth of barley can take up to 7 days.
The inner barley on the eye is localized in the thickness of the cartilage, which is located in the inner side of the eyelid. It is determined by turning the century. It looks like a local redness and swelling of the conjunctiva. Approximately, three days later, as the barley develops through the mucous membrane of the century, a purulent exudate of yellow-green color begins to appear. Independent autopsy of the inner barley on the eye occurs from the area of the conjunctiva. Later, leafy granulations begin to grow on the mucous membranes.
When barley is formed on the eye, an ophthalmologist should be consulted and consulted as soon as possible. Often, the diagnosis of external or internal barley on the eye is not difficult and is carried out through a full-time examination with the eversion of the eyelids when illuminated from the side.
If the patient has frequent relapses of barley, then consultations of physicians of other specialties (gastroenterologist, endocrinologist, dermatologist, immunologist and therapist) will not be superfluous; the determination of the amount of glucose in the capillary blood and the passage of the test for glucose tolerance (for the study of diabetes mellitus); microscopic examination of eyelashes for a demodex mite and study of feces for parasite eggs. Bacteriological examination of the secretion from the conjunctiva is also performed to determine the pathogenic pathogen in barley on the eye and the blood test for sterility.
With barley, complications can occur. In no case should it be necessary to squeeze out purulent contents from barley. In such a case, the infectious process can penetrate into the deep veins of the facial and eye skin. Also, there may be numerous abscesses on the eyelids, phlegmons of the eye sockets, meningitis, thrombophlebitis of the vessels of the orbital eyelids, sepsis.
Barley on the eye, which did not give in to timely treatment, or treatment was performed incorrectly, can develop into a stage with frequent relapses, mostly of a chronic nature.
Barley on the child's eye
Usually barley in a child is characterized by hyperemia and swelling at the edge of the eyelid, with time the puffiness increases until the appearance of the papule. The entire process of infection develops specifically in the area of the hair follicle of the eyelash. With the development of puffiness in the eye of the child, the narrowing of the eye is observed, which makes it difficult to open.
Barley in the child on the eye in the absence of treatment can lead to the fact that the vision of the child can significantly suffer. The general condition of the baby is characterized by subfebrile temperature, headache, chills, the eyelid can twitch and be accompanied by pain syndrome.
Factors for the appearance in a child of barley can be presented: helminthic invasions, allergic reactions, conjunctivitis, diseases of the stomach and intestines, etc. In children, the immune system is not sufficiently ripe for rejection of the pathogenic flora, therefore the development of barley is observed more often than in adults. Decreased immunity can also be provoked by hypothermia, overheating, frequent colds and chronic foci of infection ( adenoids , tonsillitis and otitis).
Pathogenic microorganism in the occurrence of barley is also considered staphylococcus aureus.
The first action of parents in the appearance of barley in children before the eyes should be an appeal to the children's oculist. The sooner the child is shown to a specialist, the sooner the treatment will be prescribed. With the proper treatment of barley on the eye, the child can be recommended sulfanilamides, the dosage of which is selected taking into account the age of the patient, as well as his body weight. In this case Albucid drops have proved to be very good. To the local methods of treating barley, you can include an ointment with Tetracyclin or Levomycetin ointment. Such ointments work well on the pathogen of infection, significantly reducing the development of barley in a child.
The child also can develop internal barley, which must be treated in a hospital. May prescribe antibiotics for a wide range of effects orally or intramuscularly, taking anti-inflammatory drugs. In addition to conservative treatment, surgical intervention is used, which is used in the internal barley on the eye in a large number of cases. Barley undergoes opening and drainage with antiseptic preparations.
Barley on the eye treatment
Barley on the eye is considered an inflammatory disease caused by cocco flora. As a rule, with external barley resort to a conservative method of therapy, and with internal barley may need surgery. Often, when barley is recommended antibiotics. First of all, preference is given to drops with antibacterial action. To such drops it is possible to carry a preparation Albutsid which helps not only at treatment of barley on an eye, but also perfectly acts as a preventive agent at various inflammatory processes on eyes (a conjunctivitis, a blepharitis). Still a good antibacterial action for the elimination of barley has a solution of Erythromycin or Penicillin, and with intolerance to the penicillin group of antibiotics, it is replaced with Gentamicin. It should be buried in both eyes 1% solution of these drugs. At the beginning of the development of barley on the eye, should be instilled into the eye every three hours.
Also, droplets with Levomycetin, which also have a wide spectrum of action, are considered to be good drops in the treatment of barley. They are very effective in treating barley, in a short time they remove the inflammatory process in the area of the affected eye, reduce the area of the infiltration. Antibacterial agents of the latest generation of Ciprolet and Tobrex, which contain the main active ingredient tobramycin from the aminoglycoside group, have also proven themselves well. Drops with barley should not be buried in the eyeball itself, but in the conjunctival sac.
When treating barley, you can also recommend the use of ointments. But they differ from the drops in that they are not so convenient to apply to the area affected by barley. But, unlike droplets, the ointment when applied to barley does not spread, but quickly begins to interact with the pathogenic flora in the focus of infection due to its thick consistency. Usually, with barley, Tetracycline, Erythromycin, Hydrocortisone ointment is prescribed. For easier application in pharmacies, you can buy an analogue of ointments - antibacterial gels, for example, Blefarogel. Both ointment and gel are applied directly to the lower eyelid, despite the localization of barley.
At numerous formations of barley or at occurrence of an internal barley on an eye, the patient should pass treatment in the conditions of a hospital. In some cases, they can perform an autopsy of an internal barley in an outpatient setting in an ophthalmologist's office. But in the severe course of barley, it may not only require surgery, but also the use of antibacterial and anti-inflammatory drugs. Surgical intervention is performed at the initial stage by opening the barley on the eye. After it, rejection of a purulent stem and contents with pus is observed, after which the barley cavity is drained with antiseptics. The intervention is performed under local anesthesia with Novocaine, Ledocaine, Ultracaine, and the like.
After opening the barley, the patient is given a course of antibiotics, which include: Ceftriaxone IV or IM, Gentamicin IM, Azithromycin PO, Amoxiclav PO, Penicillin IM, etc. In addition to systemic exposure, apply local application of antibacterial solutions, a drop or ointments on the area with barley. Simultaneously with antibacterial drugs, anti-inflammatory and restorative drugs are used: Sodium Thiosulphate IV, Vitamin C, Vitamin B6, B1, nicotinic acid. Immunomodulators are prescribed in the form of rectal suppositories or IV injections, Viferon 500000 units, Cycloferon according to the scheme w / m, Polyoxidonium according to the I / O scheme.
Barley on the eye how to heal
You can treat barley in the eye in various ways. When the development of barley begins, it is possible to significantly shorten the time of its formation by applying a compress to the barley area. It is done this way: a small piece of sterile cotton wets in vodka, as it should be squeezed out and applied to the reddened skin area near the root of the eyelashes. On top, you need to put a large piece of the same sterile cotton wool and fix it with a bandage. Keep such a compress on the barley need no more than 10 minutes. With internal barley, this method is contraindicated, since it can lead to a burn of the mucous membrane of the eye.
Also, the usual dry heat can be an effective tool in the treatment of barley on the eye, especially in its initial stage. For example, take a regular chicken egg, cook it for about 15 minutes, wrap it with gauze and apply it to the affected eye. Hold the egg with your hands until completely cooled. Children also use this method in the reddening stage of the century, but since the child is difficult to persuade to treat any disease, you can offer him a small game. Explaining that - "Testicle has a magical power with which to cure not only the eye, but also the tummy." And you can offer to eat such a "medicine" after being supported on the affected eye. But it's worth to know that if there is a purulent exudate in the cavity of barley - dry heat can not be used. Thus, one can simply intensify the processes of suppuration.
If there is conjunctivitis or if barley on the eye has acquired purulent flow, then you can instill in the eye a solution of 1% Levomycetin or apply ointment with tetracycline. If there is a sequential occurrence of barley or they affect both eyes at once, then it is necessary in addition to consulting the oculist to undergo a study to determine the level of sugar in the capillary blood, because such rashes of barley can serve as an indirect sign of diabetes. In the early stages of carbohydrate metabolism, the sugar level in the blood can be high only after taking carbohydrate food (simple carbohydrates), which is also a physiological process in the metabolism. But at the initial stage of metabolic disorders such elevated indices do not decrease for a long time, when at the normal sugar level in the blood, they return to normal state during the course of digestion of carbohydrates within two hours. Also, in such cases, a glucose tolerance test is carried out, that is, the curve is measured with the sugar level. This test is done in stages: first it is done on an empty stomach, after which the patient is allowed to eat 100 grams of sugar and at intervals of one hour they make repeated blood fetuses until normal values are determined. Normally, the test for tolerance should not be more than 3 hours, if it is measured for a longer time, then they speak about the first stage of diabetes mellitus.
Barley on the eye folk remedies
Folk methods in the treatment of barley on the eye can also show positive results. Preventive medicine in the old days in the treatment of barley was considered a gold ring. It is necessary to take a gold ring, which was worn long enough and sit in front of the mirror. You should try to catch a ring of a ray of reflection in the mirror, or in other words, a sunny bunny. After it was possible to catch it, it is necessary to point at the affected eye and blink at this place. They say that after such an action barley will not begin its further development, but regress back. This method is particularly successful at the stage when barley is in the stage of hyperemia and itching.
Compresses with a warming effect are also widely used as a method of traditional medicine. They should be used only in the initial stage of barley formation. The effect of warming compresses can be explained by the flow of blood to the affected area due to the impact of the compress. The application of compresses with alcohol-containing drugs is unacceptable in the treatment of barley in children.
It is possible to apply to the affected eye compress with a warming effect from the prepared decoction of chamomile. You can buy chamomile flowers in the filter packages in the pharmacy. Pour two filter packs with boiling water, allow to stand for about 15 minutes with the lid closed, after, the infusion can be drunk, and after the cooling the filter packs are applied to the eye affected by barley. This method quickly removes the swelling and flushing caused by barley on the eye.
It is good to apply warming compresses with boric acid, which is moistened with an average piece of cotton wool, wrapped in medical gauze and pressed against the inflamed place.
A pack of boiled potatoes, which are kneaded and laid in gauze, can help in maturing barley on the eye. Also, you can warm flax seeds in a warm frying pan, pour them into a kerchief, tie up and apply for a few minutes to the affected area on the eye.
Medicinal herbs can also be an area of good anti-inflammatory effect on the course of barley on the eye. For the manufacture of infusions of herbs should be taken enamelware, which is pre-sterilized beforehand. Prepared infusions must be filtered through a certain number of layers of gauze sterile or bandage. Apply to barley on the eye you need infusions on sterile cotton wool. Also, you need to know about the possibility of allergic reactions to medicinal herbs. For this, the prepared forehead can be used to treat the forearm area and wait 2-3 hours. If there is redness or itching in this area, then such a medicinal dose should not be applied as attachments.
At treatment on an eye of barley it is possible to apply to it a fresh root of a burdock in the grated kind. You can use tea from a large mug.
Take several sheets of plantain, rinse with running water and apply to the inflamed eye with barley several times at intervals of five minutes, changing the leaves.
Take 15 grams of herb flax ordinary, steamed in 300 ml of boiling water and leave for 1 hour. Apply as an overlay with impregnated cotton swabs on the barley.
To reduce the pain syndrome in the affected eye and relieve inflammation, phytotherapists recommend instilling in the conjunctival sac prepared drops from the ovum grass. To prepare such drops, take 50 g of drug eye, 50 grams of chamomile flowers. Half of this mixture is poured into 250 ml of boiling water and insisted for 15 minutes. Cooled infusion filtered through a triple layer of sterile gauze and instilled by pipetting into the affected barley eye 3 drops three times a day. The resulting gruel from such infusion is laid out on a gauze napkin, wrapped and applied to the eye. Top with a dry layer of cotton wool and keep about 10 minutes (before cooling down).
Take one teaspoon of fennel seed, grind to a powder and pour 500 ml of boiling water, bring to a boil and, taking off the fire, insist five minutes. In this broth, a sterile swab is moistened, squeezed and applied to barley several times a day.
It helps to remove the signs of barley on the eye of aloe drug. Cut the middle leaf of aloe, rinse under running water, squeeze the juice and dilute it with drinking water in the proportions of 1:10. Apply in the form of lotions for barley several times a day. You can also make an infusion of aloe in this way: the middle leaf of medicinal aloe is finely chopped and poured into 250 ml of cold drinking water. Insist 5 hours, decant and make applied to the affected eye twice a day.
Take 15 g of calendula marigold, pour 250 ml of boiling water, leave in a warm for 40 minutes and filter. They are used as a superimposition on the eye affected by barley. You can also apply compresses from pharmacy tincture, which is diluted with water boiled in the proportion of 1:10.
You can use washing with infusion of birch. Take a teaspoon of birch buds or 30 g of birch leaves and pour 250 ml of boiling water. Tumble on a slow fire for about 25 minutes. Washings are done 5 times a day.
You can make compresses from the bug cherries. Take 15 grams of dry flower cherry blossoms and steamed a glass of boiling water. Insist and filter. The compresses are carried out several times a day, until the compress is completely cooled down on the barley-affected eye.
Ointment from barley on the eye
Ointments in the treatment of barley on the eye are not inferior to drops. The composition of ointments includes antibacterial drugs, for example, Levomycetin. From barley on the eye apply ointments: Tetracycline, Hydrocortisone and Erythromycin. Ointments are more convenient to apply with the expectation that they do not have the property to spread, but concentrate in the focus of inflammation. Ointments are applied with clean hands. At the tip of the little finger, a small amount of ointment is squeezed out, the lower eyelid is drawn and an ointment is applied to its inner side, and the look needs to be turned upward so as not to hit the eyeball with a finger. After application, you need to close your eyes and blink a little.
It is possible to consider more in detail ointments for the treatment of barley on the eye.
Erythromycin ointment for the treatment of infection-inflammatory process in the eye area. This ointment is a substance of antibacterial action, which has a bacteriostatic effect on pathogenic pathogens. The active substance is erythromycin. To him is a sensitive a large number of pathogenic and conditionally pathogenic microorganisms. Ointment with erythromycin does not have a bacteriostatic effect on fungi and on viruses. It should be remembered that the viral nature of the disease is treated exclusively with antiviral drugs. Apply erythromycin ointment in the therapy of conjunctivitis of bacterial, conjunctivitis of chlamydial, keratitis, blepharitis bacterial, trachoma of eyes, barley of various localization.
Ointment with erythromycin is applied to the edge of the lower eyelid and left for a certain time. This procedure should be carried out three times a day. The course duration of treatment is made by an ophthalmologist and largely depends on the nature and severity of barley. As a rule, it does not exceed 14 days. Contraindications in the treatment of such ointment are severe disorders of kidney and liver, as well as allergic manifestations.
Erythromycin ointment can cause irritative and allergic manifestations. With prolonged use, hyperstability to erythromycin of pathogenic microorganisms may occur. When interacting with other medicinal products, for example, antibacterial agents of penicillin, cephalosporin group, erythromycin ointment can reduce their effect. Also, with the combined use of erythromycin ointment for external barley forms on the eye and substances that have an abrasive action or substances that cause skin peeling , an irritating and drying effect can be observed.
In pregnancy, the use of this ointment is not recommended for lack of data on its use during pregnancy. But with the appearance of barley on the eye in the last trimester of pregnancy, the appointment of ointment with erythromycin is advisable, while observing that the expected benefit for the mother is more the occurrence of side effects and unpleasant effects on the fetus. Ointment with erythromycin can also be prescribed for newborn children with conjunctivitis and barley on the eye.
Hydrocortisone ointment in the treatment of barley on the eye should be applied in accordance with the attached instructions, to avoid drug overdose and side effects. Ointment is sold in specialized departments and pharmacies for 3 and 5 grams in tubes. Hydrocortisone ointment includes 0.5 g of hydrocortisone acetate and components of an auxiliary action: nipagin, medical Vaseline.
Ointment with hydrocortisone removes hyperemia and swelling from the eyes with barley, helps reduce inflammation in the infectious focus, has antihistamine action, reduces the accumulation of leukocytes and lymphocytes in the inflammatory focus.
This ointment is used for uveitis, barley of different localization, sympathetic ophthalmia, dermatitis of the eyelids, blepharitis, conjunctivitis, keratoconjunctivitis, prevention of postoperative complications on the eyes, reduction of neovascularization and restoration of the transparent layer of the cornea after chemical and thermal burns, keratitis.
Contraindications to its use are: glaucoma of primary nature, the period of vaccination, intolerance of the components of the ointment, pregnancy , the period of breastfeeding, viral and fungal diseases of the eyes.
The ointment is applied to the edge of the lower eyelid three times a day. Duration of application is no more than 14 days, but, depending on the severity and localization of barley can be continued. Treatment is carried out only under the supervision of an ophthalmologist. It is worth remembering that during the use of hydrocortisone ointment, the use of contact lenses is not recommended. When combined with eye drops, a 15-minute interval should be observed. If there is glaucoma, monitor the pressure inside the eyes.
The use of ointment with hydrocortisone in children should not exceed more than a week, since the risk of systemic exposure to hydrocortisone on the body is higher.
Tetracycline 1% ointment is used for inflammatory processes of the eye, such as blepharitis, the initial stage of barley on the eye, conjunctivitis, episcleritis and keratitis. This ointment is used exclusively for infectious processes of the superficial shells of the eye. Usually, the use of tetracycline ointment does not cause side effects, but sometimes hypersensitivity symptoms appear due to intolerance to tetracycline antibiotics. Consultation of an ophthalmologist is also necessary when using tetracycline ointment. Contraindications to its use are: children under 12 years of age, pregnancy and lactation period.
Ointment with 1% tetracycline is superimposed on the very sick eyelid or on its lower edge 5 times a day. The best way to use is to delay the lower eyelid with squeezing out the ointment from the tube to the lower arch of the conjunctiva. Long-term use of tetracycline ointment is not recommended because of the possible attachment of a fungal infection.