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Blepharitis, sometimes known as granulated eyelids, is one of the most common ocular conditions characterized by inflammation, scaling, reddening, and crusting of the eyelid. This condition may also cause swelling, burning, itching, or a grainy sensation when introducing foreign objects or substances to the eye.
Eyelid dermatitis is commonly related to atopic dermatitis or allergic contact dermatitis. [1] Volatile substances, tosylamide/formaldehyde resin , epoxy hardeners, insect repellent sprays, and lemon peel oil may be implicated, with many cases of eyelid contact dermatitis being caused by substances transferred by the hands to the eyelids .
Conjunctival concretions are generally asymptomatic.Common symptoms include eye discomfort, eye irritation, and foreign body sensation. Sometimes, the larger, harder or multiple concretions make the rubbing off of the superficial layers of the conjunctiva or eyelids to cause conjunctival abrasion, especially prominent when blinking.
Mild burns produce conjunctivitis, while more severe burns may cause the cornea to turn white. [16] Litmus paper may be used to test for chemical causes. [ 15 ] When a chemical cause has been confirmed, the eye or eyes should be flushed until the pH is in the range 6–8. [ 16 ]
Treatment can include warm compresses to thin the secretions and eyelid scrubs with a commercial eyelid cleanser or baby shampoo, [17] [13] or emptying ("expression") of the gland by a professional. Lifitegrast and ciclosporin are topical medication commonly used to control the inflammation and improve the oil quality.
Stye of the upper eyelid 8-year-old boy with an external hordeolum of lower lid. The first sign of a stye is a small, yellowish spot at the center of the bump that develops as pus and expands in the area. [7] Other stye symptoms may include: A lump on the top or bottom eyelid; Localized swelling of the eyelid; Localized pain; Redness; Tenderness
Trachoma is an infectious disease caused by bacterium Chlamydia trachomatis. [2] The infection causes a roughening of the inner surface of the eyelids. [2] This roughening can lead to pain in the eyes, breakdown of the outer surface or cornea of the eyes, and eventual blindness. [2]
Chalazion excision is an ambulant treatment and normally does not take longer than fifteen minutes. Nevertheless, owing to the risks of infection and severe damage to the eyelid, such procedures should only be performed by a medical professional. Chalazia may recur, and they will usually be biopsied to rule out the possibility of a tumour. [4]