Meibomitis is an inflammation of the meibomian glands, manifested by hyperemia, edema, soreness in the affected area and the presence of a purulent infiltrate. Diagnosis is based on the results of biomicroscopy, microscopic and culture studies of secretion, PCR, and scrap analysis. In the bacterial genesis of meibomitis, the appointment of fluoroquinolones of the third generation is recommended, with the defeat of the mite of the genus Demodex antiparasitic agents. It is possible to surgically open the infiltrate and apply hardware methods of treatment.
Causes of Meibomitis
Violation of the conjunctival secretion is one of the main triggers of meibomite. The presence of pathogenic bacteria on the conjunctiva leads to the development of the inflammatory process, promotes the growth of other microorganisms and increases the tendency to severe disease. Less often this pathology is provoked by fungi, viruses or mites of the genus Demodex. With prolonged parasitization of the tick in the channels of the meibomian glands, the qualitative composition of their secretion changes with subsequent deficiency of the lipid layer of the tear film.
Symptoms of Meibomitis
From the clinical point of view, acute and chronic meibomitis are isolated. The pathological process can be localized both in the upper and lower eyelids. Combined lesions of both eyelids are less common. In acute course meibomitis is manifested by hyperemia, edema, severe pain syndrome in the affected area, sensation of a foreign body in the eye. Inflammatory infiltrate is located on the inner side of the eyelid, so there is edema on the outside. With the spontaneous opening of the infiltrate, patients complain about the release of purulent masses.
Treatment of Meibomitis
Conservative therapy meibomitis consists in the appointment of etiotropic medicines taking into account the antibioticogram data or the results of microscopic and cultural studies. In bacterial genesis, pathogens are most sensitive to third generation fluoroquinolones. For the treatment of meibomitis, provoked by demodicosis, the appointment of antiparasitic agents is recommended. Often with demodekoznom defeat afflicts the bacterial flora, so it is advisable to use a combination of antiparasitics and antibiotics. At meybomet it is necessary to spend hygienic treatment of blepharons with disinfecting solutions 2-3 times a day with the purpose of removal of dry crusts.