List of eye drops for eyelid demodicosis. How to get rid of Demodex eye mite? Alkaline eye drops instruction

  • Date: 26.06.2020

Eye contact with corrosive chemicals can be very hazardous to eyesight. The level of damage depends on the area of ​​the lesion and the concentration of the drug. Most often, the instinct protects the eyes from massive injuries - if there is a threat of hitting something, they immediately close. True, this will not protect against chemical burns of the eyelids, which can also be deep and very painful.

Eye burns with alkali can be especially dangerous. At home, concentrated substances are rarely used, however, a burn with them can be very significant. Industrial concentrates can cause partial or complete blindness. Therefore, everyone should know how first aid is provided in case of contact with alkali in the eyes.

All causes of eye damage with alkali can be divided into two groups:

  1. Household injuries.
  2. Work-related injuries.

In case of eye damage at home, the "culprit" of the incident is most often household chemicals, namely, cleaning agents for stoves, sinks, bathtubs and toilets, especially preparations for breaking through household blockages in pipes.

The reason for this is elementary negligence and unwillingness to use personal protective equipment such as rubber gloves and special goggles.

Less often, accidents occur during repairs - burns with lime, whitewash solutions, plaster, various alkaline-based dyes.

In production, highly concentrated solutions of alkaline preparations can be used, most often caustic soda, or lye and other hazardous substances become the cause of injuries. In case of contact of drugs on the skin, mucous membranes and eyes, the victim should be provided with immediate first aid, otherwise the consequences can be dire for human health.

First aid for alkaline burns

Emergency care for eye burns with alkali is provided immediately, as the chemical must be neutralized as soon as possible. The alkali antagonist is acid, therefore, the least dangerous agent for them is used to wash the eyes - a solution of boric acid.

The procedure for providing first aid for alkaline burns is as follows:

  • Gently remove chemical residues from eyelids and adjacent skin.
  • Flush eyes with clean water to remove traces of alkali. You can use a gauze pad, cotton ball, or bandage. In case of profuse lesion, jet washing from a glass or any other container is permissible. In this case, the eyes must be open. It is important to rinse out all the alkali, therefore it is recommended to rinse for up to a quarter of an hour.
  • Neutralize alkali residues by washing with 2% boric acid solution.
  • Apply a dry, sterile dressing to the eyes.
  • Since eye lesions cause very severe pain, it is recommended that the victim be given an anesthetic medication.

While one person seeks to rinse the victim's eyes from alkali as soon as possible, another should immediately call an ambulance, explaining to the operator what exactly happened and which part of the body was affected.

You also need to provide weak lighting in the room where the patient is located, since with damage to the eyes, severe photophobia develops.

If boric acid is not at hand, you can simply rinse with clean water, saline, Ringer's solution and even ordinary milk. It is important to do this as quickly and efficiently as possible, since the alkali remaining in the eye will continue to corrode the mucous membranes and the cornea, causing deep damage.

The use of drugs

If a caustic alkali has got into the eye, you should not use various medications and drops on your own without the permission of a doctor, it can be dangerous. After you rinse your eyes to remove any traces of alkaline solution, experienced ophthalmologists begin treatment.

They may prescribe the following drugs:

  • "Atropine". The purpose of the application is to relieve pain and prevent the formation of adhesions due to chemical burns. Instilled as prescribed by a doctor, 1 - 2 drops three times a day. The drug should not be used in case of allergy to it, children under the age of 7 years, with high blood pressure, in the presence of glaucoma and iris synechia.
  • Levomycetin drops. This is an antibiotic remedy that will prevent the development of the inflammatory process due to infection. The drug is not prescribed for allergic reactions, renal and hepatic failure, blood problems.
  • "Korneregel".
  • Oftagel.
  • Solcoseryl. Like the two previous drugs, the agent is prescribed to accelerate the healing of the wound surface and restore the function of the cells of the eye. This wonderful remedy must be used without fail, as it will help speed up healing and relieve the patient from lesions of the cornea and membranes, eyelids, dangerous to vision. When instilling, especially at first, unpleasant stinging or tingling may appear, but this is a temporary effect, it will soon pass. Also, the patient may feel the cloudiness of the "picture". This is also normal and will pass quickly. "Solcoseryl" is dripped into the eyes one drop at a time during the day. With very severe lesions, you can drip into the eyes every hour, but this must be given permission by the attending physician.

Drugs for treatment are selected by the attending physician individually, for a specific patient, taking into account the degree of damage and concomitant diseases.

Contraindications

If you do not know what to do if alkali gets in your eyes, do not try to bury the first drops that come across to the victim, it can be very dangerous. It is equally risky to try to wipe the lye with dry things - a towel, handkerchiefs, especially rubbing the substance over the skin. So you can only aggravate the lesion and spread the "chemistry" on the skin.

If a piece or a drop of whitewash, lime, or plaster gets on your skin or eyes, you must first carefully remove it with some object, and then rinse this place. If this is not done, but immediately start rinsing, the alkaline substance will be smeared over a large area and the burn will only increase.

Preventive actions

In order to avoid the most dangerous eye damage, you just need to follow the simplest rules:

  • Always wear gloves and safety goggles when using household chemicals, especially when cleaning pipes and washing the toilet.
  • Rinse your hands thoroughly with soap and water after using "chemistry".
  • Store household alkalis in a tightly closed, signed container out of the reach of children.
  • Always use personal protective equipment at the workplace.
  • Make a special space in the closet or use a lockable container for storing household chemicals.
  • Do not use industrial cleaners or other hazardous products for household use.

A simple precaution and respect for your health will protect your eyes from the most dangerous injuries and chemical lesions with alkali.

The disease is often asymptomatic or in an erased form. It can occur in isolation, affecting only the eyes or in combination with the disease on other parts of the face and body. Many scientists believe that this is not an independent disease.

The reasons for the activation of the tick and the appearance of demodicosis:

  • weakening of immunity;
  • metabolic disease;
  • elderly age;
  • the presence of trichomoniasis;
  • in children - diseases of the gastrointestinal tract, lungs;
  • hyperopia.

Provoking factors for exacerbation of demodicosis:

  • stress, nervous overload;
  • improper diet with an excess of fatty, fried;
  • excessive sun exposure;
  • abuse of steam rooms and saunas;
  • fatty creams, ointments for the face;
  • taking hormonal drugs.

All of these factors increase the production of sebum that Demodex feeds on.

Infection methods:

  • with direct contact with a sick person;
  • through the clothes;
  • linens;
  • hygiene items;
  • cosmetics.

Sometimes you can get infected in a beauty salon while cleaning your face.

How does demodicosis of the eyes manifest?

Diagnosis of the disease is usually straightforward. The presence of a skin mite in the eye area can be observed visually, according to the following symptoms:

  • tired eyes;
  • itching, worse in the evening and at night;
  • inflammation;
  • feeling of grit in the eyes;
  • swelling of the eyelids;
  • hyperemia of the edges of the eyelids, purulent plaque;
  • stuck eyelashes;
  • scales at the roots of the eyelashes in the form of a ring.

There are scanty discharge, slight swelling and redness of the eyelids, loosening of internal folds, follicular hypertrophy. Dry eye syndrome develops due to a decrease in the lipid layer of the lacrimal glands: their volatility increases. There are trophic disorders of the cornea, a decrease in its sensitivity. The vessels of the eyes suffer.

Frequent companions of eyelid demodicosis are recurrent barley, eyelash loss, acne, rosacea. The waste products of the tick cause allergy symptoms, the appearance of rosacea, seborrhea.

Diagnostics

After studying all the symptoms, an analysis is carried out to confirm the diagnosis: quick diagnosis right in the presence of the patient in the doctor's office. 4 cilia from the upper eyelid, 4 from the lower eyelid are examined. It's the same with the eyelashes of the other eye. They are placed on a glass slide, a special substance is instilled on top, covered with another glass, and examined under a microscope.

The presence of a tick and its eggs confirms the diagnosis of demodicosis. Sometimes scraping is taken from the surface of the affected areas around the eyes and from the edges of the eyelids. For the accuracy of the analysis, the patient should not wash with soap two days before him, or use cosmetics.

A loose, delicate epidermis, prone to redness, is considered a predisposing factor. Basically, these are blondes and brown-haired women. Men are less susceptible to this disease. Because they use makeup less often and shave constantly. When shaving, at the same time with the hairs, dead skin particles are scraped off together with dirt, pathogens, eggs.

You can take a test for getting into a risk group in the article:.

People who are not in any risk group, who have elastic, healthy skin, rarely develop demodicosis.

How to treat

It will not be possible to completely get rid of the disease, because the number of its carriers is very large, ticks constantly move from one person to another. Therefore, the main task of treatment is stable remission, the absence of all visible manifestations of the disease.

Usually, drugs for external use with antidemodectic activity are used. The main active ingredients metronidazole and tinidazole kill saprophytes. Substances in the composition of these drugs have the ability to disinfect the affected area, cleanse from sebaceous secretions and Demodex waste products, and relieve inflammation.

Facilities

  • Ointments. Applying the medicinal composition to the eyelids is often problematic. They are replaced with eye baths.
  • Gels. They are effective due to the fact that they do not contain fat, the fine structure allows useful substances to penetrate deeply into the affected area of ​​the skin. Cool and moisturize the epidermis, relieve the symptoms of inflammation.
  • Pharmacy-made alcohol or ether-based solutions. Effective for a short time. Do not use alcohol for a long time. Alcohol dries up the epidermis, which leads to increased sebum production.
  • To strengthen the body's defenses, treatment with immunostimulants and vitamins is prescribed. Electrophoresis with medicinal plants is performed. Electricity promotes deep penetration of the drug, moisturizes, and reduces the production of fat.

Olga Rosen
Cosmetologist-esthetician

At the same time, it is necessary to be observed by a dermatologist and a cosmetologist. During this period, proper cosmetic care is important. The face is cleaned 2 times a day from sweat and fat released to the surface of the epidermis, dirt, and waste products of mites. Moisturize to reduce facial inflammation.

The improvement of the skin leads to the restoration of its protective properties. The task of the doctors is to bring her to the point where she can cope with demodex on her own.

In parallel, it is necessary to treat concomitant diseases: diseases of the intestines, liver, gastritis, endocrinological disorders, seborrhea.

Change bed linen constantly, boil and iron it. Change feather and down pillows for artificial materials: they are easy to wash, the mite does not like to settle in them.

Exclude

  1. Sauna and steam room;
  2. warming up procedures;
  3. cosmetics with honey, as honey dilates blood vessels;
  4. alcohol, sweet, fatty, spicy, salty and very hot food.

Treatment of demodicosis is long-term: 1.5-3 months. All these methods and means do not guarantee complete elimination of saprophytes, they only relieve symptoms. But today there is no effective treatment for subcutaneous ticks.

Get rid of folk methods

A whole range of therapeutic measures will help to cope with an eye mite. Along with the doctor's prescriptions, the use of folk remedies is allowed.

Traditional medicine recommends eating one garlic clove daily on an empty stomach. The eyes are treated with a solution of Dimexide, an aqueous infusion of tansy or tincture of wormwood. Eye drops of zinc sulfate in boric acid are dripped. 2 drops 3 times a day. Demodex does not like an alkaline environment, so it is possible to use alkaline eye drops.

Folk remedies

  • Aloe juice, it is completely harmless to the body, is used in the form of compresses. Dilute aloe juice with water 1: 1, moisten gauze and apply on eyes for 20 minutes. Repeat every other day.
  • Laundry soap. Moisten a cotton swab, smear with soap and rub into places affected by demodicosis.
  • Compresses on areas affected by saprophyte from chamomile decoction.
  • Tomato juice. You can make lotions all over your face.
  • fights the symptoms of demodex damage and helps in treatment.
  • Artificial tear. Used to relieve dry eye symptoms.

Inside for the treatment of the disease, take a decoction of wormwood for 6 days. Pour 2 tbsp. l. wormwood with one liter of water. Cook for a few minutes. Take around the clock without interruption on the first day - 50 mg after 1 hour, the second day - after 2 hours, the third day - after 3 hours. You can add honey.

The eyelid massage accelerates the treatment of demodicosis. Do it every day before medical procedures. It is not recommended to treat only with folk remedies. The tick does not lend itself to any one remedy. Complex therapy will help.

If you don't solve the problem

When the epidermis around the eyes and on the eyelids is clean, the treatment should not be interrupted. In many cases, it is unfinished treatment that is the cause of relapses of the disease.

If not treated, then eyelashes usually fall out, the edges of the eyelids become hypertrophied, and this causes difficulty in closing the eyelids. Eyelashes grow in the wrong directions. Untreated demodicosis causes inflammation of the conjunctiva of the eyes - blepharoconjunctivitis. This leads to a deterioration in the functions of the glands of the cartilage of the eyelids. Chalazions are formed - seals in the cartilage of the eyelids in the form of hailstones. Chalazions are treated only by surgery.

Keratitis is another complication of this disease. A thorn is formed, vision deteriorates sharply. Uveitis develops - an inflammation of the vessels of an allergic nature. Its symptoms: pain, redness, blurred vision, decline in working capacity.


Olga Rosen
Cosmetologist-esthetician

If the treatment is not completed, then a relapse develops in 10% of cases. The disease spreads to other parts of the face, perhaps even to the entire body. Concomitant complications appear. For example, the skin of the nose becomes covered with bumps and pimples, it becomes like a "potato". This is called rhinophyma. In other areas, the skin is also deformed, covered with ulcers. Sometimes they give off an unpleasant odor.

Complications of demodicosis are not only physical, but also psychological. Illness leads to social and emotional problems. 7 out of 10 people note that complications cause problems in the professional sphere, up to the destruction of a career. Such people are characterized by a feeling of self-doubt, a decrease in self-esteem, and depression.

How to protect yourself

Prevention of Demodex includes a whole range of recreational activities.

  • Regular deep cleansing of the face, hardware and non-hardware.
  • Treatment of problem skin by a beautician. Removal of the vascular network on the face.
  • Normalization of the diet. The use of plant and dairy foods. Elimination of all foods that cause increased sebum production and inflammation.
  • Disinfection, or better change of all items for applying cosmetics.
  • Strictly individual use of cosmetics and hygiene items. Better to use disposable.
  • Daily change of linen with boiling and ironing.
  • Refusal from cosmetics with hormonal drugs, as Demodox loves to feed on hormones.

Our task is to make sure that everything that causes demodicosis is gone. A healthy lifestyle, balanced diet, moderate physical activity, adherence to the rules of hygiene are what will help to avoid aggressive behavior of the tick.

Rhinitis is the medical name for everyone. runny nose... If it appears in an adult, then this does not prevent him from working and living a normal life, for babies everything is much more complicated. The simplest runny nose bothers them very much, they become restless, cry, are constantly capricious and even refuse to eat, because it is really very difficult for them to eat with a stuffy nose. The acute form of this problem is an acute nonspecific inflammatory process that is localized on the mucous surface of the nasal cavity.

Causes and main symptoms of the disease

As a rule, this form of rhinitis is a direct consequence of local and general hypothermia of the body. In addition, acute rhinitis can accompany some infectious diseases that children usually suffer from. There are three stages in the development of an acute rhinitis:

  • Dry stage - the mucous membranes of the nasal passages are irritated, but there is still no discharge.
  • Serous discharge appears.
  • The discharge becomes mucopurulent.

Dry stage

Acute coryza begins with unpleasant burning sensations, excessive dryness, tickling in the nose, larynx and pharynx, and obsessive repeated sneezing appears. Nasal breathing may be slightly difficult at first, and then almost completely stopped due to the closure of the nasal passages by an edematous thickened mucous membrane. Simultaneously with these symptoms, an audible nasal tone appears, the sense of smell is sharply deteriorated and the taste is significantly reduced.

Serous discharge

On the very first day, a clear watery liquid that is secreted from the vessels flows abundantly from the nose. Then the chemical composition of these secretions becomes more irritating to the mucous membranes, so the skin under the nose turns red.

Mucopurulent discharge

After some time, pus may be added to the mucus, which is grayish at first, and then acquires a yellowish-green tint. This is due to the fact that it contains leukocytes, lymphocytes and epithelium. After some time, the total amount of discharge is significantly reduced, breathing and sense of smell are restored, and after a week or two, acute rhinitis stops altogether. Sometimes the inflammatory process in children is significantly delayed and can even spread to the pharynx, as a result of which there is a high likelihood of rhinopharyngitis and even acute otitis media of the middle ear, because inflammation from the nasopharynx can spread to the auditory tube.

Rhinitis therapy in children

Rinsing the nose

In infants, mucus and dried crusts from the nasal passages are removed with cotton flagella, sometimes vegetable oil is used to soften the crusts. For babies up to 2 years of age, it is usually recommended to rinse the nose with saline solutions, and then instill oily drops from olive, corn, or petroleum jelly.

If the crumbs' nose is stuffed up so much that it is difficult for him to breathe due to the accumulated mucus, then you can use the baby rubber bulb to draw mucus out of the nasal passages with it. This should be done very carefully and only in cases of extreme necessity, because such a procedure, performed too often, can cause significant dryness of the mucous surfaces of the nose.

So that the baby can eat normally, you need to rinse and bury the nose before each feeding. Washing the nasal passages must be done with extreme caution, because inaccurate actions can provoke otitis media.

Nasal drops

Vasoconstrictor drops

It is possible to relieve swelling of the nasal mucosa with vasoconstrictor drops, they will help restore the patency of the nasal passages and significantly improve the airiness of the paranasal sinuses.

Anti-inflammatory drops

Anti-inflammatory drops will help to cure the inflammatory process - Sofradex, Protargol and special combined drops, which contain antibiotics, hydrocortisone, ephedrine and diphenhydramine in equal parts.

Alkaline drops

Using alkaline droplets will help to cope with a lot of thick and viscous secretions. They not only thin thick mucus, but also contribute to better expectoration, and then the release of the nasal passages.

Let's summarize

As a rule, acute rhinitis is well treated if all the recommendations of the pediatrician are consistently and purposefully followed. But this type of rhinitis must be distinguished from chronic and allergic forms, because they require a different approach and treatment.

Today, the pharmaceutical market offers consumers a rather large number of drugs that are widely used in ophthalmology.

The choice is really huge, but most patients would like to choose one that is effective and not affordable.

Such a drug exists. These are eye drops Sulfacil sodium, its other name is Albucid.

In this article, we will take a closer look at this medicine and review the opinions of people who have already managed to test its effect on themselves.

Instructions for the drug

Albucid drops are a water-based solution of sulfacetamide with a slightly alkaline reaction, therefore it is safe for the eyes. The international name of the drug is Sulfacetamide.

The drug is an antibacterial (antimicrobial) agent and is actively used today in ophthalmology. It is an antiseptic that differs from antibiotics in the nature of its origin, which they owe to aniline dyes.

Useful therapeutic properties

Sulfacil sodium is able to stop the reproduction and development of bacterial microorganisms, which significantly increases the chances of immunity to overcome the infection. The mechanism of action is quite simple. Microbes require para-aminobenzoic acid to reproduce.

Sulfonamides, which make up the basis of the drug, are chemically similar to this acid. Thanks to this, they replace it, entering into reactions with bacteriological organisms, disrupting their vital activity, up to destruction.

Sodium sulfacil readily sinks into eye tissues and fluids, and is also able to be absorbed into the circulatory system. It disrupts amino acid synthesis in most known pathogens.

It is active against gram-negative, gram-positive bacteria: gonococci, chlamydia, staphylococcus, pneumococcus, actinomycetes, streptococci, E. coli (colibacillary infections), toxoplasma, shigella, etc.

Compound

Sulfacil sodium is an ophthalmic preparation, which is an aqueous sterile solution of the main active ingredient.

Eye drops are a homogeneous transparent liquid with a faint odor. The active substance in the eye drops is sulfacetamide.

The dosage of this main component differs depending on the age of the patient. Drops for children contain 0.2 g per 1 ml of an aqueous solution, a drug for adults - 0.3 g. for the same amount of water.

The preparation also contains the following components:

  • sodium sulfidotrioxosulfate;
  • purified water base;
  • hydrogen chloride.

Indications for the use of sodium sulfacyl

The drug is prescribed for the following eye pathologies:

  • Purulent corneal ulcers - the drug rather quickly stops the process of suppuration, and then shortens the healing time of the cornea.
  • Gonorrheal eye diseases.
  • Blenorrhea (damage to the eyes of a gonococcal nature) - in addition to treatment, the drug is used as an effective prophylactic agent against this pathology in newborns.
  • A prophylactic agent against possible inflammatory processes from the negative effects of foreign bodies, sand, dust, etc. on the eyes.
  • A prophylactic agent in the postoperative period, preventing the further spread of infection.

Dosage and application features

Sodium sulfacil is instilled into the lower eyelids, into the conjunctival sacs, closer to the inner part of the eye. For one instillation, 2-3 drops of the product are enough. The procedure should be repeated every 5 hours for as long as determined by the doctor. As a rule, the treatment process does not last more than 10 days.

For newborns, the drug is instilled twice - immediately, and then a couple of hours after birth. If the drug is used for the first time, then a hole must be punctured in the bottle by screwing the cap all the way.

Before carrying out the instillation procedure, it is necessary to warm the drug to body temperature, holding it in your palms.

So you will significantly reduce the risk of adverse reactions. Then the solution is instilled by lightly pressing on the body of the bottle.

An important fact - Sulfacil sodium is first instilled into the eye with less pronounced symptoms of the inflammatory process.

Even if only one eye is affected, it is still necessary to treat both in order to avoid infection of the healthy organ of vision. The instillation procedure should be carried out in a supine or sitting position, with the head tilted back a little.

By the way, Sulfacil sodium eye drops are used not only for the eyes. The drug is often used in pediatrics. Doctors prescribe it to children for the treatment of a prolonged rhinitis (instill the remedy in the nose), as well as acute otitis media (instill it in the ears).

Contraindications

The use of Sulfacil sodium is contraindicated in people with individual hypersensitivity to the drug itself, or to its individual components.

The drug is harmless during lactation and pregnancy, but only with the permission of a doctor.

Studies have shown the presence of intolerance (cross-allergy) of the drug in people with hypersensitivity to drugs such as Diacarb, Glibenclamide, Hypothiazide, Furosemide and the like.

Important! Such drugs as anestezin, dicain, novocaine significantly reduce the effectiveness of sodium sulfacil; salicylates and diphenin increase the toxicity of the drug. This medication is incompatible with medicines containing silver salts (collargol, protargol, etc.).

Do not use the product while wearing contact lenses. Before instilling them, be sure to remove them, otherwise the lenses will become cloudy. The patient can use them after half an hour after the instillation procedure.

Possible side effects

When treated with Sulfacil sodium, patients may be disturbed by the following reactions:

  • Puffiness of the eyelids
  • Unpleasant stinging and itching in the eyes
  • Local allergic reactions (runny nose, sneezing, tingling in the eyes, etc.)
  • A whitish coating on the eyelids is not scary, just the excess of the drug flows out of the eyes and dries up on the skin.

If the patient overdid it with the frequency of instillation, then painful burning and stinging in the eyes, tearfulness, a feeling of the presence of a foreign body in the eyes begins to bother him. With such symptoms, you should immediately stop using the drug and consult a specialist in order to revise the concentration and dosage.

Demodex eye manifests itself as follows:

  • Folliculitis (inflammation of the eyelash and eyebrow follicles).
  • The appearance of a small red rash around the eyelid.
  • The eyelid itself turns red and swells, a flaky crust forms.
  • Due to inflammation, itching begins, vision may deteriorate, and the eye turns red.
  • Purulent discharge may come from the eye.

An example of what a strong defeat with Demodex looks like can be seen in the photo:

Self-medication is prohibited

The diagnosis of "eye demodicosis" should be made only by a doctor. But which doctor should you go to for treatment? The main specialist in demodex is a dermatologist, since more often the patient is worried about problems with the skin. If the patient is worried about eye symptoms, then you can make an appointment with an ophthalmologist.

Clinical diagnosis of eye demodicosis is quite simple and fast. Often the study of the material takes place in the presence of the patient in the doctor's office - the person immediately recognizes the diagnosis. For examination, a laboratory specialist takes one or several eyelashes from the patient's eye or makes a scraping from the skin of the face. Then the doctor places the collected materials on a glass slide and pours it with an alkaline solution, gasoline, kerosene or glycerin.

Treatment of demodicosis of the eyes is quite long. Typically, the course takes 4 to 8 weeks, depending on the extent of the lesion. Treatment involves the use of various drugs, but preference is given to local forms - ointments, creams, eye drops.

There is no one-size-fits-all treatment for Demodex. This is due to the fact that the symptoms and intensity of demodex lesions can differ significantly in different patients. Some complain of redness and flushing. Other people do not have these symptoms, but there is an increased greasiness of the skin and acne. Others have no symptoms, except for intense seborrhea on the skin around the eyes ... There are hundreds of options for the development of the disease. That is why a treatment plan must be drawn up by a doctor and adapted to each specific case.

Drugs used

First of all, local acaricidal etiotropic drugs are used for treatment. For example, it can be a non-concentrated mercury ointment or zinc quixthiol ointment. To treat the skin around the eyes or skin on the face, doctors often prescribe creams, ointments, drops containing sulfur, tar, ichthyol, benzyl benzoate, permethrin, amitrazole, lindane, crotamiton.

The main difficulty of topical treatment is the toxicity of the drugs - they can quickly kill ticks, but there is a high risk of damaging the sensitive areas of the eyes. That is why milder anticholinesterase creams and drops (cholinomimetics) can also be used in the treatment of demodicosis of the eye:

  • physostigmine,
  • phosphacol,
  • armin,
  • tosmilen.

The treatment of demodex eyes with the use of ointments containing metronidazole (clion, metrogil) shows high efficiency. The use of such drugs, due to their viscosity, prevents the multiplication of mites and gradually removes them (the course of use is at least 10 days).

Since the elimination of ticks is a lengthy procedure, in the course of treatment one cannot do without symptomatic drugs that relieve inflammation and remove rashes. Eliminating demodex on the eyelashes, a person often has to use eye drops - for example, a preparation of zinc sulfate in boric acid, alkaline drops, desensitizing agents, prenacid, Dimexide solutions, infusions of tansy and wormwood. If there is a dysfunction of the meibomian glands, then during the treatment the patient will have to massage the eyelids.

In most cases, the patient has to drink antibiotics, since these drugs help to cope with inflammation most quickly (antibiotics themselves, unfortunately, do not kill ticks, therefore, treatment with only these drugs will not be effective).

Skin care

Since with demodicosis, a person's skin is severely damaged, special facial care is required until complete recovery. For face demodicosis, many doctors recommend cleansing every day with a mild, hypoallergenic soap that is not grainy or abrasive. It is best to use a specialized anti-demodectic skin care product (such as Demodex Complex).

During treatment, the patient needs to be less exposed to the sun, not to use cosmetics, not to visit baths and saunas. You also need to carefully monitor hygiene, regularly change bedding, wash clothes more often, and carry out wet cleaning in the house every day.

It is also worth remembering that the risk of re-infection with Demodex is very high. According to statistics, in 43% of cases, repeated symptoms occur within two years. That is why you need to be extremely attentive to your health and avoid situations that can provoke the development of the disease.

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Demodex eye: treatment, symptoms, causes and prevention

Demodectic mange of eyelids and eyes

Despite the fact that these are components of one organ, they distinguish between demodicosis of the eyelids and demodicosis of the eyes. It depends on the location of the defeat.

This is how the symptoms of demodicosis caused by the activation of demodex appear.

As for the organs of vision, diseases such as demodicosis of the eyelids can develop, and if their mucous membrane is affected, then demodicosis of the eyes. The symptoms of the former are similar to those of blepharitis, and the symptoms of the latter are similar to those of blepharoconjunctivitis.

Demodex eye: the reasons for the development of demodicosis

Any diseases of the body can weaken the body's defenses, which can cause the development of demodicosis.

Demodex on the eyes: symptoms

Damage to the organs of vision in a disease can be caused by several factors:

  • Irritation of the eyelids of a mechanical nature with mites, as well as their waste products;
  • Provocation of an allergic reaction;
  • Accession of an infection that aggravates the pathological process. It may be a virus, but most often it is a bacterial infection.

Clinically, demodicosis can manifest itself both with pronounced symptoms and have a weak manifestation. Depending on the severity of the course of the disease, the treatment of Demodex eyelids and eyelashes is also selected.

Symptoms of demodicosis

The disease can manifest itself with the following symptoms:

  • Recurrent itching in the eyelids, which most often makes itself felt in the morning;
  • The appearance of cuts, the presence of sticky discharge from the organs of vision;
  • If there are mites on the eyelashes of a person's eyes, an enlargement of the eyelash bulbs is observed, which can only be seen through a slit lamp;
  • Demodectic blepharitis is accompanied by symptoms such as thickening of the edges of the eyelids, peeling, redness of the skin in the affected areas;
  • Due to the constant release of mucous discharge along the edges of the eyelids, yellowish crusts may form;
  • If tick-borne blepharoconjunctivitis is complicated by infection (usually streptococcus or staphylococcus), purulent conjunctivitis, ulcerative blepharitis may develop;
  • As a result of demodicosis, the functioning of the meibimian glands is disrupted. Due to this, meibomyitis develops in acute or chronic form. The formation of chalazions is not excluded;
  • Demodectic blepharoconjunctivitis can become the basis for the development of episcleritis - an inflammatory process that occurs in the surface layer of the outer part of the eye membrane. In this case, on the white of the eye, you can find a seal that resembles a nodule, redness. The phenomenon is not accompanied by painful sensations;
  • The inflammatory process on the cornea (keratitis) is also a common problem that accompanies demodicosis, and which can be one of its symptoms. The symptoms of this disease are as follows: decreased vision, lacrimation, photophobia, pain.

Demodex on the eyelids: treatment

Demodex eyelid treatment involves a complex, as well as eye disease. This means that the patient needs not only to use medications, but also to monitor his lifestyle, following a number of medical recommendations that accelerate recovery.

Demodex on the eyes, treatment, as well as the treatment of eyelid ailment, may involve the use of folk remedies. It is desirable to use them in combination with medications, and be sure to combine with preventive measures.

Human eye demodicosis: treatment by traditional means

The life cycle of a Demodex mite is 1.5 months. This factor must be taken into account in the treatment, which should take no less time.

Demodex mite, provoking demodicosis

Demodectic mange in front of the eyes, treatment involves the use of such medications:

  • Drops for eyes "Karbokhol" with a concentration of the main substance in 3%. The product does not need to be instilled into the eyes - it is used twice to three times / week to lubricate the edges of the eyelids. When drops are applied in this way, the ciliary muscle contracts, due to which the contents of the bulbs come out together with the demodex mite itself;
  • Drops for eyes "Fosfacol" (0.02%) or "Physostigmine" (0.25%). The medication is used in the same way as "Carbochol", and the effect is similar;
  • Demolan is a gel with a bactericidal effect. The main component of the drug is metronidazole, and the auxiliary components are mulberry and burdock extracts, sulfur, silver citrate. Twice / day (in the morning and in the evening), the gel must be applied to the eyelids in the area at the base of the eyelashes. Care must be taken to ensure that the medicine does not get into the eye;
  • "Stopdemodex" ("Stopdemodex"). This is a modern medicine in the form of a gel, which contains metronidazole, hyaluronic acid, chamomile extract. The medication is used every day twice / day, it is applied for half an hour on the eyelids on the area near the eyelashes. After this time, you need to remove the drug with a damp cloth. Before applying the medicine, it is necessary to treat the area of ​​application with an alcohol-based tincture of calendula;
  • "Blefarogel 2". The medicine contains hyaluronic acid, glycerin, sulfur, aloe vera extract. Using a cotton swab, the medication is applied to the edges of the eyelid in the area of ​​eyelash growth. After applying the medication, gently massage the application area with your fingertips. You need to use the medication twice / day - in the morning and evening;
  • In a similar way to "Blefarogel 2", the ointment "Demazol" is used.

If an infection is diagnosed that provokes the development of an inflammatory process, the treatment of demodicosis in humans, along with the listed drugs, may involve the use of antibacterial drops.

As a rule, these are:

  • "Ciprofloxacin";
  • Dexa-gentamicin;
  • Levomycetin;
  • "Tobrazon";
  • Levofloxacin.

Demodecosis of the century: treatment with folk remedies

They can be used as additional agents in the fight against the disease.

These medications are used to treat Demodex.

The most common are these folk remedies:

  • Infusion of chamomile, linden, calendula, sage, tansy. You can use either one of these herbs, or mix them in equal proportions and prepare a medicine on their basis. Brew 1 tsp. herbs with a glass of boiling water, let the composition brew until it cools. How to treat demodicosis of the eye with this remedy? You just need to flush the organs of vision twice / day. You can also make compresses from it - moisten a clean cloth or gauze in it, apply it on your eyes for 20-30 minutes;
  • Aloe juice. You can squeeze it yourself or buy it ready-made at the pharmacy. We combine aloe juice with boiled water in equal amounts, make compresses using the resulting composition daily, applying them for 20 minutes;
  • Wormwood decoction. If you do not know, eyelid demodicosis - how to treat it, you can use this medicine as an adjuvant. We boil a mixture consisting of 2 tbsp. l. wormwood and 1 liter of water for a few minutes. How to treat demodex in front of your eyes with this medicine? It must be taken orally. On the first day, this should be done in an amount of 50 ml every hour, on the second day - every 2 hours at the same dosage. Over the next 4 days, you need to take the broth every 3 hours in the same amount. The duration of eye treatment is 6 days, and you need to take a decoction even at night. If wormwood is very bitter, you can add a small amount of honey to the product.

Mite on the eyelids: treatment must be successful!

In order for it to be such, the following rules must be followed:

  • It is necessary throughout the treatment of demodicosis to disinfect personal belongings, clothes, bedding so that self-infection does not occur;
  • Get rid of cosmetics, face care products, because the mite is also transmitted through them;
  • To get rid of dry eyes, you should use eye drops of the "artificial tear" category, for example, "Vizin" or its analogues;
  • Diet is also important during this period. It is necessary to exclude spicy dishes from the diet, it is advisable to do the same with smoked, salty foods, and saturate the diet with vegetables and fruits;
  • After the treatment of demodicosis, it is advisable to use burdock oil to restore the skin of the eyelids for 2-3 months. This will help and restore eyelashes that may suffer from disease, partially falling out;
  • Speaking about how to treat demodicosis of the eyelids, you need to take into account that in no case should you use drugs containing hormones, topical application. They contribute to a decrease in local immunity, and this is fraught with even greater activity of Demodex;
  • It is advisable to wash your face with a disease using tar soap. It is an excellent disinfectant;
  • Demodex treatment must be completed, otherwise a relapse is possible.

Prevention of demodicosis

Tar soap should be used in the treatment of demodicosis due to its disinfecting properties

With regard to prevention, it is as follows:

  • Try not to use someone else's cosmetics, linen, clothing, hygiene products;
  • Do not swim in dirty water;
  • Try not to come into contact with animals about the diseases of which you do not know anything;
  • If you suspect a disease, do not wait until the symptoms of demodicosis appear - immediately consult a doctor and, if necessary, start treatment.

bolezniglaz.ru

Demodectic eyelids (demodectic blepharitis) causes a microscopic acne gland mite, or demodex. Blepharitis is characterized by itching and redness of the eyelids, and white scales form on the eyelashes. It is almost impossible to relieve itching with demodicosis, and after a while the eyelashes begin to fall out. Demodecosis of the eyelids, if not started on time, will harm the eyes. The shell of the eyes will dry out, they will quickly get tired and do not tolerate the sun's rays. Drugs for the treatment of eyelid demodicosis are available in the form of drops and ointments.

Why does demodicosis of the century appear?

  1. Viral, bacterial infections caused by protozoa.
  2. Diseases of the gastrointestinal tract.
  3. Intestinal dysbiosis.
  4. Hormonal disruptions.
  5. Diabetes.
  6. Long-term exposure to ultraviolet radiation.
  7. Frequent bath procedures.

Demodectic mange mainly affects people with oily skin types. The sebaceous glands work more actively, creating a favorable environment for the tick. The disease is contagious. It is transmitted by contact from a sick person, through poorly processed bedding, cosmetics. Animals are also carriers of Demodexes.


Demodectic mite

It is difficult to confuse the manifestations of demodicosis of the eyelids with other diseases. In the initial stages, the eyelids become inflamed, and severe itching appears. Purulent nodules and white crusts are visible on the edges of the eyelids along the lash line. Over time, the eyelids begin to stick together and fall out. Prolonged inflammation of the eyelids can lead to conjunctivitis and even visual impairment. The eyes become red, "heavy", get tired quickly, and photophobia develops.

General principles of treatment of eyelid demodicosis

Treatment of demodicosis requires an integrated approach. The lesion of the eyelids is usually treated with topical preparations (drops and ointments). What drugs are used to treat demodicosis of the eyelids:

  1. Acaricidal. They fight tick pathogens.
  2. Antihistamines. Suppress the body's allergic reactions to the waste products of ticks.
  3. Antibacterial. Demodectic mange may be accompanied by an additional bacterial infection. She joins because of constant brushing or improper grooming.

To make recovery faster, doctors prescribe a diet to patients, taking vitamin complexes and special hygiene products.

Antihistamine eye drops

Antihistamine drops for demodicosis help to suppress an allergic reaction to the waste products of Demodexes. The active substances of the drops suppress the synthesis of prostaglandins - inflammatory mediators.

Akular

Akular contains the non-steroidal anti-inflammatory substance ketorolacatromethamine. Eye drops are shown to drip into the conjunctival sac, 1 drop 1-4 times a day, depending on the severity of allergy symptoms. You can use the tool for no more than four days in a row. Akular is contraindicated in children, women in late pregnancy and people who wear contact lenses.

Popular article: Does Demodecosis Happen in Children?

Okumetil

The combined drug Okumetil has anti-inflammatory properties, suppresses allergic reactions, relieves swelling, redness and itching. Has a number of contraindications. Okumetil is not prescribed:

  • children under two years old;
  • patients with coronary heart disease, hypertension, atherosclerosis;
  • patients with diabetes mellitus;
  • pregnant and lactating mothers;
  • patients with epilepsy, etc.

Ocumetil is instilled in one drop 2-3 times a day. You can use the drug for demodicosis only after consulting a doctor.

Dexametozone

Dexametozone is a steroidal anti-inflammatory drug that contains glucocorticoids. It has a strong antihistamine effect. The drug is dripped into the conjunctival sac, 1-2 drops, up to three times a day. Dexametozone can be used for no more than three weeks. You can use the tool only as directed by a doctor, it is not used for viral, fungal and purulent infections of the eye, as well as with increased pressure inside the organ of vision.

Antibacterial eye drops

Antibacterial drops are used only if demodicosis is accompanied by a secondary infection.

Levomycin

Levomycetin is a broad-spectrum antimicrobial agent that inhibits bacterial protein synthesis. The drug is dripped 3 times a day, one drop at a time. The duration of the therapeutic course is determined and prescribed by the doctor. There are no serious contraindications for the use of Levomycitin. It is not prescribed for pregnant women, lactating women, patients with psoriasis, eczema and fungal skin diseases.

Levofloxacin

Levofloxacin inhibits the activity of staphylococci and aerobic gram-negative bacteria. The agent is dripped 3 times a day, 1 drop into the conjunctival sac. Levofloxacin is contraindicated for use during pregnancy and lactation, as well as in case of intolerance to the active substance. It is not prescribed for children under 1 year old.

Ciprofloxacin

Ciprofloxacin inhibits DNA synthesis of microorganisms, preventing them from multiplying. Causes the rapid death of bacteria. The drug is instilled in one drop in the eye every four hours, or two drops every hour (if the infection is severe). Cycloprofloxacin should not be used for viral keratitis and hypersensitivity to quinolones.

Acaricidal eye drops

Drops such as Carbachol, Physostigmine and Fosfacol with demodicosis of the eyelids are not buried in the eyes. They are applied to the surface of the eyelids with massage movements. They can be dripped to relieve redness and itching.

Carbachol

Carbachol drops are used as an acaricidal agent. There are two hypotheses for the action of carbachol:

Before using the product, wash your face with warm water. A cotton swab is abundantly moistened with drops, squeezed out. With light massage movements, the product is applied along the edge of the inflamed eyelid, along the eyelash line. The procedure is carried out three times a week. The therapy is continued for a month and a half.

Carbachol, even for external use, is contraindicated in bronchial asthma, coronary heart disease, violation of the integrity of the cornea, acute iritis and allergies to the components of the drug.

Popular article: All about scalp demodicosis

Physostigmine

The active ingredient of the drug Physostigmine acts similarly to Carbachol. They also treat the inflamed eyelid 3 times a week for one and a half months. The drug is contraindicated in diseases of the heart and blood vessels, inflammation in the abdominal cavity. It is prescribed with caution during pregnancy.

Phosphacol

Phosphacol drops are used similarly to Carbachol and Physostigmine and act in the same way. The drug has no serious contraindications, it cannot be used with individual sensitivity to the components.

Ointments for demodicosis

Stopdemodex

Stopdemodex is a whole series of medicinal cosmetics with acaricidal action. The line includes a specialized eyelid gel. Active substances of the gel:

  1. Metronidazole. Has acaricidal action.
  2. Supercritical CO2 chamomile extract. Helps relieve inflammation, soothe the skin, has anti-allergic properties.
  3. Hyaluronic acid. Has a regenerating effect.
  4. Glycerol. Protects the skin from drying out.
  5. Peppermint It soothes the skin, improves blood circulation, has a bactericidal effect.
  6. Retinyl palmitate. Reduces skin oiliness, starts skin regeneration processes.

The gel is applied to the eyelids at the base of the eyelashes. Care must be taken to ensure that the product does not get into the eyes. After half an hour, the remains of the gel are removed with a napkin. The course of using Stopdemodex products is 45 days.

Demolan

Demolan cosmetic cream for the face and eyelids helps to get rid of the demodex mite, relieve the symptoms of inflammation (redness, itching, swelling). The active ingredients of the drug stimulate tissue metabolism and skin cell regeneration.

Treatment with Demolan cream is carried out for 45 days. It is applied in a thin layer along the edge of the eyelid in the morning and at bedtime. After half an hour, the remnants of the product must be removed with a clean napkin. Before using the cream, wash your face with warm water and soap. If the cream gets into the eyes, they should be rinsed with plenty of clean water.

Metronidazole

Metronidazole ointment has a strong acaricidal and antibacterial effect. The product prevents free radicals from damaging and destroying inflamed tissues. Metronidazole is applied in a thin layer on the eyelids over the entire area of ​​inflammation twice a day - in the morning and in the evening. Avoid contact with eyes. Positive changes will be noticeable after three weeks, but treatment cannot be stopped. The course of application of the ointment is from one to four months.

Metrogyl

Metrogil ointment contains metronidazole. The method of application and the duration of treatment is the same as in the case of Metronidazole.

Demodecosis of the eyelids in humans is a very serious disease, dangerous with complications. He will have to be treated for a long time and persistently. It is better to start treatment at the first symptoms, because then the disease can turn into a chronic form. You can not use only cosmetics for demodicosis. Only an integrated approach will help to get rid of the disease forever. Diet and good personal hygiene will speed up treatment.

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Demodex eye: treatment with folk remedies and drugs:

Demodex

The mite feeds on skin cells, hormones and fat, which is secreted from the sebaceous glands. Easily moves on the skin, avoids light, therefore moves mainly at night. Mites lay eggs in the hair follicle. The larvae appear on the 3-4th day. They live for several weeks, then die off and decompose in the sebaceous gland. Over the years, the affected area becomes larger.

Demodex eye symptoms

Demodex on our body is the norm and does not bother us if it does not exceed a certain amount. However, when this indicator begins to exceed the norm several times, this means that the tick is actively multiplying, and then the first symptoms of the disease appear. They are as follows:


The photo presented above clearly demonstrates the demodex eye. What are the reasons for tick multiplication and exacerbation of this disease?

Causes of demodex eyes

For demodex eyes to appear, it is necessary to create favorable conditions for the reproduction of this mite. And the first thing that will contribute to this is low immunity. If a disease such as demodex of the eye appears, the reasons may be as follows:

  • Metabolic disease.
  • Diseases of the endocrine system.
  • Diseases of the gastrointestinal tract.
  • Liver disease.
  • Eye diseases.
  • Diseases of the nervous system.
  • Stress, fears and worries.
  • Seborrhea.
  • Oily skin.

It should be noted that an exacerbation of the disease is observed in the autumn-spring period, when a person's immunity decreases. And also moisturizing creams, oils, long exposure to the sun and in a tanning bed create a favorable environment for the reproduction of demodex.

Diagnosis of the disease

If you find yourself with the above symptoms, you need to see a doctor. How is the disease diagnosed?

The examination is carried out first by an ophthalmologist, then a consultation with a dermatologist is required. If you suspect that you have Demodex, do the following tests:

Demodex treatment principles

If the tests have confirmed that you have demodex eye, treatment should take place under the supervision of a dermatologist. Self-medication is excluded, although there are many ways among the people, which we will talk about later.

Therapy should be comprehensive, include drugs that increase immunity, ointments for treating the skin. First of all, it is necessary to eliminate the cause of the mite multiplication, strengthen the immune system, follow a diet, and avoid prolonged exposure to the sun. If you have demodex eye, treatment cannot be delayed. This can lead to serious eye diseases, possibly with irreversible consequences.

Several conditions must be observed when treating this disease:

  1. We'll have to exclude spicy, fatty and sweet foods from the diet.
  2. Be sure to observe personal hygiene measures.
  3. It is advisable to use disposable towels.
  4. Cosmetics must be individual.
  5. Bed linen should be changed during treatment and ironed with a hot iron every day.
  6. Washing clothes at a temperature not lower than 75 degrees and not less than 20 minutes.

Consider the drugs that are used to treat Demodex.

Drug therapy

Medication is used with the following drugs:


It is imperative to use topical preparations for a disease such as demodex eye. Treatment of a drop does not exclude, since the tick can spread to the inside of the eyelid. The following drugs are used:

  • Eubetal.
  • "Prenacid".
  • Tobrex.
  • "Colbiocin".

Treatment of a demodex mite in the eyes cannot do without the use of ointments. Outwardly used, for example, "Demalan", "Demazol" or "Prenacid".

It is also necessary to use antihistamines, since the tick causes an allergic reaction in the body. Tavegil, Claritin, Suprastin and some other medicines are very effective.

Demodex eye: treatment with new methods

Nowadays, modern methods of treating demodex eyes have appeared, but rather auxiliary procedures. These include:

  1. Ozone therapy. It is an adjunct to the main treatment. It has a bactericidal and immunostimulating effect. It is carried out in conjunction with medications.
  2. TCA peeling. Deep cleaning allows you to get rid of the damaged layer of the skin.
  3. Physiotherapy. Electrophoresis procedures using moisturizers.
  4. Cryotherapy. Gives an analgesic effect, but not for long. It does not destroy ticks, it only delays the reproduction process.
  5. Laser therapy is used to treat the effects of Demodex. Helps to restore the epidermis.

Pregnancy and demodex

During this difficult period, a disease such as demodex of the eye can easily develop. Treatment during pregnancy excludes the use of hormonal drugs. A disease occurs because a hormonal surge occurs in a woman's body, which can change not only the emotional background, but also the condition of the skin and hair. It is permissible to use external agents that do not contain hormones and hazardous substances that can affect the development of the fetus.

Traditional methods of treatment

Treatment of demodex eyes at home should be carried out after consultation with a dermatologist. This is a very long process and requires strict adherence to all doctor's prescriptions and hygiene rules.

If it was decided to use folk remedies to cure demodex eyes, you must be careful when using herbs, tinctures, as they can cause irritation, an allergic reaction, and this will complicate the healing process.

A very effective remedy is a decoction of wormwood. It is necessary to prepare an infusion at the rate of 2-3 tablespoons of herbs per 1 liter of water. The broth must be infused for 2-3 hours. The tool is taken in 50 ml daily. Reception scheme: the first day - in an hour, the second - in two, and all subsequent ones - in three. The course of treatment is 6 days. There is not only the destruction of the tick, but also the regulation of the intestines (you can add 1 tbsp. L. Honey in order to remove the bitterness). This infusion in combination with chamomile, calendula, celandine is good for washing the eyelids. You can also use an infusion of oak bark.

There is another recipe that you can use to wash your eyelids. This is a decoction with tansy flowers. Pour a tablespoon of flowers with a glass of water, boil for three minutes and leave for 30 minutes. After straining, drip the broth on the eyelids in 2-3 drops and lie with closed eyes for half an hour. The treatment lasts 2 weeks.

Treatment with a compress of aloe juice gives a very good result if you apply it every evening on a sore eyelid.

Linden blossom is also a great remedy. It is boiled over a fire for 2 minutes, then filtered and cotton pads dipped in the broth are applied to the eyes. It is useful to wash with this broth in the morning and in the evening.

It is also recommended to cleanse the body to enhance immunity. You can prepare an infusion of birch buds. Take one tablespoon of kidneys, pour a glass of boiling water and leave for 30 minutes. Take 1 tbsp. spoon 3 times a day.

The massage of the eyelids will speed up the recovery. It is recommended to do it before using tinctures, compresses. The massage should last at least 10 minutes. The movements are directed from the skin to the eyelashes. This removes the mite from the hair follicle after the procedures for its destruction.