tailieunhanh - Common Eye Diseases and their Management (part 3)

Hot hấp, một lần nữa, là hiệu quả điều trị và một khi mủ được xem, lông mi có thể được nhẹ nhàng epilated, với xả kết quả và độ phân giải tiếp theo của nhiễm trùng. Trẻ em độ tuổi từ 6-10 năm đôi khi dường như đi qua các thời kỳ của cuộc sống của họ | Common Diseases of the Eyelids 41 Hot steaming again is effective treatment and once the pus is seen the eyelash can be gently epilated with resulting discharge and subsequent resolution of the infection. Children aged from about six to ten years sometimes seem to go through periods of their lives when they can be dogged by recurrent styes and meibomian infections much to the distress of the parents. Under these conditions frequent baths and hairwashing are advised and sometimes a long-term systemic antibiotic might be considered. Recurrent lid infections can raise the suspicion of diabetes mellitus but in practice this is rarely found to be an underlying cause. Eyelid infections such as these rarely cause any serious problems other than a day or two off work and it is extremely unusual for the infection to spread and cause orbital cellulitis. Recurrent swelling of the eyelid in spite of treatment can indicate the need for a lid biopsy because some malignant tumours can on rare occasions present in a deceptive manner. Blepharitis This refers to a chronic inflammation of the lid margins caused by staphylococcal infection. The eyes become red rimmed and there is usually an accumulation of scales giving the appearance of fine dandruff on the lid margins. The condition is often associated with seborrhoea of the scalp. Sometimes it becomes complicated by recurrent styes or chronic infection of the meibomian glands. The eye itself is not usually involved although there could be a mild superficial punctate keratitis as evidenced by fine staining of the lower part of the cornea with fluorescein. In more sensitive patients the unsightly appearance can cause difficulties but in more severe cases the discomfort and irritation can interfere with work. Severe recurrent infection can lead to irregular growth of the lashes and trichiasis. In the management of these patients it is important to explain the chronic nature of the condition and the fact that certain individuals seem .