Barley - Limited purulent process in the centuries that develops when infected eyelash follicle or sebaceous gland. Stye appears painful local swelling and hyperemia edges century, followed by the formation of an abscess. Diagnosis based on barley external examination and, as a rule, does not require additional instrumentation techniques. In the initial stages of barley produced tushirovanie inflammatory focus ethanol, made Albucidum instillation, application of eye ointment, UHF, quartz; in the stage of suppuration shown autopsy barley ophthalmologist eye.
Ophthalmology. According to statistics, during the life of a stye is facing 80% of the population. The disease most often occurs in children and adults aged 30-50 years. Barley is characterized by an acute purulent inflammation caused by bacterial infection and in developing hair follicles lashes and adjacent sebaceous glands. It should be remembered that the stye - is not just a cosmetic problem, but a disease that if self-treatment can lead to severe septic complications or chronic process. Under the guise of barley may hide other diseases century - chalazion, cyst, tumor century.
Demodex mites living on the eyelashes, or fungi. The penetration of microorganisms into the cavity of the sebaceous gland and hair follicle leads to blockage excretory duct, which opens into the follicle, inflammation of the walls of the cavities and the accumulation of purulent secretions.
Getting infections in the hair follicle and sebaceous gland cavity contributes to poor hygiene - wiping face dirty towel, the habit of rubbing eyes with hands, combing century, the use of poor quality cosmetics, contaminated brushes, applicators for applying makeup, etc.
By the development and recurrence of barley predispose chronic diseases (diabetes, seborrhea, furunculosis, hyperlipidemia, digestive diseases, parasitic infestation), oily skin, acne vulgaris, stress, vitamin A deficiency, B and C, reduced immunity, HIV infection, general exhaustion , anemia, prolonged eyestrain, dirty areas or outside. Often accompanies barley for other diseases of the eye - blepharitis, conjunctivitis, and there is an incorrect use and storage of contact lenses.
meybomit) develops in the thickness of the century during infection and inflammation of the meibomian glands of cartilaginous plates century. Chronic meybomit leads to the development of chalazion.
By the number of ulcers stye can be single or multiple, occur in one or both eyes. Multiple recurrent styes occur in the spread of infection from one follicle to another and is usually seen in debilitated patients.
phlegmon of the orbit, orbital thrombophlebitis century, and in severe cases - purulent meningitis and sepsis deaths.
Nedolechennaya barley leads to chronic infection and recurrence of inflammation; complication of internal barley can be a chalazion, requiring surgical treatment.
ophthalmologist. Normally, internal or external recognition of barley held by viewing the eye with ectropion with side lighting. Further ophthalmic diagnosis in most cases is not required.
If often recurrent barley may require consultation with other specialists (endocrinologist, gastroenterologist, dermatologist), the determination of blood glucose and urine, carrying glucose-tolerance test, study eyelashes on Demodex and fecal helminth eggs. Implemented by bacteriological smear conjunctiva to identify barley pathogen, blood cultures for sterility.
The differential diagnosis is carried out with barley chalazion, dakrioadenitom, cysts and tumors of the eyelids.
instillation into conjunctival cavity solution sulfacetamide or antibiotic eye ointments laying Antimicrobial (levomitsetinovoy, tetracycline, erythromycin). Sometimes, through such measures can prevent the further development of barley in the eye.
In barley ripening stage shows the use of dry heat, holding physiotherapy - tube-quartz, UHF. It is strictly forbidden to impose wet compresses, as this can cause the formation of new abscesses.
After spontaneous breakthrough barley continue instillation of eye drops containing sulfacetamide or ciprofloxacin, and the laying of the eyelid antibacterial eye ointments. If the stye is accompanied by general symptoms, antibiotics should be the appointment by mouth or intramuscularly.
Some cases (with a large external abscess, meybomit, there is no expected effect of treatment) performed an autopsy barley under ophthalmologic office. In the future held daily postoperative treatment century, local or systemic antibiotic therapy. In chronic inflammation of the century resort to hair removal eyelashes.
Conducting surgical procedures when the barley is possible only by a qualified technician and in any case can not be carried by the patient on their own!
In the case of recurrent nature barley on an eye appointed autohemotherapy, UFO, vitamin therapy, restorative measures. In the formation of chalazion shown its removal injectable or surgically.
Prevention of barley should include the identification and elimination of predisposing factors, strengthening the immune system, nutrition, hygiene rules and the requirements of contact lens care, avoiding the use of poor-quality cosmetics and so on. D.