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What to do if barley is brewing on the eyelid. Internal stye on the lower eyelid: treatment, possible causes and consequences

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Internal stye on the eye (meibomitis) is an inflammation of the meibomian glands as a result of pathogenic microorganisms entering them.

The likelihood of developing the disease increases if the glands do not function properly and produce large number secret.

Internal styes can occur on both the upper and lower eyelids. IN in rare cases the disease can affect both eyes.

Causes of internal stye

The causes of internal styes are:

Symptoms of the disease

Meibomitis can be acute or chronic. In its symptoms, it resembles external styes, and inflammation occurs not at the edge of the eyelid, but in the depths of the cartilage.

At acute form The disease develops the following symptoms:

At chronic form The disease has the following symptoms:

Thickening of the affected eyelid;
Burning, redness, itching;
When the eyelid is everted, a yellowish thickening is observed;
The secretion of the meibomian glands becomes similar to toothpaste with a yellowish tint;
Often, in the chronic form of the disease, conjunctivitis occurs as a result of irritation of the conjunctiva with secretions from the inflamed gland;
There is an increase lymph nodes.

You can learn more about external stye.

Treatment of internal stye

At timely treatment If you consult a doctor, you can get rid of styes inside the eyelid using medications:

Antibacterial eye drops: , Tsipropharm, Tsiprolet, Normax. They are dripped into the affected eye 3 to 6 times a day, according to the instructions;
Antibacterial eye ointments: , Phloxala. The ointment is applied behind the eyelid 3-5 times a day;
Combined drugs that contain antibiotics and hormones: Maxitrol.

IN complex treatment apply dry heat or physiotherapeutic procedures. In this case, you should not use compresses, which can cause complications of the disease.

Before carrying out the procedures, it is necessary to cleanse the eyes of crusts and discharge that collect in the corners of the eyes. This can be done using a furatsilin solution. If necessary, your doctor may prescribe oral antibiotics such as doxycycline or tetracycline.

For general strengthening appoint vitamin complexes, which contain vitamins A, E and group B. Special benefit in this case, they can bring brewer's yeast in tablet form.

If conservative treatment does not give the necessary results, the abscess is opened in outpatient setting. Under local anesthesia A clamp is applied to the eyelid, the abscess is removed and the affected area is lubricated with Lugol's solution. In this case, no stitches are applied.

At frequent relapses diseases, it is necessary to check the sterility of the blood and glucose levels, and also seek advice from a gastroenterologist, endocrinologist and immunologist.

Treatment of internal stye on the lower eyelid

There are 20 to 30 meibomian glands in the lower eyelid. Their openings are visible on the inside of the edges of the eyelids in the form of small pinholes.

In any case, the causes of the disease are the same, it is infection by touch with dirty hands, violation of personal hygiene rules when storing and wearing lenses.

The symptoms of the disease are practically no different from meibomitis of the upper eyelid.

Swelling, redness, and pain also appear in the affected area, which, when proper treatment disappear within 3-5 days.

Treatment of internal stye on the upper eyelid

The cartilage that forms the framework of the upper eyelid contains 30 to 40 meibomian glands. In most cases, patients experience internal stye exactly on upper eyelid.

To treat the disease, the same drugs are used as for the treatment of meibomitis of the lower eyelid.. These are drugs, mainly active substance which is an antibiotic, act directly on the causative agent of the disease.

When you know how to cure internal stye on the eye, it is important to follow hygiene rules to avoid complications.

Complications

If you do not start treatment on time or neglect the doctor’s recommendations, the following complications are possible:

The acute form of the disease can become chronic, and further illness will regularly escalate, delivering discomfort;
As a result of a severe form of the disease and the accession secondary infection an abscess may occur requiring surgery;
A complication of meibomitis can be or;
Thrombophlebitis of the orbital veins;
Cavernous sinus thrombosis;
Inflammation meninges;
In the most severe cases, the disease can cause visual impairment or death.

Most often, complications arise when you try to squeeze out the contents of an abscess yourself.

Rules of eye hygiene in case of illness

In order to quickly get rid of the disease, you must follow these rules:

At the first signs of the disease, you should consult an ophthalmologist.

Internal stye is one of the most common ophthalmological diseases. Scientific name such a disease is hordeolum internum or hordeolum. Spicy inflammatory process flows from the inside of the eyelid. This disease is caused by staphylococcus. Identifying a problem in time helps to deal with it faster.

Stye on the eye - causes of appearance

Provoke the occurrence of this disease can various factors. Styes on the eye may have the following causes:

hypothermia of the body;
disruptions in the endocrine system;
anemia;
problems in the digestive tract;
neglect of personal hygiene rules (using someone else's cosmetics);
prolonged stay in a very dusty room.

Internal stye - symptoms

The clinical picture of such acute inflammation is pronounced. It has the same symptoms as external barley. The first signs may even go unnoticed. These include itching and tingling. If they do not disappear, but, on the contrary, increase in their manifestation, this is an alarming signal. Photos help you see what internal stye looks like on the eye. The following symptoms are typical for this disease:

the appearance of swelling;
the formation of a cone in the area where the internal stye is localized;
blurred vision;
headache;
increased body temperature;
formation of foamy fluid along the edge of the eyelid;
pain when blinking and so on.

Internal stye on the upper eyelid

With such acute inflammation, an abscess forms on the meibomian gland. A secret accumulates inside him. A couple of days after the barley appeared on inside century, a “head” forms on the hardened area. Externally, such barley is very similar to eels. 2-3 days pass and the abscess breaks through: the secretion accumulated inside the inflamed lump comes out.

Internal stye on the lower eyelid

Such a lesion is much more severe than external inflammation. The risk of complications increases significantly, so you should not treat internal stye yourself. At the first alarms should contact a qualified medical care. If internal stye on the eye is not treated correctly, there is a high risk of relapse. An experienced ophthalmologist will select effective drug and will describe the scheme for their use. When combating such acute inflammation, much attention is paid to strengthening the body's immune forces.

How to treat internal stye on the eye

This acute inflammation may be a sign of a more serious problem in the body. It is unwise to delay contacting an ophthalmologist. An experienced doctor knows how to treat internal stye. However, before starting this procedure, he will prescribe the patient an examination, which will include the following manipulations:

scraping for bacteriological research to identify the causes of the disease;
antibacterial sensitivity test;
examination of eyelashes (to exclude the possibility of damage).

In addition, to get a complete picture, certain tests may be prescribed that help diagnose certain diseases. One of these diseases is diabetes mellitus. This disease is often caused by internal or external styes. Streptococci love sweet environments, so when high rate glucose in the blood, these microorganisms feel comfortable. They multiply and grow intensively, causing acute inflammation of the eyelids. To identify diabetes mellitus A blood test may be ordered to determine glucose levels.

The patient's immune system can also be affected by HIV infections. To diagnose such ailments, the following studies are prescribed:

blood test for infections;
use of test strips for express diagnostics and so on.

Pathology of the gastrointestinal tract also contributes to weakening of the immune system: food is less absorbed, as a result the body does not receive enough useful substances. The following studies are used to diagnose these diseases:

stool analysis;
Ultrasound of the abdominal cavity;
general blood test.

If an ailment is identified that provokes the appearance of barley, it must be treated. This minimizes negative impact illness on protective system body and stop relapses. After this, internal stye on the eye is treated. It includes the use of effective pharmaceutical drugs, which must be prescribed by a doctor. Additionally, traditional medicine can be used.

Eye drops for stye

Albucid;
Penicillin;
Tobrex;
Gentamicin;
Levomycetin.

To treat hordeolum with these medicinal solutions was most effective, you need to follow these instructions:

Do not instill cold drops.
Hands should be thoroughly washed and dried before the procedure.
The solution must be instilled into both eyes - the sick one and the healthy one, otherwise the infection will spread.
The procedure can be performed in any convenient position. The main condition is that you need to tilt your head back.
After instillation, you need to close your eyes and move your pupils a couple of times.
The frequency of procedures is prescribed by the doctor. The duration of treatment depends on the severity of the disease.

Eye ointment for stye

Drug treatment should be prescribed exclusively by a doctor. Self-medication is dangerous! Internal stye on the lower eyelid is treated using the following ointments:

hydrocortisone;
tetracycline;
erythromycin and so on.

If hordeolum occurs, treatment should be carried out taking into account the following rules:

During the treatment period, you should stop using contact lenses.
At medical procedures There should be no cosmetics on eyelashes and eyelids. The skin around the eyes should be cleansed.
Before using the ointment, you need to make sure that the product has not expired.
The drug should be stored in a cool place.
Before applying the ointment or gel, hands should be thoroughly washed with antibacterial soap and wiped dry.
For greater effectiveness, the use of this drug should be combined with instillation, but the interval between such procedures should be at least 30 minutes.

Antibiotics for barley on the eye

These medications may come in the form of eye drops or ointments. The use of antibiotics helps to achieve quick results in the treatment of barley. In some cases, the doctor may decide on the need to prescribe drugs of this group in the form of injections. The doctor knows how to cure an internal stye on the eye, so he prescribes antibiotic therapy if the patient experiences the following symptoms:

intoxication of the body (as evidenced by elevated temperature);
multiple inflammatory foci;
manifestation of the first symptoms of complications.

Folk remedies for stye on the eye

These methods do not replace drug therapy, but only complement it. A wide variety of folk remedies for barley can be used:

warm compress (chamomile infusion);
eye wash (infusion of calendula or sage);
lotions (leaves or burdock);
drinking plenty of drinks with high content vitamin C (rose hip tea);
warming with dry heat ( boiled egg or salt) and so on.

Surgical removal of stye

At advanced stage hordeolum surgery is considered the only way out. Conducted surgery on an outpatient basis. The operation to remove stye from the eye consists of the following steps:

Treatment of the hordeolum localization area with an antiseptic.
Carrying out infiltration anesthesia.
To prevent bleeding, the surgeon uses a special clamp - it is attached to the upper or lower eyelid(depending on where the barley is located).
Tissue dissection is performed.
By peeling, the capsule with the contents inside is removed.
Treating the wound with an antiseptic.
Stitching.
Treat the area where the operation was performed with an antiseptic.
A sterile dressing is applied.

Internal stye - consequences

If immune system the body works well, there are no problems when fighting the disease. Internal stye (provided that all doctor's instructions are followed) goes away quickly. At weak immunity the likelihood of complications increases. For this reason, internal barley treatment involves a comprehensive approach: not only combating the source of inflammation, but also increasing the body’s defenses. This takes a little longer, but minimizes the negative consequences.

Stye on the eye occurs on the upper and lower eyelids. It is an acute purulent inflammation of the hair follicle or sebaceous gland at the root of the eyelash. Stye on the eye is caused by pyogenic microbes – most often staphylococcus.

In this article we will talk about how to properly and quickly treat stye at home. folk remedies and about the treatment of stye on the eye medical procedures and medications at home and in the clinic.

External stye

An eye stye looks like this: in a limited area near the edge of the eyelid (upper or lower - where the inflammatory process is localized) redness with painful swelling appears. The inflammatory infiltrate quickly increases, the eyelid swells, and sometimes conjunctivitis (inflammation of the conjunctival mucous membrane) of the eyeball joins the stye.

Somewhere on the second or third day, the infiltrate purulently melts, the tip of the swelling becomes yellowish. On the third or fourth day, the head of the inflammation - barley - breaks out with the release of pus and necrotic tissue, after which the pain immediately decreases, the inflammatory phenomena subside.

Swelling and redness of the skin disappear after a week. Sometimes the inflammatory infiltrate consists of several adjacent or fused heads. In such cases, barley is often accompanied by headache, increased body temperature, and swelling of regional lymph nodes.

Described clinical picture characteristic of the so-called external barley.

Internal stye

Internal stye on the eyelid has a similar course. It is associated with purulent inflammation meibolian glands, so the breakthrough of pus usually occurs from the side of the conjunctiva and cartilage, that is, inward. After opening, granulations often grow. Often, in immunocompromised individuals with reduced body resistance, barley appears one after another, and its combination with furunculosis is not uncommon.

Complications

Barley in rare cases can be complicated by phlegmon of the orbit, thrombophlebitis of the orbital eyelids, even purulent meningitis(inflammation of the meninges). These dangerous complications may occur after attempts to squeeze out pus from an abscessed stye.

How to quickly treat stye at home

To make the abscess break out faster: at the very beginning of the disease, when a tingling sensation appears along the edge of the eyelid, you need to find the most painful point and moisten it three to five times a day with 70 percent alcohol or cologne.

To do this, you can use a glass rod, the end of which is tightly wound with cotton wool. At the same time, apply dry heat. The easiest way to do this is to hard-boil an egg, wrap it in a clean handkerchief, and apply it to the eyelid. Or pour into a small bottle hot water, wrap and use it as a mini eye warmer. Try not to heat yourself eyeball, if possible.

Sunbathing: when a stye appears, or the beginning of local local swelling of the eyelid, take sunbathing between 10-11 o'clock in the afternoon daily for 15-20 minutes.

Dry heat: When ripening barley, dry heat must also be applied. Warming with high frequency currents (UHF) works especially well. It is also necessary to inject a 20% solution of albucid, a 1% solution of erythromycin, and a 0.1% solution of dexamethasone into the conjunctival sac 2-3 times a day. Instead of infiltration, the skin of the eyelids can be lubricated with 1% alcohol solution brilliant green.

After opening an abscess : after opening the stye, 20% albucidal ointment (sodium sulfacyl), 1% syntomycin emulsion, 1% tetracycline ointment, 1% hydrocortisone emulsion, 1% yellow mercury ointment are applied to the eyelids 2 times a day.

Compress warming it is forbidden! It is not recommended to apply a damp warming compress to barley, since wetting the skin leads to its maceration and penetration of infection into the openings of the excretory ducts of other sebaceous glands, which can lead to a recurrent course of inflammation.

Antibiotics. If the disease is accompanied by fever and general malaise, it is necessary to use sulfonamide drugs orally 1.0 g 4 times a day, and even better - tetracycline antibiotics (biomycin 100,000 units 4-6 times a day; tetracycline or terramycin 0.25 g 3-4 times a day).

Don't squeeze out the stye! Sometimes a ripe stye needs to be opened by making an incision in the skin, which has been thinned by pus. Under no circumstances should barley be squeezed out. This can lead to the spread of infection into the deeper parts of the eyelid and even the orbit.

For recurrent styes, it is necessary to conduct a thorough examination to identify common predisposing diseases (diabetes mellitus). General strengthening treatment is carried out to increase the body's resistance. Courses of treatment with antibiotics, vitamin therapy, sometimes repeated transfusions of canned blood and autohemotherapy are indicated.

Traditional treatment of barley at home: folk remedies

Eyebright. It is used externally for blepharitis, eye stye and conjunctivitis. Pour three teaspoons of eyebright leaves with 2 cups of boiling water. Leave for 2 hours, strain. Use as eye baths, rinses and rinses.

For barley, tired eyes that have lost their shine, 3 tablespoons of flowers blue cornflower pour a glass of boiling water, leave for two hours, strain. Use in eye baths and eye lotions for 20-30 minutes.

Styes appearing on the eyelids are first treated with cold compresses. boric acid, and then with hot compresses from decoction of flaxseed.

Aloe(agave). 5 g aloe (one medium leaf) leave in a glass for 8 hours cold water, strain. Use the infusion as a lotion on the eyes. The duration of the procedure is 15–20 minutes.

Calendula(flowers). Use infusion and tincture of calendula. The infusion is prepared as follows: pour 15 dried flowers with a glass of boiling water. Leave for 1 hour, strain. Use during illness in the form of baths and lotions. Do the procedure 2-3 times a day.

How to cure stye with medications and procedures

Treatment: Under no circumstances should you squeeze out the inflammatory lesion! This will cause pus to enter the brain.

How to cure a stye on the eye (on the upper or lower eyelid):

extinguish the stye area ethyl alcohol 7 °C;
Albucid - instill 1-2 drops into each eye 4-6 times a day;
dry heat (when using, for example, tea lotions, baked onions);
eye ointment with antibiotics (tetracycline, chloramphenicol, erythromycin);
calendula tincture. Pharmaceutical drug. The tincture is diluted boiled water 1:10, make lotions. Calendula is considered good remedy for pustular eye lesions.

For recurrent barley - autohemotherapy, vitamins, oral antibiotics. By using these remedies, you will quickly cope with the disease.

Video on the topic

Styes on the upper and lower eyelids: causes and treatment

A short video about the causes, symptoms and treatment of styes of the upper or lower eyelid.

How to cure stye on the eyelids with Floxal ointment

These glands are a type of sebaceous glands, they produce an oily fluid, and their ducts come to the surface on inner surface eyelids in the form of small holes. Sometimes, at the site of the exit of the duct, the frozen discharge is visualized in the form of a small ball and even resembles a cyst. Sebaceous glands Zeiss have a direct connection with the hair follicles of the eyelids, and Moll's glands are transformed sweat glands. Also in cartilage tissue century there are accessory lacrimal glands.

Causes of stye

Barley refers to purulent inflammatory reactions, the causative agent of which is predominantly staphylococcus. External barley is often a complication, and internal barley is often the result of infectious material entering the ducts of the meibomian glands. Barley often develops in patients with weakened immunity (primary and secondary), against the background of diabetes mellitus, hypovitaminosis, diseases digestive system(in particular with a tendency to constipation), anemia. Against the background of accompanying aggravating factors, barley is prone to recurrence, and is sometimes accompanied by general furunculosis, blepharitis and acne vulgaris.

Symptoms of stye

External stye. At the very beginning of the development of inflammation, the patient may feel a painful point in the area of the edge of the eyelid. Next, a painful and limited swelling appears, and the surrounding skin turns red. After this, an increase in eyelid edema is noted, and an increase in the size of the preauricular glands is also possible.

Sometimes stye is accompanied by only slight swelling of the eyelid, and in some cases, on the contrary, it leads to intense pain. The swelling may be very severe to the point that the patient is unable to open his eyes. Intensity pain syndrome usually correlates with the intensity of edema.

Already 2-3 days after the onset of the disease, purulent contents form at the site of swelling, which is represented by the head yellow. After the pus breaks through, the pain gradually subsides.

A breakthrough of pus usually occurs on the 3-4th day of the disease. After a week, the swelling and redness decrease and then disappear. A small scar sometimes forms at the site where the barley breaks out, but more often the disease goes away without a trace.

Internal stye. The symptoms of internal styes are generally similar to the previous description. However, the inflammatory process is localized mainly on the inner surface of the eyelid and occurs in its thickness. With internal barley, pain and swelling will be quite pronounced, but purulent contents form in the area through which the ripe head can be visible. More often, emptying of the cavity with internal barley occurs in the conjunctival sac.

Barley refers to purulent inflammatory reactions, the causative agent of which is predominantly staphylococcus.

Complications of stye

Both external and internal styes often lead to a lymphatic reaction of nearby lymph nodes, sometimes hyperthermia, general malaise, and headache occur. In some cases, very serious complications: purulent inflammation, thrombosis of the cavernous sinus and orbital veins, septicemia, inflammation of the meninges. Usually fatal complications result from improper treatment and attempts to eliminate pus on your own. In this case, infected blood enters the orbital veins, and from there to the brain.

It is important to remember that attempting to empty a purulent sac on your own is deadly and can lead to irreparable consequences.

In some cases, the patient simultaneously develops several foci of barley, which then merge and lead to the development of an abscess. In this case, the risk of developing fatal complications increases.

Treatment of barley

Under no circumstances should you self-medicate; you must visit a specialist.

Treatment of barley in the initial stage

On early stages Diseases are treated using:

Dry heat. At the same time, the impact is most effective blue or UHF. Compresses and lotions should not be used, as there is a risk of developing skin maceration and spreading infection to surrounding tissues.
Lubricating the skin with 70% alcohol or brilliant green (1%). The procedure is repeated 1-3 times a day.
Instilling drops into the eye (floxal, chloramphenicol, ciprolet, dexamtazone) or putting ointments (floxal), which also have an effect. Sometimes combined drugs are used (in ointments and drops).

Treatment in the abscess stage

In the stage of abscess formation and with high risk to develop complications, the following methods are used:

Frequent instillation of eye drops (floxal, chloramphenicol, tsiprolet), ointments (floxal, tetracycline, hydrocontisone) and combination drugs(tobradex).
Systemic antibiotics used for hyperthermia ( penicillin series or wide range). Sometimes they are used intravenously or intramuscularly.
Surgical treatment includes opening and drainage of the purulent focus. Usually a small incision is used for this skin or conjunctiva at the site of the suspected breakthrough. The cavity is washed with an antiseptic solution.

Treatment of recurrent styes

If barley is prone to recurrence and occurs together with other purulent skin lesions, then the following therapy should be used.

Stye on the eye is a disease of the eyelids, accompanied by purulent inflammation hair follicle . Edema, painful sensations and redness are obvious symptoms of the disease. Basically, inflammation occurs due to bacterial infection as a result of weakened immunity, cooling, vitamin deficiency. This swollen ball of pus cannot be hidden cosmetics. It is necessary to treat stye on the eye in a timely manner in order to prevent the development of infection. For effective treatment It is necessary to identify the cause of the disease in order to eliminate such trouble in the future.

Treatment

A stye on the eye usually goes away on its own within a few days. In this case, it does not need to be treated with medications. If there is no improvement, then you need to move on to more radical actions.

Two days later, pus appears in the form of a yellowish head. After another two days, the swelling breaks through and the pus comes out. After a week, the redness decreases and disappears, sometimes a scar remains in place.

Folk remedies

There are a lot of popular and effective methods among the people, including:

rolling out a warm egg. That's enough safe way treatment. In this case, you do not need to put too much pressure on the eye, because the membrane of the abscess may burst
washing with herbal solutions. If the first signs of illness appear, you need to rinse your eyes clean water. You can also make compresses from a solution of chamomile, burdock, plantain, aloe vera and calendula;
gold treatment Roll out the barley with gold decoration several times;
warming up. Reducing the size of styes and reducing pain can be achieved using ultraviolet radiation in medicine, and at home they simply apply salt in a bag, heated in a frying pan. Too much hot salt may cause burns, so control the temperature. If the barley has already opened, then the warming procedure cannot be done. This may result in a slower healing process.

Use traditional methods need to be under the strict supervision of a doctor, because the most simple remedies may cause harm. If the above methods do not bring any results, then drug treatment is necessary.

Eye drops

This disease is infectious, so the disease must be treated with antibiotics:

"Albucid" is the most effective drug;
"Levomycetin" - the use of the solution brings an unpleasant burning sensation;
erythromycin (1%);
penicillin (1%);
ciprofloxacin;
"Tobrex" - this product can be used by pregnant women and children.

For maximum effect you need to drip correctly. It is better for someone to do this, but if this is not possible, then you need to get the hang of it yourself. First you need to warm them up in your hand. With one hand, you need to pull the eyelid and drop it into the inner corner of the eye to distribute it throughout the eye.

Ointments

Ointments will help cure stye faster, as they promote the maturation of inflammation. They need to be placed behind the edges of the eyelid.

tetracycline ointment;
erythromycin;
hydrocortisone.

They also need to be applied correctly. Small quantity apply ointment several times a day. At first, it will look like frosted glass in front of you. Before using the ointment, wash your hands thoroughly. Application: pull the lower eyelid with your left hand, leaving a pea of ointment in conjunctival bag. It is recommended to alternate ointments and drops at the same time with an interval of one hour. You can replace the ointment with a gel, which has a liquid consistency. If such treatment does not bring results, this means that the disease is advanced.

Antibiotics

If swelling, fever, or enlarged lymph nodes appear, doctors recommend taking antibiotics and drugs to strengthen the immune system. The most common are:

ofloxacin, amoxil;
echinacea, propolis;
multivitamins.

Cauterization

Some people cauterize the inflammation with alcohol or brilliant green. The procedure must be carried out carefully, because otherwise you can cause a burn to the mucous membrane of the eye. It is better to contact professionals who will perform an examination under sterile conditions. This will kill the infection and not lead to negative consequences.

Drastic measures

If the patient normal temperature, then UHF therapy is prescribed. The high-frequency electromagnetic field affects inflammation. If this does not bring any results, then surgery will be required. Using a scalpel or needle, the abscess is opened, and all contents are cleaned of infection. Sometimes stye on the upper eyelid requires removal of eyelashes in case of tissue infection. Similar procedures cannot be done independently at home. Also, under no circumstances should you squeeze out the barley.