Stye – StatPearls – NCBI Bookshelf

Continuing Education Activity

Stye, or hordeolum, is an acute, painful infection of the eye which involves the upper or lower eyelid. Patients present with a pustule with erythema of the eyelid margin which is tender to palpation. This activity describes the evaluation and treatment of stye and reviews the role of the interprofessional team in managing patients with this condition.

Objectives:

• Identify the most common bacteria in the etiology of stye.

• Summarize the pathophysiology of stye.

• Outline the use of warm compresses and antibiotic eye ointment in the treatment of stye.

• Review the importance of improving care coordination among the interprofessional team to improve outcomes for patients affected by stye.

Access free multiple choice questions on this topic.

Introduction

A stye, also known as a hordeolum, is a common problem involving the eye seen in both primary and urgent care setting. It is a painful, acute infectious process of the upper or lower eyelid. Classically a hordeolum appears as a small pustule along the margin of the eyelid and can be differentiated from a chalazion which tends to involve less of an inflammatory response and follows a more chronic course.[1][2]

Etiology

An acute bacterial infection of the eyelid margin, 90% to 95% of cases of hordeolum are due to Staphylococcus aureus with Staphylococcus epidermidis being the second most common cause. An external hordeolum represents a localized abscess formation of the follicle of an eyelash whereas an internal hordeolum is an acute bacterial infection of the meibomian glands of the eyelid.[3][4]

A chalazion is an acute or chronic inflammation of the eyelid secondary to obstruction of oil glands (meibomian or Zeis) in the tarsal plate and a foreign body reaction to sebum. Processes that block the normal drainage of sebaceous glands, such as hordeolum, acne rosacea, and blepharitis, can contribute to the development of chalazia.

Epidemiology

While hordeola are very common, the exact incidence is unknown. Every age and demographic is affected although there is a slight increase in incidence in patients ages 30 to 50. There are no known differences in prevalence among populations worldwide. Patients with chronic conditions such as seborrhoeic dermatitis, diabetes, and high serum lipids may also be at increased risk.[5][6]

Pathophysiology

Three different glands within the eyelid are implicated in the pathogenesis of hordeolum when they become infected by S. aureus. Infection of Zeis and Moll glands (ciliary glands) causes pain and swelling at the base of the eyelash with localized abscess formation. Termed external hordeolum, these produce the typical appearance of a stye with a localized pustule of the eyelid margin. The meibomian glands are modified sebaceous glands that are found in the tarsal plate of the eyelids. They produce an oily layer on the surface of the eye that helps to maintain proper lubrication of the eye. When a meibomian gland becomes acutely infected, it results in an internal hordeolum. Due to its deeper position within the eyelid, internal hordeola have a less defined appearance than external hordeolum.

Chalazia occur secondary to mechanical obstruction and dysfunction of the meibomian gland with subsequent stasis and blockage of the release of sebum. This condition tends to be subacute to chronic and presents with a painless nodule within the eyelid or at the lid margin.

History and Physical

Usually, patients present complaining of a confined burning, tender swelling on one eyelid. Either the upper or lower lid may be involved. In some cases, the complaint may start as generalized edema and erythema of the lid that later becomes localized. Patients will frequently have a history of similar prior lesions of the eyelid. With external hordeolum, pain, edema, and swelling are localized to a discrete area of the eyelid that is tender to palpation. The stye generally appears as a pustule with mild erythema of the lid margin. Pustular exudate may be present.

Patients with internal hordeolum present with more diffuse tenderness and erythema of the lid given the relatively larger meibomian gland. Diagnosis may be made by everting the lid to reveal a small pustule of the conjunctival surface. The physical exam may appear very similar to an external hordeolum in cases when the gland is infected but without obstruction. Treatment for both internal and external hordeolum is the same, so differentiation of the two is not of significant clinical importance.

In contrast to hordeola, chalazion will have a more indolent and chronic presentation. Patients complain of non-tender nodules of the eyelid with minimal to no surrounding erythema. For persistent chalazion, chronic skin changes can develop around the underlying nodule.

Evaluation

The diagnosis of a stye (hordeolum) and chalazion requires only a history and physical exam. No diagnostic tests are required or useful in their diagnosis. Colonization with noninvasive bacteria is common, and bacterial cultures of discharge from the area usually do not correlate with clinical improvement nor aid in treatment. The clinical presentation of an acute chalazion and an internal hordeolum may be challenging to differentiate, but fortunately, management is the same.

Treatment / Management

A stye is usually a self-limiting condition with resolution occurring spontaneously within a week. Both internal and external hordeola are treated similarly. To hasten recovery and prevent the spread of infection, warm compresses and erythromycin ophthalmic ointment applied twice a day are usually sufficient treatment. There is little evidence demonstrating a benefit from the use of topical antibiotics but erythromycin ointment use for 7 to 10 days has been recommended. Warm compresses should be applied for 15 minutes at least four times a day. Gentle massage of the nodule has also been suggested to assist in the expression of the obstructed material. Oral antibiotics are rarely indicated unless there are significant surrounding erythema and a concern for periorbital cellulitis. For very large hordeola in which incision and drainage are considered, referral to an ophthalmologist is appropriate. Reevaluation within 2 to 3 days is appropriate to assess response to treatment.[7][8][9]

Conservative treatment is the mainstay of therapy for chalazia. Warm compresses and washing the affected eyelid with a gentle soap such as baby shampoo will usually be the only treatment required. Given that the etiology is inflammatory and not infectious, antibiotics are not necessary. For recurrent chalazion or those refractory to conservative treatment, corticosteroid injection into the lesion or incision and curettage may be needed. These procedures necessitate referral to an ophthalmologist. Patients with chalazia should be referred to an ophthalmologist for nonurgent evaluation.

Pearls and Other Issues

Although it occurs very uncommonly, an untreated stye may evolve into a localized cellulitis of the eyelid and surrounding skin. Periorbital, or rarely, orbital cellulitis, may ensue if progression of the infection is allowed to occur. Any worsening erythema and edema beyond a localized pustule should be monitored closely for cellulitis, which may require systemic antibiotics. For infections that are not well localized, blood tests including a complete blood count (CBC) with differential and blood cultures may be needed, in addition to an orbital CT scan if orbital cellulitis is a possibility.

Blepharitis is a related condition that involves inflammation of the eyelid margin characterized by erythematous, pruritic eyelids, conjunctival injection, crusting or matting of the eyelids, and occasionally flaking of the eyelid skin. In contradistinction to hordeolum and chalazion, blepharitis should not have a discrete nodule within the eyelid. Treatment involves warm compresses, gentle washing of the eyelids with warm water or diluted baby shampoo, and if these attempts are unsuccessful, a topical antibiotic such as erythromycin.

Enhancing Healthcare Team Outcomes

A Stye may be encountered by the emergency department physician, nurse practitioner, internist or the primary care provider. Most styes can be managed conservatively by these healthcare professionals, but if there is any doubt about the diagnosis, the patient should be referred to an ophthalmologist. Styes do respond rapidly to warm compresses and erythromycin ointment. However, the patient must be seen again within 48 to 72 hours to ensure that healing is taking place.

The outcomes for most patients with a stye are excellent.[10] (Level II)

Figure

Stye (external Hordeolum). Contributed by the Public Domain

Figure

hordeolum of the lower eyelid. Image courtesy S Bhimji MD

References

1.

Bragg KJ, Le PH, Le JK. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Mar 23, 2021. Hordeolum. [PubMed: 28723014]

2.

Lindsley K, Nichols JJ, Dickersin K. Non-surgical interventions for acute internal hordeolum. Cochrane Database Syst Rev. 2017 Jan 09;1:CD007742. [PMC free article: PMC5370090] [PubMed: 28068454]

3.

Carlisle RT, Digiovanni J. Differential Diagnosis of the Swollen Red Eyelid. Am Fam Physician. 2015 Jul 15;92(2):106-12. [PubMed: 26176369]

4.

Amato M, Pershing S, Walvick M, Tanaka S. Trends in ophthalmic manifestations of methicillin-resistant Staphylococcus aureus (MRSA) in a northern California pediatric population. J AAPOS. 2013 Jun;17(3):243-7. [PubMed: 23623773]

5.

Moriya K, Shimizu H, Handa S, Sasaki T, Sasaki Y, Takahashi H, Nakamura S, Yoshida H, Kato Y. Incidence of Ophthalmic Disorders in Patients Treated with the Antineoplastic Agent S-1. Gan To Kagaku Ryoho. 2017 Jun;44(6):501-506. [PubMed: 28698442]

6.

Ansari AS, de Lusignan S, Hinton W, Munro N, McGovern A. The association between diabetes, level of glycaemic control and eye infection: Cohort database study. Prim Care Diabetes. 2017 Oct;11(5):421-429. [PubMed: 28648963]

7.

Pflipsen M, Massaquoi M, Wolf S. Evaluation of the Painful Eye. Am Fam Physician. 2016 Jun 15;93(12):991-8. [PubMed: 27304768]

8.

John AM, John ES, Hansberry DR, Thomas PJ, Guo S. Analysis of online patient education materials in pediatric ophthalmology. J AAPOS. 2015 Oct;19(5):430-4. [PubMed: 26486024]

9.

Machalińska A, Zakrzewska A, Safranow K, Wiszniewska B, Machaliński B. Risk Factors and Symptoms of Meibomian Gland Loss in a Healthy Population. J Ophthalmol. 2016;2016:7526120. [PMC free article: PMC5124676] [PubMed: 27965892]

10.

Hirunwiwatkul P, Wachirasereechai K. Effectiveness of combined antibiotic ophthalmic solution in the treatment of hordeolum after incision and curettage: a randomized, placebo-controlled trial: a pilot study. J Med Assoc Thai. 2005 May;88(5):647-50. [PubMed: 16149682]

Stye (Hordeolum) Treatment

Most styes can be treated without medical intervention by applying hot compresses for 10-15 minutes at a time for four times per day.  There is some controversy that a warm compress may worsen the swelling and shouldn’t be used for several days.  However, the purpose of the warm compress is not to decrease swelling, but rather to open the pores of the tiny oil glands to allow proper drainage so the eye can heal itself.   Therefore, we only recommend warm/hot compresses.

Removing an eyelash or two in the center of the bump may help to stimulate drainage of the infection.

Clean the eyelid margin and the entire eyelid with an over the counter eyelid scrub (e.g. SteriLid Eyelid Cleanser or Ocusoft eyelid  scrubs) that can be purchased at any pharmacy.

Most styes will heal within  10-14 days.   

If the stye does not get better within 3-5 days treatment by an eye doctor is recommended.  The doctor may prescribe oral antibiotics such as:

Keflex (cephalexin) 500mg twice per day for seven days for patients who are not allergic to penicillin or cephalosporins.

Option (also if no penicillin allergy)  Augmentin (Amoxicillin + Clavulanic acid):

     Dose if mild infection -generic Augmentin 500 mg. twice a day for one week

     Dose if more severe –generic 875mg Augmentin twice a day for one week

    Most severe – 1000mg Augmentin twice a day for one week (not generic)

When the patient has a penicillin or cephalosporin allergy:

Zithromax (azithromycin) in a Z-pak (500mg on day one, followed by 250mg for the next four days) is a good alternative.

OR, if the patient also has allergies to macrolides, we recommend:

Oral fluoroquinolone Levaquin (levofloxacin) at 500mg once daily for 7 days.

Or Cipro (ciprofloxacin) 500-1000 mg once daily for 7 days

Topical eye medicines in most cases offer very little healing since they do not penetrate into the glands.  There is some evidence that topical Azithromycin (Azasite) has some penetrating ability.  However, it is an expensive medicine and most patients are not happy if it doesn’t heal the hordeolum.  The tested and proven treatment would be to use an oral antibiotic, many of which are available generically at a greatly reduced cost.

Complications of a Stye

Use of the above medicines on a timely basis will also prevent an eyelid cellulitis or preseptal cellulitis which is a serious complication of a hordeolum.

If the above medicines are not effective at treating the hordeolum it has probably become a chalazion.   Chalazion may resolve without treatment but many require a minor surgery to remove.

Hordeolum and Stye in Emergency Medicine Medication: Antibiotics

Author

Michael J Bessette, MD, FACEP Former Director of Emergency Medicine, Jersey City Medical Center

Michael J Bessette, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Gil Z Shlamovitz, MD, FACEP Associate Professor of Clinical Emergency Medicine, Keck School of Medicine of the University of Southern California; Chief Medical Information Officer, Keck Medicine of USC

Gil Z Shlamovitz, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association

Disclosure: Nothing to disclose.

Additional Contributors

Robert E O’Connor, MD, MPH Professor and Chair, Department of Emergency Medicine, University of Virginia Health System

Robert E O’Connor, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Heart Association, American Medical Association, National Association of EMS Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Robin R Hemphill, MD, MPH Associate Professor, Director, Quality and Safety, Department of Emergency Medicine, Emory University School of Medicine

Robin R Hemphill, MD, MPH is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Stye medicine – All About Vision

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Styes don’t always go away on their own. If you have a persistent stye (not to be confused with a chalazion), an eye doctor may prescribe medication to reduce swelling and discomfort and help your stye go away — eventually.

The duration of a stye can sometimes be shortened using a doctor-recommended stye treatment or basic stye home remedy, such as applying a warm compress and putting a pause on wearing contact lenses. For stubborn or intrusive styes, a doctor may suggest one or more of the following medications:

Pain medicine

Common over-the-counter pain medicine — such as ibuprofen (Advil and Motrin), acetaminophen (Tylenol) and naproxen (Aleve) — can help relieve any pain or discomfort caused by a stye. Anti-inflammatory drugs can also reduce some of the swelling and redness along the eyelid.

Stye eye drops and ointments

Some drugstores and online retailers sell eye drops and ointments specially formulated to treat styes. Ointments are usually designed to be applied to the underside of the affected eyelid.

While drops will include ingredients to help with eye redness and irritation, stye ointments often include emollients to soften and hydrate the skin, improving comfort and providing a better environment for healing.

Antibiotic eye drops and ointments

Since a stye is a bacterial infection, the antibacterial properties of certain eye drops and ointments may help speed up the healing process. Eye drops are applied to the eye, while ointments are applied directly to the stye area.

Oral antibiotics

Antibiotic pills are the only oral stye medication that attack the infection inside the eyelid bump. Oral antibiotics may be prescribed if the infection inside the stye has spread to another area of the affected eye.

If you have old antibiotics in your medicine cabinet, don’t use them. A doctor will need to prescribe a specific antibiotic to best treat the bacteria in and around your stye.

Steroid injections

Doctors use steroid injections to help the body’s immune system fight off infection and illness, and a stye is no exception. In this case, a steroid shot is injected directly into the stye. Your eyelid may be numbed beforehand to help with any discomfort caused by the shot.

When medicine doesn’t help

If your stye worsens, begins to affect your vision or doesn’t go away with medicine, it may be time to discuss stye removal surgery with your eye doctor. If a stye gets too severe without being surgically drained, it can turn into an abscess — a more serious kind of infection.

It may be tempting, but you should never pop a stye. The bacteria released from a stye when popped can cause the infection to spread to your eye or a different part of your eyelid.

If you have persistent trouble with styes, schedule an appointment with your eye doctor to learn more about treatment, prevention and what causes styes to form.

Typically, styes are not contagious. However, it’s still a good idea to wash your hands frequently and avoid touching your stye to eliminate any possibility of transferring the stye-causing bacteria to others.

More Stye Articles

Page published in November 2020

Page updated in October 2021

Hordeolum (stye) | AOA

A hordeolum is usually caused by a bacterial staph infection and results in pain, swelling, and redness.  A hordeolum looks like a pus-filled lump or pimple at the edge of the eyelid. Treatment includes warm compresses and antibiotic eye drops or ointments.  Hordeola can be prevented by keeping the eyelids clean, removing makeup at bedtime, replacing eye makeup every three months, and hand washing before touching the area around the eyes.  Do not attempt to squeeze or drain the stye yourself.  Contact your eye doctor immediately if the redness and swelling extend beyond your eyelid to your cheek or other parts of your face.

Causes & risk factors

Some people are more prone to develop a hordeolum, but it is also associated with:

• Contact lens wear.
• Poor hygiene.
• Using eye makeup that is old or contaminated.
• Blepharitis, an inflammation or infection of the eyelids.
• Systemic conditions such as rosacea, seborrheic dermatitis, or diabetes.

Symptoms

• Swelling, redness, pain or tenderness of the eyelid.
• Feeling like there is something in your eye.
• Excessive tearing.
• Crusting of the eyelid.

Diagnosis

A hordeolum is best diagnosed by your eye doctor, who can advise you on treatment options. Necessary testing might include:

• Patient history to determine symptoms and the presence of any general health problems that may be contributing to the eye problem.
• External examination of the eye, including lid structure, skin texture, and eyelash appearance.
• Evaluation of the lid margins, the base of the eyelashes and oil gland openings using bright light and magnification.

Treatment

In most cases, a stye will go away on its own, but your eye doctor may recommend treatment, including:

• Warm compresses—place a warm, wet cloth on your eyelid for 5 to 10 minutes several times a day, as instructed by a doctor of optometry.
• Prescribed antibiotic ointments or drops that have been approved for use in the eye.
• Never squeeze the stye.
• Do not wear eye makeup until the infection has healed.
• Your eye doctor may recommend that you discontinue contact lens wear until the infection has healed.

Prevention

Keep eyelids and lashes clean. Remove eye makeup before going to sleep.

• Wash your hands before touching the area around your eyes.
• Do not share eye makeup.
• Replace eye makeup every 3 months.
• Keep contact lenses clean and do not over wear contact lenses.
• If a doctor of optometry has diagnosed blepharitis, follow directions for care.

Find a Doctor of Optometry

Styes (for Parents) – Nemours Kidshealth

As health problems go, a stye is usually just a minor annoyance and rarely cause vision problems. If your child gets one, you probably can treat it at home.

What Are Styes?

A stye is a red, sometimes painful bump on the eyelid, caused by a backed-up oil gland at the eyelid’s edge. Styes can be on the upper or lower eyelids, or on the inside or the outside of the eyelids, near the edge of the eyelid where the eyelashes are.

Why Do Styes Happen?

Eyelids have lots of oil glands. They make a special oil that mixes with tears to keep eyes lubricated.

Sometimes, these glands can get clogged with old oil, dead skin cells, and old skin bacteria. When this happens, material builds up in the clogged gland.

The result is a bump on the upper or lower eyelid that can look like a pimple. A stye can become inflamed and get very red and swollen. It is not necessarily infected.

How Are Styes Treated?

If your child has a stye, you’ll want to get the clogged material out of it. Applying heat helps the oil become more liquid. To do this, soak a clean washcloth in warm (not hot!) water. Squeeze out the excess water, then place the washcloth over the eye for a few minutes. Repeat this several times a day.

You also can clean the eyelid with special eye-scrub soap (available at drugstores) or with watered-down baby shampoo, which is designed to not hurt eyes. Soak a cotton swab in the solution and use it to clean your child’s eyelid. You can make this part of the bath-time routine.

If your child wears contact lenses, have them switch to wearing glasses until the stye goes away. Clean the contacts well before your child wears them again.

If your child has pain in the eyeball or vision changes, call your doctor. Also call if the swelling and redness increases beyond the area of the initial bump into the other parts of the eyelid, face, or eye.

When Should I Call the Doctor?

The stye should begin to improve over a few days. If it doesn’t or it gets worse, call your doctor.

The doctor may give you a topical antibiotic cream to use on the stye or prescribe oral antibiotics. In rare cases, if there is no improvement the doctor might make a tiny cut in the eyelid to let out the clogged-up material. The doctor also will see whether your child has something other than a stye and, if so, treat it.

Can Styes Be Prevented?

Kids who get one stye are more likely to get another one. To make that less likely, they should:

• Clean the eyelids every day or every couple of days with the diluted baby shampoo or special eye-scrub soap. This can be part of their bedtime routine.
• Disinfect contact lenses according to the product instructions.
• Remove all eye makeup before going to bed.
• Throw away mascara, liquid eyeliner, and eye shadow 3 months after first using them.
• Never share towels or washcloths with anyone who has a stye.
• Wash their hands well and often.

Sty

Is this your child’s symptom?

• A red lump or pimple on the edge of an eyelid
• It starts at the bottom of an eyelash

Symptoms of a Sty

• A tender, red lump on the eyelid at the base of an eyelash
• Turns into a small pimple on the eyelid
• A sty is tender to touch
• A sty causes mild swelling of the eyelid
• A sty can cause a watery eye

Causes

• A bacterial infection of the hair follicle of an eyelash.
• The most common germ that causes this is Staph.
• Risk factors. Rubbing the eyes (especially after picking the nose.) The nose is the most frequent home of Staph. Also, more common when using eye makeup.

When to Call for Sty

Call Doctor or Seek Care Now

• Eyelid is very red or very swollen
• Your child looks or acts very sick
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• Sty gets larger than ¼ inch (6 mm)
• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• 2 or more styes are present now
• Styes have occurred in the past 3 or more times
• Sty has come to a head (pimple), but has not drained after 3 days
• Sty lasts for more than 10 days
• You have other questions or concerns

Self Care at Home

Seattle Children’s Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

Care Advice for a Sty

1. What You Should Know About a Sty:
   • A sty is a minor infection of an eyelash.
   • A sty usually comes to a head and forms a pimple in 3 to 5 days.
   • Most often, it drains and heals in a few more days.
   • Most styes can be treated at home.
   • Here is some care advice that should help.
2. Apply Heat to Bring to a Head:
   • Put a warm, wet washcloth to the eye. Do this for 10 minutes 3 times a day. Reason: This helps the sty come to a head.
   • Continue the warm wet cloth even after the sty begins to drain. Reason: To help remove the discharge and heal the sty.
   • Caution: Do not rub the eye. Reason: Rubbing can cause more styes.
3. Open the Pimple:
   • Age limit: Your child is over 5 years old and cooperative.
   • When the center of the sty becomes yellow, you can open it. Do this by using tweezers. Pull out the eyelash that goes through the pimple. This will start drainage and healing.
   • Another option is to wait for drainage to start on its own. Most often, this occurs in another 1-2 days.
   • Caution: Do not squeeze the red lump. Reason: This can cause an eyelid infection.
4. Antibiotic Eye Medicine:
   • Most single styes respond to the treatment with heat. They don’t need prescription antibiotic eyedrops.
   • If there is more than one sty, your child may need antibiotic eyedrops. Also, antibiotics may be needed if styes keep coming back. This usually happens to children who rub their eyes often.
5. Contact Lenses:
   • Children who wear contact lenses need to switch to glasses until the sty heals.
   • Reason: To prevent damage to the cornea.
   • Disinfect the contacts before wearing them again.
   • Discard them if they are disposable.
6. What to Expect:
   • A sty usually comes to a head and forms a pimple in 3 to 5 days.
   • Most often, it drains and heals in a few more days.
7. Return To School:
   • Children with a sty usually do not need to miss any school.
8. Call Your Doctor If:
   • Eyelid gets red or swollen
   • Sty comes to a head, but does not drain by 3 days
   • More styes occur
   • Sty is not gone by 10 days
   • You think your child needs to be seen
   • Your child becomes worse

And remember, contact your doctor if your child develops any of the ‘Call Your Doctor’ symptoms.

Last Reviewed: 10/16/2021

Last Revised: 09/30/2021

Copyright 2000-2021. Schmitt Pediatric Guidelines LLC.

90,000 how and how to treat barley on the eye, drops, ointments

Barley on the eye is a purulent inflammatory process localized in the hair follicle of the eyelash or in the sebaceous gland located nearby. In addition, there is also internal barley. The cause of its occurrence is blockage and inflammation of the meibomian gland. Pathology is accompanied by severe symptoms, if untreated, it can cause severe, sometimes life-threatening complications. An ophthalmologist, who should be contacted immediately after the first signs of inflammation appear, will tell you how to treat barley on the eye and what drugs to use.

Contents:

What is barley on the eye

Barley is an acute inflammatory process of a purulent nature, localized in the hair follicle of the eyelash or sebaceous gland, located next to the ciliary follicle. The causative agent of the disease is Staphylococcus aureus, which belongs to the opportunistic microflora of the human body. In addition, the inflammatory process can occur against the background of the activation of the Demodex mite, which lives on the skin of the upper and lower eyelids.

How does barley start? Most often with slight swelling and redness on the eyelid. The inflamed area is hot to the touch, painful, and brings a lot of discomfort. The abscess is often located at the edge of the outer eyelid, but sometimes forms on the inner side, which is in contact with the surface of the eyeball.

An ophthalmologist is involved in the treatment of such a disease, who, after confirming the diagnosis, will explain how to cure barley in the eye and what preventive measures will help prevent its reappearance.

Types and stages of development

Depending on the place of localization of barley, it is of 2 types:

• Outdoor. It occurs as a result of inflammation of the zeiss gland located in the area of ​​the eyelash follicle. This gland produces a secret necessary to lubricate and protect the surface of the eye. This occurs as a result of blockage of the gland and the penetration of a pathogenic infection.
• Internal. It is a consequence of blockage and inflammation of the meibomian sebaceous gland located on the inside of the eyelid.Internal barley in the eye must be properly treated, otherwise it becomes chronic and becomes the cause of the development of such an unpleasant ophthalmic disease as chalazion.

By type:

• Hot. This is a classic development of inflammation, in which the focus of infection is localized in the ciliary sac. Hot barley on the eye, the treatment of which is timely and correct, completely disappears after 5-7 days.
• Cold. In another way, this type is called a chalazion or meibomian cyst.First, an acute inflammatory process develops, localized in the meibomian gland. If there is no treatment for the disease, it turns into a chronic form, in which the barley does not open on its own and the purulent contents remain inside. Over time, the contents of the gland become hard, dense. In the absence of the effect of conservative therapy, surgical removal is prescribed.

Also, barley on the upper eyelid can be single or numerous, affecting simultaneously the eyelids of both eyes.When the infection occurs frequently, it is a sign of weak immunity and serious malfunctions in the body. In such cases, the patient needs to undergo a comprehensive diagnostic examination in order to find out the causes of relapses and understand how to treat barley in the upper eyelid.

The inflammatory process proceeds in 4 stages:

1. Formation of a purulent core. A purulent shaft forms inside the hair follicle or meibomian gland. The affected area becomes red, swollen, painful to the touch.The discomfort is aggravated by moving the eyelids.
2. Maturation of the abscess. At this stage, the formation can break through on its own or turn into a dense capsule filled with pus. The patient may have a fever, headaches, and develop photophobia. Medications prescribed by a doctor will help alleviate the condition.
3. Breakthrough. With a favorable course, the purulent capsule on the eyelid breaks through on its own. If this does not happen and signs of chronicity begin to appear, the doctor decides to surgically remove the barley.
4. Healing. In the absence of complications, the wound heals for 5-7 days after the bursting of the purulent capsule. At this stage, the inflammation subsides, swelling, redness, and soreness gradually decrease. An ointment that enhances the regeneration of damaged eyelid tissues will help speed up the healing process on the eye.

What causes barley under the eye?

Causes contributing to the activation of a tick or Staphylococcus aureus causing inflammation:

• Decrease in the protective functions of the body.Normally, the immunity of a healthy person controls the vital activity and activity of opportunistic microorganisms. But at the slightest failure, the protection weakens, as a result of which the infection from the latent stage passes into the active one, causing the corresponding complications and symptoms.
• Hypothermia. During hypothermia, the body experiences severe stress, which can cause a decrease in immunity.
• Chronic infections. Frequent relapses of chronic diseases force the immune system to work in an emergency mode to suppress foci of infection.Gradually, this leads to a weakening of the immune forces and, accordingly, the activation of opportunistic microflora.
• The use of low-quality eye cosmetics. Barley on the eye, the cause of which is the use of inappropriate cosmetics, develops as a result of irritation, blockage and inflammation of the hair follicle. Therefore, it is important to take a responsible attitude to the choice of both decorative and cosmetic products.
• Diseases of the digestive system. If the stomach and intestines do not work properly, the process of absorption and distribution of vitamins and nutrients throughout the body is disrupted, which, in turn, negatively affects the state of immunity.

Other reasons for the appearance of barley:

• endocrine disorders;

90,025 parasitic infestations;

• vitamin deficiency;
• allergy;
• non-observance of personal hygiene rules;
• stress, overwork;

90,025 malnutrition;

• excessive physical activity.

Risk groups by probability of disease:

90,024 90,025 people with reduced immunity;

90,025 patients with impaired endocrine system functioning;

90,025 persons with gastrointestinal tract pathologies;

90,025 people whose professional activity is associated with regular being outdoors or indoors at subzero temperatures or, as well as in unsanitary conditions;

90,025 persons who have previously had diseases with inflammation of the eyes and eyelids, as well as those who did not complete the course of treatment.

Barley diagnostics

During the first visit of the patient to the doctor, he can already make the correct diagnosis, decide how to get rid of barley in a particular case, and prescribe the necessary treatment. Moreover, if inflammation occurs often enough, then the specialist will suggest conducting additional laboratory tests, taking a blood test to detect or exclude:

• diabetes mellitus;
• helminthiasis;
• HIV / AIDS or other diseases that provoke a rapid decrease in immunity.

Symptoms

With the development of external barley in the area of ​​localization of the inflammatory process, edema and hyperemia appear. Disturbed by acute pain itching, burning, which brings significant discomfort. Severe tissue edema causes a deterioration in vision clarity.

As the disease progresses, a light yellow abscess forms on the surface of the inflamed focus. After 2-3 days, the abscess is opened and pus is released from it.At this stage, the patient may develop the following symptoms:

• increase in body temperature;

90,025 headache;

90,025 photophobia;

• increased lacrimation;
• inflammation of the lymph nodes.

After a breakthrough, the patient’s condition improves. The resulting wound heals within five to seven days. If the treatment is prescribed correctly, no complications arise during this period.

Internal barley in the lower eyelid or upper is located in the depths of the cartilage.At first, the disease manifests itself as redness and swelling of the conjunctiva, with pressure and movement of the eyelids, acute pain is felt. After 2-3 days, the barley ripens, a capsule with purulent contents of a light yellow color is formed inside the eyelid. With a favorable course, the capsule opens on its own, and its contents come out. Next comes the healing process and complete recovery.

What to do when barley appears on the eye?

How to remove barley, the symptoms of which begin to appear already in the early stages of development? It is imperative to consult a doctor.Self-medication is contraindicated and fraught with negative consequences.

Since in most cases the disease is bacterial in nature, the doctor first selects an effective antibiotic that destroys streptococcal infection.

Effective barley ointments on the eye:

• Tetracycline ointment. A potent antibiotic that is applied in the eyelid 3-5 times a day. The anti-inflammatory effect after application is observed the very next day.The drug is prohibited for use by children under 12 years of age.
• Erythromycin ointment. It is characterized by a pronounced antibacterial effect, it is laid behind the eyelid no more than three times a day. The last laying is done before bedtime.
• Hydrocortisone ointment. Has anti-inflammatory effect. Contraindicated for use in pregnant women and patients with a diagnosis of glaucoma.
• Levomekol. Relieves puffiness, providing a positive bactericidal effect, and also helps to accelerate tissue regeneration.Sometimes, after using it, people may feel a slight tingling or burning sensation in the barley area on the eyelid – such a reaction is considered completely normal.
• Synthomycin. It has an antibacterial effect, therefore it shows excellent results in the fight against bacteria and fungi. An almost universal remedy is allowed to be used even in the event of exacerbations: conjunctivitis or blepharitis.
• Hydrocortisone. Doctors advise against using it alone. However, in combination with antibiotics, it demonstrates a positive result of use: redness and swelling decreases, and pain disappears.
• Vishnevsky ointment. One of the main active elements of the preparation is birch tar. An herbal remedy is usually used for an external abscess. Perfectly solves the question of how to get rid of barley on the eye. Helps to remove puffiness, discomfort and accelerates tissue regeneration.

Best drops for barley on the eye:

1. “Albucid”. Suppresses the multiplication of pathogens, stops the inflammatory process, accelerates recovery.But sometimes the drug can cause side effects. If, after using the drops, itching, burning, hyperemia intensifies, it is necessary to stop using the product and inform the doctor about the complications.
2. Tsipromed. The active ingredient – ciprofloxacin, destroys bacterial infection, preventing its multiplication and progression of the inflammatory process. The instructions say that the drug should be instilled 1-2 drops 3 times a day.

Sometimes it happens that eye drops from barley and other remedies do not bring the desired effect.It becomes big, hard, it does not go away for a long time. In such situations, the doctor suggests surgical removal, during which the capsule with purulent contents is excised and removed.

Advice from experts

Barley on the eye, the ointment for the treatment of which is used according to the instructions, disappears without complications. To enhance the therapeutic effect, it is recommended that you familiarize yourself with the simple rules for using the ointment:

1. Before use, the ointment should be warmed to accelerate dissolution in the tear fluid.
2. Wash hands thoroughly with soap and dry with disposable paper towels.
3. Tilt your head back, look up, pull the lower eyelid with a cotton swab.
4. Squeeze a strip of ointment into the formed cavity.
5. Lower the lower eyelid and blink several times. Thanks to this, the ointment is evenly distributed and penetrates into the focus of inflammation.
6. Remove excess product with a cotton pad or paper towel.

Rules for instilling eye drops:

1. Warm the bottle in the palm of your hand to prevent discomfort during instillation.
2. Wash hands thoroughly with soap and dry.
3. Tilt your head back and, looking up, pull the lower eyelid.
4. Place 1-2 drops into the formed depression.
5. Let go of the eyelid, close the eyes and move the eyeballs to the sides.

It is very important that the skin around the site of inflammation is clean. To do this, it must be regularly cleaned with a cotton pad dipped in boiled chilled water. For the period of treatment, women should abandon decorative and care cosmetics for the eyes, since the ingress of chemicals into the focus of infection can aggravate the course of the disease and provoke complications.

How to treat barley at home

Treatment of barley on the eye at home can only be started in consultation with the doctor. With a favorable course, folk remedies will accelerate recovery and help get rid of unpleasant symptoms.

Effective folk treatments for barley:

• Green tea compress. Helps relieve puffiness, flushing, relieve pain. Pour boiling water over a bag of green tea, then cool and apply to the inflamed area.Keep on the eyelid for 10-15 minutes.
• Herbal compress. Effectively fights inflammation, has bactericidal, wound healing properties. As the main component, you can use a herbal collection of chamomile, calendula, sage. Mix herbs in equal proportions, then separate 1 tsp, pour 200 ml of boiling water and let it brew for 15-20 minutes. Strain the finished liquid, moisten a cotton pad or gauze swab in it, squeeze a little and apply to the barley for 10-15 minutes.
• Lotions from aloe.How to quickly cure stye in the eye in one day if there are no medicines at hand. In this case, aloe lotions will help. To prepare such a product, you need to take 1 large sheet, wash it well, grind it in a blender to get a mushy consistency. Wrap the resulting mass in gauze and apply to the eyelid. Such a compress will reduce swelling, pain.

How to cure barley in a child

The disease occurs in children much more often than in adults.This is due to the not yet fully formed immune system, which has not yet learned to fully perform its functions. Therefore, a weak immune status is the main reason for the occurrence of barley in childhood.

Additional factors that reduce the protective functions of the body are as follows:

• non-observance of personal hygiene rules;
• hypothermia;

90,025 unbalanced nutrition;

• vitamin deficiency;
• helminthic infestations;
• chronic foci of infection: tonsillitis, sinusitis, pharyngitis.

Symptoms in children are almost the same as in adults:

• itching, burning in the area of ​​the affected eyelid;
• discomfort during blinking of the eyes;
• pain that worsens with pressure;
• redness, swelling;
• increased lacrimation;
• high temperature;
• enlarged lymph nodes.

An abscess develops 1-2 days after the first symptoms appear. A small cone forms on the eyelid, inside of which pus is contained.After 3-5 days, the barley breaks out, the pus comes out, and the wound begins to heal.

How to remove barley from the eye in children? For treatment, children’s ophthalmic preparations are used. Barley on the lower eyelid, drops and ointments for which are selected correctly, passes without complications for 5-7 days. After the relief of the inflammatory process and the disappearance of pathological symptoms, it is recommended to undergo a course of physiotherapeutic procedures, such as UFO and UHF.

If the child’s barley does not respond to conservative treatment and reaches a large size, a surgical operation will be required to remove the purulent capsule.During the operation, the surgeon opens the abscess, cleans out the contents and rinses the wound with a disinfectant solution.

Barley complications

If the disease is not treated and the doctor’s recommendations are ignored, the risk of developing such dangerous complications increases:

• Chronization of the inflammatory process. It is characterized by frequent relapses, in which the symptoms of infection are exacerbated and bring a lot of discomfort.
• Spread of infection to healthy tissue.If the immune system malfunctions and is unable to fight pathogens, they spread to healthy tissues, causing new foci of inflammation there.
• Sepsis. A life-threatening complication that occurs with chronic barley or as a result of the penetration of pus into the internal structures of the eye. Signs of septic damage to the body: high fever, severe intoxication, weakness, loss of consciousness.
• Meningitis. A deadly disease of an infectious nature, in which brain tissue is affected.It develops when an infection enters the orbit and spreads throughout the body by the bloodstream.
• Chalazion. Tumor formation developing against the background of incompletely treated internal barley. The content of the blocked meibomian gland becomes dense and hard, it is almost impossible to get rid of it in a conservative way, therefore, surgical treatment is most often prescribed.
• Phlegmon. It occurs as a result of an infection of the eye orbit. This is a purulent inflammation of adipose tissue, which in severe cases leads to damage to the optic nerve and loss of vision.

How to prevent barley

If a person has painful inflammation in the eye, everyone should know how to cure barley quickly and prevent complications. And the best remedy for barley is prevention. The easiest way to prevent pathology is to follow these simple rules:

• to monitor health, temper, improve immunity;
• to establish nutrition, diversify the menu with healthy foods rich in vitamins;
• give up bad habits;
• to treat infectious diseases in a timely manner, preventing them from spilling over into a chronic form;
• Take a responsible attitude to the choice of decorative and care cosmetics for the eyes;
• Do not rub or scratch your eyelids with dirty hands, observe the rules of personal hygiene;
• avoid hypothermia, wear clothes and accessories for the weather;
• Protect your eyes from wind, dust, ultraviolet rays with sunglasses.

Benefits for the health of the visual system are brought by annual preventive examinations with an ophthalmologist, during which the doctor assesses the state of the organs of vision, reveals hidden diseases and prescribes treatment in a timely manner.

How is barley treated?

“Why does barley appear on the eye and how is it treated? Yulia Nikolaevna, Braslavsky district “.

– Barley on the eyelid, or hordeolum, is an acute purulent inflammation localized in the hair follicle of the eyelash or sebaceous gland.It all starts with a slight local redness and slight swelling in the area of ​​one eyelash, but soon responds with a sharp pain in the eye, there may be headaches, and sometimes the body temperature rises. After 2 – 4 days, an abscess forms, upon opening which pus and particles of dead tissue are released, the pain subsides. If inflammation occurs in the area of ​​the outer corner of the eye, then severe edema occurs due to impaired lymph circulation.

Barley is a sign of deficiency of the immune system. It is impossible to squeeze out pus on your own, as this can lead to more serious eye diseases (an infection gets).This problem should be dealt with by an ophthalmologist. And the sooner, the faster you can get rid of the barley. Most often, its cause is Staphylococcus aureus, less often streptococcus and other microbes. Metabolic disorders, helminthic invasion, hypothermia, overheating, vitamin deficiency (in particular, deficiency of B vitamins), past infections, stress, overwork, surgical interventions predispose to the development of the inflammatory process. Chronic pathology of the gastrointestinal tract, endocrine diseases, and demodicosis can also play a role.Of course, personal hygiene is very important. It is enough to scratch the eye with dirty hands – and the risk of barley appearance will increase significantly. Therefore, children, whom adults do not always have time to keep track of, come across barley more often.

If you notice the first signs of inflammation in the form of redness of the eye and understand that barley is about to jump, then you can use the available means. The initial stage of the disease is quickly treated with cauterization with brilliant green, which is applied with a cotton swab to the source of inflammation.Washing with strong tea leaves several times throughout the day will also help. You can also use a tincture of calendula. If a purulent core has formed in the barley, or it has broken through and pus has appeared, heating is prohibited, antibiotics will be needed to continue treatment, that is, you should immediately consult a doctor. It is unacceptable to start this disease and wait until it disappears by itself, otherwise complications, transition to a chronic form and, as a result, surgical treatment are possible. If barley occurs, it is not recommended to go to the bathhouse and wear lenses.

The traditional treatment for barley includes antibacterial drops and antibacterial ointments. If the purulent vesicle does not open itself, then it is opened in a medical institution. Antibiotic eye drops are designed to fight microorganisms and prevent the spread of the process. Eye ointments serve the same purpose, but are usually applied at night because they impair the quality of vision. It is advisable to alternate both means. When purchasing an ointment from a pharmacy, do not forget to clarify that you need a drug for the eyes, because ointments for application to the skin have a significantly higher concentration of the active substance and can cause irreparable harm.It is strictly forbidden to use ointments and drops for external use with the same name instead of eye drops. You can not resort to ointments with corticosteroids (hormones): they are contraindicated in purulent inflammation. Oral antibiotics are prescribed for multiple and complicated barley, in the presence of general symptoms, lack of efficacy from local treatment, debilitated patients and often children. Barley prevention is hand hygiene, eye hygiene (neat morning and evening toilet, cleaning the accumulated mucus with a sterile bandage from the outer corner of the eye to the inner corner), observing the rules for wearing and caring for lenses, using individual towels and personal cosmetics.With frequent relapses of barley, rehabilitation of chronic foci of infection, immunocorrection, climatotherapy, UV therapy, food enriched with vitamins and, of course, a healthy lifestyle are shown.

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90,000 Antibiotics for barley on the eye: ointments, drops, tablets

Since most patients see a doctor with a delay, when itching and slight redness have already turned into edema of the eyelid around a bright red tubercle (with or without pus), the question is about whether to start using antibiotics or still wait (suddenly the barley will resolve itself!), usually does not rise.Recall that barley is a rapidly developing pathology of an inflammatory nature, which means that edema and suppuration begins within the first 2-3 days.

Many patients go to the doctor when they see that self-treatment with “grandmother’s” methods gives the opposite result: the barley not only does not come off, but spreads to the entire surface of the eyelid and even to the other eye. At this point, you can’t do without antibiotics.

Usually, doctors immediately prescribe antibiotics in the form of eye drops and ointments, stipulating that it is better to take eye ointments at night, and drops in the daytime.In principle, you can use one version of the medicine, the main thing is that it does not cause allergic reactions.

The doctor decides on the appointment of pills and injections based on the patient’s condition. If the disease has a large area of ​​distribution, as with multiple barley, or is fraught with complications (recurrent and internal barley), antibiotics for systemic use are prescribed without fail. The same is done if the disease has already given complications.

The choice of antibiotics for barley is reduced to broad-spectrum antimicrobial drugs.The fact is that barley develops at such a speed that there is no time at all to do an analysis for the pathogen. This means that you need to choose a drug that would cover all possible groups of pathogenic microorganisms that can cause the development of the disease.

When prescribing drops, preference is given to antibiotics of the penicillin series, which are active against the main pathogens of the disease (unprotected and protected penicillins). However, these drugs often cause dangerous allergic reactions due to penicillin intolerance.In this case, antibiotics from a number of macrolides become the drugs of choice.

Ointments may contain tetracycline antibiotics, macrolide and fluoroquinolone groups. By appointing drops and ointments in the complex, you can more fully cover the entire spectrum of pathogenic microorganisms.

Used in the treatment of barley and cephalosporins, which are useful in complicated pathologies. These drugs are administered primarily intramuscularly.

The method of administration and doses of antibiotics for barley depend on the form of release and the type of preparation.They must be coordinated with the attending physician in order to avoid symptoms of overdose and intoxication of the body, especially while taking oral medications.

After the barley breaks through and the pus splashes out, doctors recommend wiping your eyes with antiseptic solutions (for example, a solution of furacilin or sodium sulfacyl, aka “Albucid”). Even if barley was on only one eye, both eyes should be washed, and with separate cotton swabs.

And now let’s look at the drugs that doctors prescribe for barley most often.

Barley antibiotic ointment

For the treatment of barley, ointments containing antibiotics with a wide spectrum of action of various groups are used. It is important that the active ingredient of the drug is effective for the treatment of ophthalmic infections, as evidenced by the instructions for use of the drug.

[16], [17], [18], [19], [20], [21]

Tetracycline ointment

Tetracycline is one of the antibiotics used for barley on the eye, because it can cope with a large number of pathogens of the inflammatory process in the eye area.It is this antibiotic that is the active ingredient of the drug. And to make it more convenient to use it for local treatment of the eye and the area around it, lanolin and petroleum jelly are added to the antibiotic.

There are 2 types of ointment: 1 and 3 percent. In our case, as in other inflammatory eye diseases, only 1% ointment is used (tubes 1.7 and 10 g). 3% cure skin diseases.

Pharmacodynamics . The principle of action of the drug is based on blocking protein synthesis in bacterial cells.The bactericidal effect is carried out at the level of the ribosomes.

Pharmacokinetics . Eye ointment acts locally and practically does not enter the bloodstream, therefore its pharmacokinetics

Contraindications to use . Eye ointment is considered relatively safe, so it can be used already from the neonatal period (for example, with bacterial conjunctivitis).

The only absolute contraindication to the use of 1% ointment is individual intolerance to tetracycline and other components of the drug.

Use during pregnancy . After appropriate analyzes, its use is permissible even during pregnancy. It is better not to stop breastfeeding during treatment.

Side effects . The use of eye ointment in most cases is without consequences. Rarely, patients may complain of poor appetite, bouts of vomiting, hyperemia or dryness of the mucous membranes, photosensitivity. In some cases, allergic reactions have also been observed, including Quincke’s edema.

Method of administration and dosage . The ointment is applied to the eyelid in the affected area and not far around it. It is recommended to apply the product to the eyelid with a sterile cotton swab or cotton-gauze swab.

The recommended dose of the drug is from 0.2 to 0.4 g. You can apply the ointment 3 to 5 times a day. The course of treatment is 5-7 days.

Overdose . The use of external agents eliminates overdose.

Interactions with other drugs .Antibiotic eye ointment should be used as a stand-alone external agent. The use of local drugs with the same effect simultaneously with tetracycline ointment in ophthalmology is unacceptable.

Storage conditions . It is recommended to store the antibiotic ointment in a cool room, protecting it from direct sunlight. Keep out of the reach of children.

Expiry date . Before opening the tube, the drug can be stored for no more than 2 years. If the integrity of the package is broken, you will need to use the product within 2 months.

Erythromycin ointment

The active ingredient of this ointment is erythromycin, an antibiotic from the macrolide group. In the composition of the ointment we also find petroleum jelly, lanolin and some other auxiliary components. For sale erythromycin eye ointment in tubes of 10 g.

Pharmacodynamics . The drug has a pronounced bacteriostatic effect, i.e. inhibits the reproduction of bacteria, which leads to a decrease in their population. Effective against gram-positive (staphylococcus, corynebacterium, clostridia) and some gram-negative bacteria.

Can be prescribed as replacement therapy for penicillin intolerance, as well as to fight bacteria resistant to tetracyclines.

Contraindications to use . The ointment is not used in case of hypersensitivity to its components. Care should be taken to prescribe antibiotics to patients with liver pathologies.

Side effects . Erythromycin ointment therapy is rarely accompanied by intolerance reactions. In rare cases, dyspeptic symptoms, increased itching and redness of the mucous membranes, the appearance of tinnitus, which impairs auditory perception, tachycardia, and individual manifestations of allergies, are noted.

Long-term treatment with erythromycin can provoke the development of a secondary infection.

Method of administration and dosage . The drug is used by analogy with tetracycline ointment. The recommended dose, depending on the severity of the pathology, is from 0.2 to 0.3 g. The ointment should be applied to the affected area 3 times a day. The course of treatment is determined by the doctor individually.

Interaction with other drugs . Antibiotics based on erythromycin are not recommended to be used simultaneously with caffeine, aminophylline, theophylline, cyclosporine, clindamycin, lincomycin, chloramphenicol due to the development of negative reactions or a decrease in the effect of treatment.

Since antibiotics for external use are not actually absorbed into the bloodstream, their intake should not be combined with external agents containing the above substances. During therapy with erythromycin ointment, it is not advisable to use scrubs due to the appearance of dryness and peeling on the skin and mucous membranes.

Storage conditions . Manufacturers recommend storing the ointment at room temperature, protected from light. Keep out of the reach of children.

Expiry date .The ointment retains its medicinal properties for 3 years.

[22], [23], [24], [25], [26], [27], [28]

Ointment “Floxan”

Quite an interesting drug, the active ingredient of which is fluoroquinolone ofloxacin. The auxiliary components are liquid paraffin, animal fat, petroleum jelly. Sold in tubes of 3 g.

Pharmacodynamics . The drug has a pronounced bactericidal effect against a large number of bacteria that can cause inflammation in the tissues of the eye, including a large number of resistant strains.

Pharmacokinetics . Able to accumulate in the vitreous with repeated use. The half-life of the active substance with daily use ranges from 3 to 7 hours.

Contraindications to use . The drug is not used to treat barley in pregnant women and nursing mothers. It is unacceptable to use the drug in persons with hypersensitivity to its components.

Side effects . The use of the drug rarely causes undesirable reactions, which, moreover, are reversible.

Sometimes you can observe redness of the mucous membranes of the eyes, swelling of the face, lacrimation. Occasionally, patients complain of dizziness, nausea, discomfort or burning in the eye, short-term deterioration in vision clarity, dryness of the mucous eyes, photosensitivity. Allergic reactions are rare.

Method of administration and dosage . A small amount of ointment is recommended to be applied to the inner part of the eyelid from 2 to 5 times a day (depending on the causative agent of the disease). The course of treatment is not more than 2 weeks.

The drug can be used in 2 forms of release: in the form of drops and ointment. Drops are recommended to be instilled into the eye 3-4 times a day. Single dose for 1 eye – 1 drop.

Interaction with other drugs . Has not been studied.

Storage conditions . Manufacturers recommend keeping the medicine at a low room temperature away from light and heat sources. Keep out of the reach of children.

Expiry date . Before opening the tube, the ointment can be stored for 3 years.If the integrity of the packaging is violated, the shelf life is reduced to 6 months.

Antibiotic eye drops

If it is more convenient to use ointments in the evening, then antibiotic eye drops for barley can be used at any time. They do not leave a greasy coating on the eyelid and do not change the quality of vision.

[29], [30], [31], [32], [33]

Drops “Albucid”

This remedy based on sulfacetamide (an antibiotic from the sulfonamide group) is very popular with ophthalmologists, and therefore they most often prescribe these antibiotics for barley and bacterial conjunctivitis.The drug is sold in the form of drops in bottles with a dropper volume of 5 and 10 ml.

Pharmacodynamics . The drug has a sufficient bacteriostatic effect, which allows you to quickly stop the symptoms of inflammation of the eyelid. Effective against a large number of pathogenic bacteria.

Pharmacokinetics . A small part of the drug is able to penetrate the bloodstream through the conjunctiva.

Use during pregnancy .It is allowed to use the drug during pregnancy only after consulting a doctor and taking into account all the risks.

Breastfeeding during Albucid therapy is undesirable. In pediatrics, it is used from the neonatal period as a therapeutic and prophylactic agent.

Contraindications to use . The drug is not used to treat the eyes if the patient is diagnosed with hypersensitivity to the components of the drug.

Side effects . When instilled into the eye area, patients notice a fast-passing burning sensation, pain or stabbing in the eye.Some note increased lacrimation, irritation of the mucous membranes, itching. Allergic reactions of varying severity are occasionally observed.

Method of administration and dosage . The agent is instilled into the eyes 1-2 drops at a time. It is recommended to use the drug 4 to 6 times a day. The duration of the course of treatment is established by the attending physician.

Overdose . Exceeding the recommended dosage is fraught with increased side effects.

Interaction with other drugs .Simultaneous therapy with “Albucid” and preparations containing silver salts, as well as combined use with Dikain and Procaine, is not recommended.

Storage conditions . It is necessary to store the medicine in the form of drops at low temperatures (within 10-15 ^about C), protecting from sunlight. Keep out of the reach of children.

Expiry date . An unopened bottle in its original packaging can be stored for no more than 2 years. After opening the container, the liquid must be consumed within 4 weeks.

[34], [35]

Drops “Levomycetin”

This drug is based on chloramphenicol, which is also considered a broad-spectrum antibiotic. Additional components are purified water and boric acid, which are successfully used in ophthalmology to cleanse the eyes. It goes on sale in glass bottles with a rubber cap in a metal braid.

Famacodynamics . The drops have a good bacteriostatic effect (in normal doses).They are active against a variety of pathogenic microorganisms, including strains resistant to sulfonamides and penicillin. Antibiotic resistance develops slowly, which allows it to be used for a long time.

Pharmacokinetics . The drug has good penetrating ability, therefore it quickly seeps into tissues and body fluids, including all parts of the eye, except for the lens.

Use during pregnancy . Due to the excellent penetrating properties of the drug, it is prohibited to use it during pregnancy and lactation.

For children, the drug can be prescribed from one month of age. Until that time, it is used only as a last resort under the supervision of a physician.

Contraindications to use . The drug is not prescribed for hypersensitivity to the components of the drug. Do not use in the area affected by skin diseases such as psoriasis, eczema, mycoses, etc.

Side effects . The drug may cause slight irritation and redness of the eye mucosa, eyelid edema and itching.Sometimes there is also lacrimation, headaches, dizziness, allergic reactions in the form of itching of the skin and rashes on it. Against the background of drug intolerance, there have been cases of Quincke’s edema.

Method of administration and dosage . Such drops with antibiotics for barley on the eye and other bacterial eye pathologies should be used 3 times a day. You need to drip 1 drop on each eye (in order to avoid the spread of infection, it is advisable to process both eyes). The course of treatment is usually 1-2 weeks.

Overdose . A large single dose of chloramphenicol eye drops can lead to blurred vision. Usually everything is restored after washing the eyes with clean water in sufficient quantity.

Interaction with other drugs . The simultaneous use of “Levomycetin” and other external agents for the treatment of eyes is not allowed. The interval between the use of drugs should be at least a quarter of an hour.

Do not apply eye drops over the ointment.

Storage conditions . Storage of the drug is carried out at room temperature, protecting the drug from direct sunlight. Keep out of the reach of children.

Expiry date . In its original packaging, the drug retains its properties for 2 years. After opening the bottle, the antibiotic is used within 2 weeks.

[36], [37], [38], [39]

Drops “Tsiprolet”

The drug is an aqueous solution of an antibiotic from the group of ciprofloxacin fluoroquinolones.Effective even for severe purulent infections. Comes on sale in plastic bottles with a dropper. Volume 5 ml.

Pharmacodynamics . Ciprofloxacin has a bactericidal effect against many causative agents of inflammatory eye diseases (staphylococcus, streptococcus, chlamydia, proteus, etc.). Not effective against clostridia, treponema, bacteriodes and fungal infections.

Pharmacodynamics . It penetrates well into various fluids, including breast milk.

Use during pregnancy . The penetrating properties of the drug are an obstacle to its use in the treatment of pregnant women and nursing mothers.

Contraindications to use . Do not use drops “Tsiprolet” in case of intolerance to its components and hypersensitivity to fluoroquinolones, viral infections. In pediatrics, it is prescribed for children over 1 year old.

Side effects . The drug, like other local antibiotics for barley on the eye, can cause irritation of the tissues around the eye (burning, sensation of a foreign particle in the eye, itching and redness of the mucous membranes).Occasionally, patients report allergic reactions to the drug, temporary impairment of visual acuity, the development of keratitis or superinfection.

Method of administration and dosage . It is recommended to instill the drug in the eyes up to 6 times a day. Single dose – 1 or 2 drops in each eye. For severe and complicated infections, it can be used at intervals of 1 hour, gradually increasing the time interval between instillations.

Use strictly according to the doctor’s prescription in the indicated dosage.

Overdose . Topical application of drops excludes an overdose of them.

Interaction with other drugs . The drug combines well with other groups of antibiotics, which makes their combined use possible and effective.

Incompatibility of ciprofloxacin was noted only in relation to drugs with a pH level within 3-4 units.

Storage conditions . Store the antibiotic medicine at room temperature, protected from light and moisture.Keep out of the reach of children.

Do not freeze eye drops.

Expiry date . The bactericidal properties of the drug persist for 2 years. The opened bottle must be used up within 1 month. An expired medicine is unacceptable to use.

Despite the fact that external agents with antibiotics enter the bloodstream in small quantities, they cannot be used after the expiration date, since this can still cause intoxication of the body.When buying drugs for topical use, you need to make sure that the drugs are intended specifically for the treatment of the eyes (eye ointments and drops). Preparations for the treatment of skin diseases may contain an increased concentration of the active substance and auxiliary components that are not applicable in ophthalmology.

Antibiotics from barley in tablets and ampoules

In case of barley on the eye, which is characterized by a rather severe course with a high probability of complications, in addition to external agents, doctors often prescribe antibiotics in tablets and injections.The drug of choice is often tetracyclines and penicillins, including protected ones.

Doxycycline

“Doxycycline” is a tetracycline oral drug with an active substance of the same name. It goes on sale in the form of capsules packed in blisters and a cardboard box (10 capsules in a blister).

Pharmacodynamics . Has a pronounced bacteriostatic effect against a large number of gram-positive and gram-negative bacteria.

Pharmacokinetics . Doxycycline is able to be rapidly absorbed in the gastrointestinal tract, while exerting a prolonged effect. The half-life of the drug can range from 12 to 22 hours. It is excreted in urine and feces.

Use during pregnancy . Not used because of the danger of penetration through the placental barrier. Breastfeeding is stopped for the duration of drug therapy.

Contraindications to use . Do not use for porphyria and leukopenia.Absolute contraindications to the drug are hypersensitivity to tetracyclines and severe liver damage.

Side effects . Among the most common side effects are: anemia, allergic reactions against a background of hypersensitivity, skin rash, headaches, dizziness, increased intracranial pressure, visual and hearing impairment, problems with the gastrointestinal tract, muscle and joint pain, hot flashes. Long-term use in high doses can lead to the development of superinfection.

Method of administration and dosage . You need to take the medicine during or after meals. The capsules are not chewed, but washed down with water.

The initial dose of the drug is 200 mg per day, the next day it is reduced to 100 mg per day. A therapeutic course of at least 10 days.

Overdose . It happens very rarely. It manifests itself in the form of pancreatitis and kidney pain. Treatment consists of gastric lavage and intake of calcium salts.

Interaction with other drugs .Antacids reduce the absorption of the drug in the gastrointestinal tract. Care should be taken to prescribe quinapril, sulfonylurea derivatives and curariform agents during therapy. It is undesirable to use in parallel with bactericidal antibiotics.

You can read about other types of drug interactions in the instructions for the drug.

Storage conditions . Store at room temperature for a shelf life of 3 years.

Among the antibiotics of the penicillin series, “Ampicillin” or drugs from a number of protected panicillins (“Augmentin”, “Flemoxin”, etc.) are most often prescribed.). In case of a negative reaction to penicillins, they are replaced with tetracyclines or cephalosporins.

[40], [41], [42]

Cefazolin

“Cefazolin” is the least toxic preparation of the cephalosporin series in the form of a powder for injection, which is also used in ophthalmology to fight bacterial infections. Has a bactericidal effect.

Pharmacokinetics . Able to penetrate the placental barrier and pass into breast milk in small quantities.It is excreted by the kidneys.

Use during pregnancy . Limited.

Contraindications to use . Not prescribed for hypersensitivity to beta-lactam antibiotics, renal failure, intestinal obstruction. Children are prescribed from 2 months of age.

Side effects . Most often, patients complain of allergic reactions (mild and severe) and dyspeptic symptoms. It can cause a violation of the intestinal microflora and the development of superinfection.

Method of administration and dosage . For intramuscular injection, it is diluted with icecaine. The dosage depends on the severity of the infectious process. Usually – 0.25 -0.5 g.

Interaction with other drugs . It is undesirable to simultaneously use cefazilin and probenecid, anticoagulants, diuretics. In combination with aminoglycosides, it enhances the toxic effect of the latter.

Storage conditions . Store the drug in its original packaging at low room temperatures, protecting from light.Keep out of the reach of children.

Expiry date . Powder for preparation of injection solution retains its antibacterial properties for 3 years. It is advisable to use up the freshly prepared solution within 24 hours.

The choice of effective antibiotics for barley in the eye always remains with the attending physician, because only he can prescribe treatment in accordance with the diagnosis and characteristics of the patient’s body. And, if necessary, do an antibiotic tolerance test.

[43], [44], [45], [46], [47], [48], [49], [50], [51], [52], [53]

Cure for barley on the eye

Barley is an inflammatory process of the sebaceous gland of the eyelid, which is purulent in nature. The introduction of an infection, the cause of which is most often staphylococcus yellow, can affect the development of pathology. The patient can feel the symptoms even before the inflammation begins to develop. Over time, the barley begins to rot and will be outwardly noticeable. After 3-4 days, the barley passes on its own.But if this does not happen, then they treat the barley on the eye with medicines, which the doctor can prescribe.

Application area

Medicines for barley today are presented in a wide variety. These are ointments, drops, tablets. They can also be used for the treatment of such pathologies:

• corneal ulcer;
• iridocyclitis;
• conjunctivitis;
• keratitis;

90,025 infectious diseases of the eyelids;

• infectious diseases of the cornea.

If you have any discomfort when wearing contact lenses, read here.

The doctor will be able to prescribe a medicine only after examining the patient and making a diagnosis.

Specific features of preparations

Since barley is an infectious process, antibacterial agents are necessarily used for its treatment. Due to the carefully selected composition, they are able to strike and act directly on the focus of the disease, inflammation and suppuration, destroying the pathogenic microflora. But to use such funds no longer than 7-10 days. Otherwise, viruses and bacteria develop immunity to the components of the drug. Also, for the treatment of barley, drugs are used to relieve symptoms such as pain, burning, itching, redness. They should be used in combination with antibiotics, otherwise it will not work to achieve positive dynamics.

Read about the treatment with drops from barley on the eye in the material.

Drug List

Tablets

The use of antibiotics is prohibited without a doctor’s prescription.

Ofloxacin

This medication is presented in the form of white round tablets. Adults are taking 1-2 tablets 2 times a day. The duration of therapy is 3-7 days. According to the instructions for use, Ofloxacin drops cannot be used by children under 18 years old, pregnant women, breastfeeding mothers, as well as people suffering from epilepsy.

Amoxil

Adults take this antibiotic 1-2 tablets per day, and children can be prescribed it from 2 months. Pediatric dosage is determined taking into account the age of the child:

• up to a year – 3 mg per 1 kg of baby’s weight 3 times a day;
• 2-5 years old – 125 mg per day;
• 5-10 years old – 250 mg per day.

The therapy course lasts 5-7 days. You can not use the antibiotic for women during pregnancy, lactation, with diseases of the nervous system and individual intolerance.

Also find out how to treat conjunctivitis in adults here.

Antibiotics are very effective in treating barley, as they are able to stop inflammation in a short period of time.

Eye drops

These drugs are among the most effective and popular in the treatment of barley. They are completely harmless to the body if used correctly. In addition, eye drops successfully cope with symptoms such as pain, swelling, and they also accelerate the process of maturation of the abscess. For the treatment of barley, the following preparations should be used:

1. Floxal . These are antibacterial drops, as they contain ofloxacin.Effective against Escherichia coli, Salmonella, Proteus, Chlamydia, Staphylococcus and Streptococcus. Use 1-2 drops per day. If others are used in combination with these drops, then there should be an interval of 5-10 minutes between their use.
2. Albucid or Sulfacil Sodium . It contains sulfacetamide. The drug belongs to antimicrobial. Its active components penetrate into the focus of inflammation, suppuration and destroy the harmful microflora. The drug is effective against Escherichia coli, streptococci, staphylococci, gonococci.In the acute course of barley, apply 1-4 drops 5-6 times a day.
3. Tobrex . It also contains an antibiotic – tobramycin. Its action is aimed at destroying harmful bacteria, as a result of which they die. If the barley proceeds without complications, then use it 1-2 drops 3-4 times a day. If there are complications, then use 2-3 drops every 30 minutes.
4. Levomycetin . It contains the antibiotic chloramphenicol. He has a wide range of influences.Its action is aimed at oppressing and destroying the culprits of the infectious process. Use 1 drop 3-4 times a day.
5. Tsiprolet . The medication is based on ciprofloxacin hydrochloride. It is an anti-inflammatory drug with a wide range of effects. Its action is aimed at disrupting the vital activity of pathogenic microflora, its destruction. You can use drops for a long time. Dripping 1-2 drops every 4 hours. If there are complications, then the dosage should be increased to 2 drops every hour.

When choosing one or another drug, it is necessary to pay attention to contraindications, especially antibiotics. Some of them have a powerful irritating effect on the mucous membrane of the organ of vision, resulting in a burning sensation and redness.

Eye ointments

Eye ointments used to treat barley are also classified as antibiotics. But only they rarely lead to irritation of the mucous membrane, although they have their drawbacks. This includes the fuzzy visibility of the picture.

Erythromycin

This ointment is one of the most effective. Its disadvantages include the resistance of bacteria to the active ingredient. It follows from this that after a specific period of use of the drug, it may cease to fight microbes and become ineffective.

Eryromycin ointment can be used by pregnant and breastfeeding mothers.

Hydrocortisone

This is a powerful anti-inflammatory medication, when used, it is possible to stop painful sensations and speed up the healing process.You can apply the ointment for 7 days. Moreover, the treatment can be carried out by pregnant and breastfeeding women. Ointment is sold in convenient tubes, thanks to which the paste is very comfortable to apply.

Doctors recommend the use of this drug to those patients who are rarely exposed to barley.

Tetracycline

This medicine is very popular in the field of medicine. It should be used by those people for whom barley is a frequent occurrence. The ointment has an antibacterial effect, thanks to which recovery occurs very quickly.

Before using the ointment, you should consult your doctor, as it belongs to strong antibiotics.

Treatment with Tetracycline ointment should not last long, since the active substance in the composition is contained in a high concentration.

Application Note

Before using this or that drug, you must thoroughly wash your hands and treat them with an antiseptic.When using the medication, you must strictly follow the doctor’s recommendations. It is very important to pay attention to the preparation time.

If drops are used, they should be warmed up first. To do this, hold the bottle in your hand for a few minutes millet. Then lie down on the sofa, throw your head back and drip your eyes. Lie down for a couple of minutes and you can get up.

If an ointment is used, then you need to act with extreme caution. If she gets on the mucous membrane of the eyes, it can lead to her burn.Apply the paste with a mono cotton swab or cotton swab. For children, an ointment with a freezing effect is better.

About ways to remove papilloma on the eyelid is written in this article.

Laser coagulation of the retina: consequences and technique of the operation

Kromoglin: instructions for the use of eye drops are presented in this article.

Eye drops from welding https://eyesdocs.ru/medicinaoperacii/lekarstva/effektivnye-kapli-dlya-glaz-ot-svarki.html

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Conclusions

Barley is an unpleasant pathological process that must be treated if there is local suppuration. In no case try to open it yourself at home, otherwise it may end in failure. It is better to seek the help of a specialist so that he can draw up an individual and effective therapy regimen for you.

Also read about what drops to use for conjunctivitis on the link.

90,000 Barley treatment – NEARMEDIC network of clinics

There are two types of barley:

• external, arising in front of the eyelash growth line;
• internal, formed during inflammation of the meibomian glands at the edge of the eyelid.

Treatment of these forms of the disease has no fundamental differences.

Contact a specialist

In this disease, do not self-medicate, as cysts and tumors can be “masked” under it.Chalazion, popularly called “cold barley”, is often confused with barley. However, this pathology has other causes and is treated mainly by surgery.

In case of redness and swelling of the eyelids and the appearance of other unpleasant symptoms, it is imperative to consult a doctor at the NEARMEDIC clinic for diagnosis and treatment. Our ophthalmologists use the most advanced methods for treatment that allow you to get rid of the disease in the shortest possible time and prevent it from reappearing.

Treatment of barley in the infiltration stage

During this period, treatment procedures are aimed at accelerating the “maturation” of the abscess. This can be done using dry heat, such as a hard-boiled hot egg wrapped in a soft cloth. The use of UHF procedures also helps a lot at this stage.

Do not use treatment methods that are based on the use of various baths and lotions, as they macerate the skin and can cause a sluggish recurrent inflammation of the follicles and eye glands.

To fight infection, 20% sodium sulfacil solution (albucide), 10% sodium sulfapyridazine solution are instilled into the eyes. Eye ointments also help well: tetracycline, gentamicin, neladex, maxitrol, tobrex and other ophthalmic preparations containing anti-inflammatory and antimicrobial components.

For multiple abscesses inside the eyelids, lymphadenitis or fever, antibiotics are prescribed orally or by injection.

Treatment of barley on the eye in the stage of formation and opening of an abscess

When the abscess is “ripe” it is necessary to achieve its opening and the earliest evacuation of purulent contents.For this, drops containing antimicrobial and anti-inflammatory components are instilled into the eye. The eyelid is treated with special antibacterial ointments.

Do not squeeze out or pierce the abscess inside the eyelid – this can cause complications in the form of a purulent abscess. In case of difficulty in breaking through, the barley is opened by an ophthalmologist. This procedure is carried out under local anesthesia and does not require the preparation of the patient.

It is up to the doctor to decide on the prescription of antibiotics.The drug is selected individually depending on the severity of the process, general condition and age of the patient.

Treatment of barley in the eyelid in the healing stage

During this period, it is important to prevent the spread of infection to neighboring follicles, for this, the site of inflammation is treated with 1% solution of brilliant green.

Prevention of this disease consists in observing the rules of hygiene and increasing immunity.

How to treat stye in the eye

Barley is an acute inflammatory process of the edge of the eyelid, namely, inflammation of the sebaceous gland at the root of the eyelashes or hair follicle.Stye in a child or adult can be very painful, but it usually goes away on its own after about 1 week.

It is believed that barley on the eye is not a dangerous disease, but if it is not treated, the consequences can be quite unpleasant, so today we will consider how to cure barley so that complications do not arise. Causes of occurrence: Barley is caused by a bacterial infection, most often Staphylococcus aureus becomes the culprit for the development of infection of the hair follicle and glands.

The causes of barley on the eye can be varied, but most often it is a lack of personal hygiene, that is, the infection penetrates the sebaceous glands and hair follicles with dust from dirty hands. You can also identify other causes of barley on the eye: The presence of worms; Disease of the gastrointestinal tract; Diabetes; Wrong metabolism; Immunity disorders.
Symptoms: The appearance of barley begins with a slight redness and slight swelling of the area under the eyelashes.In this case, the inflammation is accompanied by a sharp soreness. On the 2-3rd day of the course of the disease, a yellowish head appears, and on the 3-4th day the abscess bursts, pus comes out and the pain becomes quieter.

When barley occurs in the area of ​​the outer corner of the eye, a strong swelling is formed, since lymph circulation is impaired. So, the following symptoms of barley on the eye can be noted: Local swelling, accompanied by redness and itching; Pain in the area of ​​inflammation; Headache; Purulent discharge from the focus of inflammation; Body temperature may rise.Basically, barley develops on the eye in a child with a weakened immune system. A child’s barley begins with a slight swelling, but if there is no treatment for a long time, then the inflammatory process can develop so much that the eye will not open at all. Barley can jump out not only on one eye, but also on both at once. It is very important to ensure that the child does not rub his eyes with his hands while the barley breaks out, so that the infection does not penetrate into the eye. At the first symptoms of the appearance of barley on the child’s eye, it must be taken to a doctor.

The sooner barley treatment is started, the more effective it will be. In modern pharmacology, there are special ointments and drops for the treatment of barley that are suitable for children, for example, good drops of Albucid. Quite often, doctors prescribe sulfonamides inside, which fight directly with the causative agent of the infection. The dosage of drugs is prescribed by the doctor individually, depending on the age of the child. Barley in a child’s eye can be not only external, but also internal, in this case the situation is much more complicated, since in most cases it requires surgical intervention.First aid for the emergence of barley: At the first stage of the emergence of barley, a positive effect can be given by burning it with brilliant green or medical alcohol. But moxibustion must be done very carefully so as not to hurt the eye. Burn the barley with a cotton swab, while closing the eye. It is also recommended to apply a compress of chamomile or tea infusion to the sore eye for 5 minutes several times a day. It is necessary to immediately consult a doctor in the following cases:

If the body temperature rises; When relapses occur; If the tumor does not go away on day 5 and increases in size; If the tumor interferes with normal vision.Treatment of barley on the eye is carried out using special ointments that contain antibacterial substances. Dry heat and UHF are also prescribed. Treating barley in the eye may require antibiotics. Antibiotics, usually in the form of drops, are instilled inside. Most often, the following treatment is prescribed: Antibacterial drugs for topical use, for example, Gentamicin in drops and in the form of an ointment; 1% tetracycline ointment from barley; Ciprofloxacin eye drops; Erythromycin 1% ointment.

Inflammatory diseases of the eyes, barley, demodicosis, blepharitis, dacryoadenitis, canaliculitis, conjunctivitis, thrombophlebitis, exophthalmos, iritis, endophthalmitis

Inflammatory processes developing in various parts of the eye. Inflammation can affect one or more parts of the eyeball, as well as surrounding tissues, and it can be both infectious and non-infectious in nature. Any of the inflammatory diseases of the organs of vision is characterized by similar clinical signs and leads to dysfunction of the eyes.

An ophthalmologist (ophthalmologist) is engaged in the diagnosis and treatment of inflammatory eye diseases.

Types and localization of eye inflammation

The eye is one of the most complex organs of our body, consisting of a variety of parts that have a special purpose and perform important functions in the work of the visual system. The term “inflammatory eye disease” usually refers to a variety of processes that affect any part of the eye. Depending on the location of the inflammatory process, pathologies can be classified as follows:

• inflammation of the eyelids (barley, demodicosis, blepharitis, etc.)
• inflammation of the lacrimal organs (dacryoadenitis, canaliculitis, etc.)
• inflammation of the conjunctiva (bacterial, viral conjunctivitis)
• inflammation of the orbit (thrombophlebitis, exophthalmos, etc.)
• inflammation of the vessels of the eye (iritis, endophthalmitis, etc.)
• Corneal inflammation (viral, fungal keratitis, etc.).

The type of inflammation can also differ. So, in medicine, the following types of inflammatory processes that can affect the eyes are distinguished:

• catarrhal
• rheumatic
• granular
• syphilitic
• gonorrheal
• scrofulous
• inflammation resulting from mechanical trauma
• inflammation caused by overstrain

, arising after rash infectious diseases, etc.e.

The inflammatory process of various types can occur in both acute and chronic forms.

Reasons for the development of inflammatory eye diseases

• infectious diseases (streptococcal and staphylococcal infections, herpes, tuberculosis, etc.)
• eye injury
• eye irritation by aggressive substances
• inflammatory diseases of the nasopharynx
• vitamin deficiency in the body
• lack of personal hygiene.

You should also be careful if you often have to experience irritating effects of corrosive smoke and other substances, if you are hit in the eye or have any other mechanical impact. Also, you can enter a risk group if you are used to malnutrition, because with a lack of necessary substances in the body, metabolic processes can be disrupted, which often leads to the development of inflammatory diseases, including the organs of vision.

General signs and symptoms

Any inflammation affecting the organs of vision is characterized by some general clinical symptoms:

• redness of the skin and mucous membranes
• the appearance of edema
• pain
• in some diseases itching and burning are possible
• lacrimation
• Narrowing of the eye gap
• Sensitivity to light
• Painful mobility
• Eyelash loss and deformation of their growth
• With barley and some other inflammatory diseases, a nodular formation is formed on the eyelid, which is painful and can secrete pus.

In severe, advanced cases, you may also feel that your vision has become worse. Such a sign cannot be ignored, because poor vision not only significantly reduces the quality of life, but signals a serious eye pathology and possible complications of inflammation.

Do not ignore existing symptoms! When they appear, it is recommended not to postpone an appointment with an ophthalmologist.

Diagnostics in our clinic

Our experienced ophthalmologist will be able to prescribe highly effective treatment only after a comprehensive examination and a reliable diagnosis.For this, an examination of the eye by the method of ophthalmoscopy and with the help of a slit lamp, the function of vision is checked, and the intraocular pressure is measured. To check for infection, it is also necessary to conduct a number of laboratory tests that will determine the causative agent of the disease.

Particular attention is paid to differential diagnosis, because many inflammatory eye diseases follow a similar scenario. Our doctor can apply the following examination methods in the clinic:

• PCR analysis of scrapings from the conjunctiva and cornea, as well as PCR analysis of blood for accurate qualitative and quantitative analysis of the infectious agent;
• bacterial inoculation of the detached eye, which allows you to accurately identify the infectious agent and determine its sensitivity to various groups of antibiotics;
• Conducting allergy tests, with the help of which the doctor can find out if your body is sensitive to certain substances;
• examination of eyelashes under a microscope for fungal infection or demodicosis;
• some instrumental research methods.

Treatment of inflammatory eye diseases

Competent therapy for eye inflammation is impossible without eliminating the main factor causing the disease. If inflammation of the organs of vision develops in you against the background of systemic pathology, it must be identified and cured. In our clinic, you always have the opportunity to undergo not only complex ophthalmological diagnostics, but also, if necessary, get advice from various narrow specialists.

In the course of the complex therapy of inflammatory diseases affecting the organs of vision, the doctor may prescribe you:

• antiviral, antibacterial and other medicines, the action of which is aimed at combating an infectious agent
• medical massage of the eyelids
• specific immunotherapy
• allergy therapy
• conjunctival cavity ozone therapy
• laser treatment
• magnetostimulation
• color therapy, etc.e.

If your disease was diagnosed late, and serious complications began to appear, our specialists will be able to conduct a sparing microsurgical treatment.