To effectively treat eyelid dermatitis, modern medicine uses various creams and ointments. The disease is accompanied by the development of an inflammatory process, redness of the skin, swelling of the tissues, and severe itching. In the absence of comprehensive treatment, patients may be concerned about increased tearing, mucus discharge from the eyes, and the development of conjunctivitis.
Infections and allergic reactions can provoke the occurrence of eyelid dermatitis. The disease is accompanied by uncomfortable symptoms and can negatively affect visual acuity. Before using medications, the patient should consult with a qualified dermatologist, who will determine the diagnosis and also prescribe an effective treatment regimen.
Kinds
Dermatitis of the eyelids (treatment, ointments and creams can only be prescribed by a dermatologist, since an incorrectly selected drug can provoke a deterioration in the patient’s well-being and the development of adverse reactions) can be of several types, each of which is characterized by certain symptoms.
Before purchasing medications, the patient must undergo an examination so that a specialist can correctly determine the diagnosis and prescribe safe drug therapy.
Seborrheic dermatitis
The symptoms of this form of the disease can easily be confused with blepharitis. The edges of the eyelids are covered with multiple yellow crusts and small white scales.
The skin takes on a red tint, there is severe itching and burning. If you have seborrheic dermatitis, the patient is concerned about increased dryness of the eyes, and eyelashes may fall out. Ignoring the disease is fraught with a decrease in visual acuity and the development of an inflammatory process in the cornea of the eye.
Eczematous dermatitis
Eczematous dermatitis of the eyelids is diagnosed in isolated cases. This form of the disease develops rapidly as a result of long-term use of ophthalmic ointments with sulfanilamide or antibiotics.
Eczematous dermatitis can be caused by disturbances in the functioning of the gastrointestinal tract, as well as helminthic infestations present in the body. The disease is accompanied by hyperemia and swelling of the eyelids, and numerous rashes appear on the skin. The epithelium becomes painful, there is itching and burning.
Drug dermatitis
The disease develops as a result of long-term use of ophthalmic medications in the form of ointments and drops. The pathology quickly becomes acute. Frequent use of eye drops causes an intensification of the inflammatory process in the area of the inner corner of the visual organ. Uncontrolled use of ointments provokes inflammation of the eyelids and conjunctiva.
Allergic dermatitis
Allergens can include various decorative cosmetics (for example, eye shadow, mascara), household chemicals, medications, animal hair, pollen and insect bites. This form of the disease is characterized by severe hyperemia and swelling of the eyelids.
The discomfort increases several times as a result of mechanical scratching of the affected skin area. Allergic dermatitis is accompanied by severe itching and burning, tearing. As a result of a comprehensive examination, the patient may be diagnosed with conjunctivitis and rhinitis.
Atopic dermatitis
This form of the disease belongs to the category of chronic recurrent pathologies. The disease can be triggered by allergic reactions or infectious lesions of the eyelid epithelium. Pathology can also develop against the background of existing disorders in the gastrointestinal tract or due to damage to internal organs by helminthic infestations.
Atopic dermatitis is characterized by constant itching and burning of the skin of the eyelids. The epithelium may become covered with small vesicles that are filled with clear liquid. In the absence of drug therapy, the disease will progress, which can significantly worsen the patient’s quality of life.
Eyelid dermatitis
Eyelid dermatitis is a common disease in people of any age and lifestyle. But at the same time, the clinical manifestations of dermatitis can differ significantly, since there are many forms, so the treatment of the pathology depends on the symptoms.
In almost all situations, eyelid dermatitis develops against the background of a primary skin infection, psoriasis, and even malignant tumors.
Causes
The formation of redness and peeling of the skin on the surface of the eyelids often indicates the development of dermatitis. But at the same time, it is not always possible to accurately determine the type of pathology, so to make a diagnosis, doctors often start from the etiology of the pathology:
- Pathologies of infectious etiology - much more often the disease occurs against the background of the development of an infection - it can be herpes, measles, chicken pox, scarlet fever.
- Allergic reactions - in a situation where a patient is diagnosed with an allergic reaction to medications, pet hair, or certain foods, then we can say with confidence that the main reason for the formation of dermatitis on the eyelids is due to allergies.
- Adverse environmental influences - pathology develops due to sudden changes in temperature. In addition, there have been cases of radiation injury caused by ionizing radiation.
- Negative effects of chemicals - any household chemicals, as well as shampoos and personal hygiene gels, can cause eye skin irritation, but only with prolonged contact.
- Disruption of the sebaceous glands - excessive secretion of sebum to the surface can provoke the formation of seborrheic form.
Risk group
The following groups of people are susceptible to the disease:
- patients with a hereditary predisposition;
- children;
- patients are prone to allergic reactions.
Forms
In total, there are two main types of eyelid pathology - acute and chronic. Acute dermatitis has a complex course; it is mainly characterized by an increase in body temperature, photophobia appears, and there may be weakness and chills.
The chronic form of the disease may not be felt for a long time and may rarely recur.
Seborrheic dermatitis of the eyelids
It is characterized by unpleasant sensations in the eyes in the form of itching and burning, a decrease in the level of visual acuity, increased redness of the surface, and the formation of dry crusts on the eyelids of a yellowish color.
Atopic dermatitis
This type is manifested by peeling and thickening of the surface of the affected eyelid; in addition, if left untreated, the skin begins to crack, scales form between the eyelashes, which causes pain.
Allergic dermatitis
The allergic form makes itself felt within 30 minutes after contact with the allergen. Manifested by redness of the eyelid and itching. After eliminating contact with the allergen, the discomfort goes away within 2-3 hours. Does not require treatment as such.
Drug or drug-induced dermatitis
Develops due to long-term use of strong medications. The disease occurs after several courses of electrophoresis. Also, some medicinal ophthalmic drops can cause similar irritation in the eyes, but the damage is observed only on the inner corners of the eyes.
Eczematous dermatitis
This type of pathology is extremely rare. It manifests itself against the background of the use of local products, which are based on antibacterial components and sulfonamides. The disease is accompanied by severe pain in the eyes.
Herpetic dermatitis
Many people believe that the herpes virus forms only on the lips, but it also occurs on the mucous membranes and surface of the skin of the eyelids.
The disease is characterized by the development of small blisters on the eyelids with purulent or watery contents. With treatment, after 2 days the dropsy dries out, resulting in the formation of crusts that cannot be touched, they must fall off on their own, otherwise there is a risk of relapse within 5 days after the initial infection.
Diagnostics
To identify the exact form and type of eyelid dermatitis, consultation with 3 specialists is necessary: an allergist, an ophthalmologist, and a dermatologist. Diagnosis of eyelid pathology consists of the following procedures:
- The first step is to collect the patient's medical history;
- then the doctor gives a referral for biomicroscopy;
- in the case of the herpetic form, a puncture of the contents of the vesicles is taken;
- general blood test and identification of blood group E immunoglobulins;
- scraping from the affected area to determine fungal infection;
- PCR.
Treatment
Therapy should be comprehensive using the necessary medications to eliminate one or another form of disease. In addition, treatment involves the use of medications, but also a complete rejection of cosmetics and prevention of contact with the allergen.
Treatment of atopic dermatitis
The following groups of drugs are used for therapy:
- Fukortsin, Furacilin and Resorcinol - they effectively stop the inflammatory process, prevent further development of peeling of wounds;
- local anti-inflammatory agents - Tar ointment, Ichthyol ointment have a regenerating effect and soften the affected area;
- in a situation where antibacterial and anti-inflammatory therapy is ineffective, corticosteroid drugs are prescribed - Lokoid, Advantan, Akriderm;
- To eliminate unpleasant sensations, antihistamines are used - Suprastin, Cetrin, Erius.
Treatment of herpetic dermatitis
This type of disease is most often located under the eye area, and therapy takes place in several stages:
- At the first stage of treatment, doctors direct all efforts to eliminate dropsy, soften the affected area and restore the skin. For this, Oxolinic ointment and Acyclovir are used. In a situation where there has been a relapse from a primary infection, complex therapy with immunomodulators - Duovit, Complivit - is prescribed.
- At the second stage, the herpes virus is eliminated using antiviral agents.
- When a type 3 virus is detected, treatment follows the same scheme as the treatment of a common disease, but analgesic drugs are used - Aspirin, Analgin. In severe cases, analgesics are administered intramuscularly.
- If herpes is accompanied by secondary diseases, then antibacterial agents are prescribed.
Treatment of eczematous dermatitis
Therapy of this form:
- first of all, they begin to use Zinc ointment to eliminate external damage;
- the affected area is treated with hormonal medications - Oxycyclosol, Fukortsin;
- Afterwards, medications are prescribed to normalize the functioning of the digestive tract due to prolonged use of hormonal medications.
Treatment of seborrheic dermatitis
Therapy for this form of eye disease is a long-term affair that requires patience and the appointment of competent therapy:
- To treat seborrhea on the face, hormonal therapy is used, but without drugs that contain a group of antibacterial substances. All drugs are applied only to the affected eyelid - Advantan, Celestoderm. The duration of therapy can be up to several months.
- In addition to hormonal therapy, eye drops and a solution of adrenaline hydrochloride are used. For oral administration, desensitizing medications are prescribed - calcium chloride.
- During the treatment of seborrheic dermatitis of the eyelids, it is important to completely abandon any decorative and care cosmetics for the facial skin. This is one of the main conditions for successful treatment.
Treatment of drug-induced dermatitis
Before starting therapy, it is necessary to completely exclude medications that caused the development of dermatitis in the eyes, but only if they are not vital. The treatment regimen for drug-induced dermatitis is as follows:
- introduce at least 2 liters of water into your daily diet, it is considered a natural sorbent;
- start taking diuretics, but you can use traditional medicine and brew rosehip infusion at night;
- Apply antihistamine ointments to the affected area; they will significantly speed up the healing process of the eyelid surface;
- in case of a severe case, it is recommended to take sorbents - Activated carbon, Enterosgel.
Treatment of allergic dermatitis
First of all, avoid contact with the allergen. The principle of treating such dermatitis is as follows:
- in a situation where the allergen is a chemical substance, it must be used with rubber gloves and a respirator;
- if an allergic reaction is caused by a personal hygiene product, you need to change it to a natural one;
- prevent complete contact with plants that cause allergic dermatitis;
- To eliminate the inflammatory process, he recommends taking anti-inflammatory medications.
There is no specific therapy for this form of eyelid dermatitis, but it is better to start taking mild antihistamines to prevent the development of allergies.
Treatment of eye dermatitis in children
Treatment of the disease in children of different ages consists of excluding the aggressor; also, in some cases, the doctor may prescribe antihistamines, local or systemic medications.
Prevention
To prevent the formation of various types of dermatitis on the eyelids, you need to follow the recommendations:
- you need to carefully choose personal hygiene products and decorative cosmetics; low-quality cosmetology products can cause allergic dermatitis;
- Observe strict hygiene rules daily using soap with an antibacterial effect;
- if you are prone to hay fever during the period of large-scale flowering of plants, you need to do wet cleaning of the premises daily;
- If you have poor vision, change contact lenses every day or wipe your optical glasses several times a day with special wipes. Even if the lens manufacturer claims that daily changing is not necessary;
- in case of secondary infection, it is worth treating the surface with an antibacterial agent;
- personal cosmetics - mascara, eye shadow and pencils should be for individual use.
Conclusion
In cases where the disease is accompanied by concomitant pathologies and has atypical manifestations for eyelid dermatitis, you should immediately seek help from a doctor and not self-medicate.
Poor vision significantly worsens the quality of life and makes it impossible to see the world as it is.
Not to mention the progression of pathologies and complete blindness.
MNTK "Eye Microsurgery" published an article on non-surgical restoration of vision up to 90%, this became possible thanks to...
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Stages and degrees
Dermatitis of the eyelids (treatment, ointments and creams are recommended to be chosen depending on the form of the disease and the general condition of the patient) has several stages of development, each of which can negatively affect the patient’s visual acuity. Self-medication of dermatological pathologies can provoke rapid progression of the disease and further deterioration of a person’s well-being.
Acute stage
Acute stage eyelid dermatitis develops rapidly and causes the patient a lot of discomfort, which is why drug treatment cannot be delayed.
Ointments and creams with bactericidal, immunostimulating, and analgesic properties are very effective. In the absence of therapy, the affected area will gradually increase, which is why the occurrence of concomitant pathologies cannot be ruled out.
The acute stage of eyelid dermatitis is characterized by the following symptoms:
- Swelling of tissues.
- Hyperemia of the skin of the eyelids.
- Increased body temperature.
- Dry skin.
As the disease progresses, the patient may experience painful tingling in the eye and increased tearing. Tissue swelling may increase. Severe dermatitis is characterized by chills, aching headache, and malaise. Treatment should be started immediately, as the pathology negatively affects the functioning of the visual system.
Chronic stage
This form of dermatitis is characterized by rare relapses. The disease can bother the patient for several years, due to which the painful symptoms gradually intensify. A characteristic feature of the pathology is that it affects both eyes.
The pathology is manifested by the following symptoms:
- Redness of the skin around the eyes.
- Swelling of the eyelids.
- Development of conjunctivitis.
- Dryness and flaking of the skin around the eyes.
- Thickening of the eyelids.
Dermatitis is not a life-threatening disease. But already at an early stage, this pathology can cause the patient a lot of discomfort, significantly worsening his quality of life. For this reason, at the first appearance of signs of eyelid dermatitis, you should consult a dermatologist.
Symptoms and signs
Dermatitis of the eyelids (treatment, ointments and creams will be effective only if the patient adheres to the treatment regimen recommended by the doctor) in 99% of cases is manifested by increased body temperature, chills, and redness of the skin around the eyes.
As a result of contact with the pathogen, the patient experiences the following symptoms:
- Profuse lacrimation.
- Pain in the eyes.
- Decreased visual acuity.
- Formation of multiple bubbles with liquid on the eyelids.
- Severe itching and burning of the skin.
- Eyelash loss.
In chronic dermatitis, the pathology develops slowly, and the occurrence of conjunctivitis is possible. The skin around the eyes gradually becomes rougher, cracks, and peels. The eyelids become covered with a rash. The disease affects both eyes, causing the patient to experience severe itching and burning of the eyelids.
If the inflammatory process was provoked by bacteria, then the crust on the papules acquires a characteristic yellowish tint. When mechanically scratching the skin, re-infection occurs and ulcers form.
Forms of pathology
Allergic dermatitis on the eyelids can be acute or chronic. Pathology usually affects not only the area directly in contact with the irritant, but also areas nearby. Both the upper and lower eyelids, as well as both eyelids of the eye, can be affected separately. For example, if the irritant was eye drops, then the inner corners of the eyes will be more intensely affected. In the case where the irritant is the eye ointment, both eyelids and the conjunctiva will be affected.
The acute form is characterized by:
- increasing redness of the eyelids and conjunctiva;
- severe swelling of the eyelids;
- dryness, roughening of the skin, which is combined with weeping areas;
- numerous small pimples with transparent contents;
- painful itching;
- painful sensations;
- profuse lacrimation;
- rarely – complete closure of the palpebral fissure;
- possible migraine, fever, weakness.
Typical:
- swelling, redness of the eyelids;
- dry, flaky, rough skin;
- formation of crusts and cracks;
- lacrimation;
- individual small pimples with liquid (weeping areas at the site of their opening);
- slight itching;
- sometimes – mild pain.
Allergic dermatitis of the eyelids can be complicated by associated conjunctivitis. When scratching, infection cannot be ruled out, which leads to purulent inflammation. Therefore, you should not delay your visit to the doctor.
Causes
The skin around the eyes is highly sensitive, and it is not protected from external irritants. For this reason, dermatological diseases can develop under the influence of allergens.
Laboratory studies have shown that the following factors can provoke the occurrence of eyelid dermatitis:
- Infection. Dermatitis of the eyelids can develop as a result of damage to the skin by a virus or fungus, which is transmitted through contact with a carrier of the infection, as well as after using personal hygiene items from a stranger.
- Disturbances in the functioning of the gastrointestinal tract. Dysfunction of the gastrointestinal tract can provoke the occurrence of dermatological diseases.
- Contact with allergens. Dermatitis can be caused by poor-quality cosmetic products, the use of medications, and frequent use of aggressive household chemicals. This category also includes seasonal allergic reactions and the body's response to pet hair.
- Autoimmune diseases. Disturbances in the protein compounds of body cells can provoke the development of atopic dermatitis of the eyelids.
Medical statistics confirm that dermatological diseases are increasingly being diagnosed in patients who live in a region with poor ecology. If the patient has swelling of the eyelid, then you should not try to eliminate it yourself. Before using medications, you need to undergo the necessary examination so that the doctor can determine the diagnosis.
Which doctor should I contact?
Dermatitis of the eyelids (treatment, ointments and creams will help get rid of the skin disease only if the patient refuses cosmetics during the therapeutic course and strictly follows all the recommendations of the dermatologist) will not provoke the development of complications only if promptly seek help from a qualified physician.
Otherwise, the patient's condition will rapidly deteriorate. At the first suspicion of eyelid dermatitis, you should contact a dermatological clinic. After the initial examination, the doctor prescribes an examination for the patient and writes out a referral for consultation with specialists.
For example:
- An allergist helps to exclude or confirm that a patient has an allergic reaction to food, medications, animal hair or cosmetics.
- Consultation with an infectious disease specialist is necessary if a rapid development of an infectious disease is suspected.
- An ophthalmologist examines your vision.
- Contacting an immunologist will help you find out the patient’s exact immune status.
Only based on the results of an examination of the patient, a dermatologist can correctly determine the diagnosis.
Prevention
It is necessary to be responsible when choosing cosmetics and hair dyes. It's better to do a tolerance test first. A small amount of the product should be applied to the elbow. If after a day there is no irritation, the product is safe.
When working with aggressive chemicals, you need to wear safety glasses. If you used household chemicals, you should not rub your eyes during cleaning, and after cleaning you should wash your hands well and rinse your face.
If you have to wear contact lenses, it is better to choose daily ones. Reusable lenses should be removed at night and you must follow the rules for caring for them.
If you suspect a disease, do not delay visiting a specialist. Only a doctor can make an accurate diagnosis and select the optimal treatment regimen. The main thing is to prevent the disease from worsening.
- in order to avoid disease, it is necessary to carefully approach the choice of cosmetics for skin care and decorative cosmetics;
- you need to follow the rules of personal hygiene;
- during the flowering period, people suffering from hay fever need to carry out wet cleaning as often as possible;
- If you are prone to allergies, people with poor vision should use daily contact lenses. Even if, according to the manufacturer’s conditions, they can be left on during sleep, it is still recommended to get rid of them during this period.
- to avoid secondary infection, before applying medications to the eyelid area, you must wash your hands thoroughly;
- mascara, eye shadow and pencils should be individual, you should not share them with other people;
Diagnostics
To correctly determine the diagnosis, the dermatologist prescribes the necessary diagnostic procedures to the patient.
In 99% of all cases, diagnosis of the disease consists of the following steps:
- A dermatologist examines a patient. Often this is enough to correctly identify the disease. Collecting a detailed medical history helps the specialist find out whether the patient has a genetic predisposition to dermatitis. The doctor draws conclusions about the frequency of relapses of the pathology.
- The patient must undergo a complete blood test for eosinophils.
- Based on the data obtained, the dermatologist excludes ophthalmological and dermatological pathologies. In each case, the set of laboratory tests is individual.
- Additionally, skin tests can be performed to find out which allergens are present in the patient’s body.
Enzyme immunoassay is very effective, thanks to which it is possible to determine the intensity of the development of the inflammatory process. PCR analysis helps to find out whether the viral load on the body is exceeded in cases where there is a suspicion of the infectious nature of eyelid dermatitis.
A special scraping of biomaterial for histological examination is carried out in order to confirm or refute the presence of seborrhea or any other fungal disease.
The results of differential diagnosis of pathology are of great importance, since in dermatology there are a large number of diseases with similar symptoms. For example, erythroderma, toxicoderma, eczema. To combat these diseases, completely different treatment regimens are used.
In clinics in Moscow and St. Petersburg, a PCR test costs from 260 to 680 rubles. For a general blood test you will have to pay from 560 to 800 rubles. Skin tests for allergens cost from 120 to 450 rubles.
Treatment methods
To prescribe an effective treatment regimen for eyelid dermatitis, the doctor first determines the cause that triggered the development of the disease. In contact forms of pathology, it is necessary to block the action of the irritating substance. In 95% of cases, this is enough to overcome painful symptoms.
An important therapeutic measure is the abolition of allergenic cosmetics and medications, as well as the protection of the skin of the eyelids from the negative effects of the environment. Complex treatment of dermatological diseases involves the use of medications, the use of traditional medicine recipes, treatment of inflamed skin areas and diet.
Ointments and creams
Inflamed areas of the skin of the eyelids can be treated with Solcoseryl or Fenistil-gel. The antiseptic Wundehil perfectly disinfects the epithelium and heals existing microcracks. Dermatologists recommend choosing for treatment those ointments and creams that contain natural ingredients. Propolis, yarrow and sophora are very effective.
Drug name | Description |
Lipikar | This cream is indicated for the treatment of atopic dermatitis, restoration of the natural protective barrier of the epidermis from the negative effects of the environment, as well as for the individual patient’s tendency to have an allergic reaction. Contraindications include: pregnancy, lactation, intolerance to the components of the dermatological product. To achieve a positive therapeutic effect, Lipikar cream must be applied to the eyelids once a day. The duration of treatment is determined by the dermatologist on an individual basis. |
Sinaflan | This ointment is indicated to combat acute and chronic inflammatory pathologies of non-microbial etiology, which are accompanied by increased dryness of the skin (neurodermatitis, dermatitis, psoriasis, sunburn, eczema of various origins). The drug Sinaflan should not be used for skin manifestations of syphilis, skin tuberculosis, as well as during pregnancy and lactation. This ointment is not prescribed for the treatment of children under 2 years of age. The drug is applied to skin pre-treated with an antiseptic 2-4 times a day. The duration of treatment depends on the form of the diagnosed disease. The maximum course of therapy is 25 days. |
Diprolene | Indications for use: dermatitis, diffuse neurodermatitis, lichen, urticaria, eczema, discoid lupus erythematosus, generalized erythroderma. Diprolene is prohibited for use in cases of melanoma, hemangioma, trophic ulcers of the leg, tuberculosis of the skin and increased sensitivity of the body to the components of the drug. The cream should be applied to the eyelids 2-6 times a day in an even, thin layer. The duration of treatment is determined by a dermatologist. |
Betamethasone | This medicine is used by dermatologists to treat psoriasis, dermatitis, eczema, necrobiosis lipoidica and erythroderma. Betamethasone is contraindicated in the presence of the following diseases: varicose veins, acne, bacterial and viral skin lesions, plaque psoriasis. To achieve a positive therapeutic effect, it is recommended to apply the ointment to cleansed eyelid skin in the morning and evening. The standard course of treatment lasts 1-2 weeks. |
Before using the drug, you should consult a dermatologist and study the instructions for the drug to eliminate the possibility of contraindications.
Traditional medicine recipes
By combining traditional medications with traditional medicine, the final therapeutic effect of the combination treatment can be significantly increased. Time-tested recipes help stop the inflammatory process, eliminate itching and burning, and also overcome dryness and flaking of the skin.
The following recipes are most often used to treat eyelid dermatitis:
- Lotions based on chamomile decoction. To prepare a healing remedy you need to take 1 tbsp. l. chamomile flowers and pour 120 ml of hot water over them. The product must be brought to a boil and left on the fire for another 5 minutes. The broth should be allowed to cool. The product should be filtered through a piece of gauze and used for lotions, washing the eyelids 3 times a day until complete recovery.
- Compress of chamomile and string. For this recipe you need to take dried string and chamomile flowers in a 1:1 ratio. The components are mixed and poured with 200 ml of hot water for 5 minutes. After this time, the flowers of medicinal plants should be squeezed out and wrapped in a clean piece of gauze. It is recommended to apply the compress to the eyelids for 30 minutes. With regular use of this recipe, you can eliminate itching and burning of the skin of the eyelids, as well as overcome irritation and dryness of the epithelium, and stop the inflammatory process.
- Use of tea tree oil. To combat eyelid dermatitis, you need to take 5 ml of refined sunflower oil and add 6 drops of tea tree oil to it. Using a cotton pad, the resulting product should be treated with the inflamed area of the skin in the morning, afternoon and evening for 1-2 months. This recipe is in great demand due to its antiviral, anti-inflammatory and antibacterial properties.
Additionally, dermatologists recommend that patients observe the rules of personal hygiene, regularly perform wet cleaning of living quarters, strengthen the body’s immune system and undergo a comprehensive examination of the body 2 times a year.
Treatment of allergic dermatitis in the eyes
The manifestation of one of the types of dermatitis requires immediate action. The patient should first visit a dermatologist and therapist. Then you may need to contact an ophthalmologist, allergist, endocrinologist, or gastroenterologist to identify the true causes of the disease. An examination is prescribed to the patient after an external examination and anamnesis. Diagnostics includes the following activities:
- blood test (check the level of eosinophils, leukocytes, red blood cells);
- tear fluid samples;
- scraping to identify pathogens;
- biomicroscopy (non-contact examination of the eye with a slit lamp).
After diagnosing dermatitis and identifying the form of the pathology, the doctor prescribes treatment. In addition to drug therapy, patients are advised to eliminate the allergen and stop using decorative cosmetics for a while. The eyes are washed daily with boiled water and furatsilin solution. After this, the affected areas are treated with antifungal ointments. When treating the disease externally, blindfolds are not applied to the eyes. A positive effect is provided by lotions with tea or infusions of medicinal herbs.
Patients are often prescribed corticosteroid drugs for external use. Treatment lasts up to 14 days, depending on the specific case. In addition to ointments against eye dermatitis, drops are prescribed (solution of prednisolone, adrenaline hydrochloride and others). Additionally, patients may be prescribed restorative medications (calcium chloride intravenously). Patients are advised to cleanse the body and adjust their diet.
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Antihistamines
The basis of treatment for allergic eye dermatitis is the use of antihistamines. This group of drugs, after entering the body, relieves external symptoms caused by the effect of the allergen on the patient’s body (lacrimation, rash, itching, bronchospasm). Antihistamines are available in tablets, drops, syrups and are used only after a doctor's prescription. Popular drugs in this group:
- Cetirizine has a gentle effect on the patient’s body and has virtually no contraindications. The effect of the drug becomes noticeable 1.5-2 hours after use. The medicine relieves itching, lacrimation, and helps fight conjunctivitis.
- Chloropyramine provides antiallergic and sedative effects. Not for pregnant and nursing mothers.
- Cetrin is prescribed to patients over 2 years of age and is a histamine blocker. Produced on the basis of cetirizine, it has a gentle effect and eliminates the effects of allergies.
- Tavegil - a drug in tablets is prescribed to adults and children. It has a gentle effect, soothes, relieves swelling and itching.
- Suprastin has many contraindications due to its toxicity. Prescribed for serious forms of the disease. After taking the tablet, eye swelling and other symptoms of allergic dermatitis subside within 10-15 minutes.
- Zyrtec is a second generation drug based on Cetirizine. Included in the group of selective histamine blockers. Quickly relieves symptoms of dermatitis by blocking histamine receptors.
- Levocetirizine is available in the form of syrup or tablets. It acts in 15-20 minutes, relieves swelling, itching, and rash.
Creams and ointments
In addition to antihistamines, patients with allergic eye dermatitis are prescribed external treatment agents. Below are popular ointments and creams to combat this disease:
- Advantan is a medicine in the form of a cream based on methylprednisolone aceponate. After application to damaged areas of the skin, the drug quickly suppresses inflammatory and allergic reactions, eliminates swelling, itching, and relieves inflammation. The cream is prescribed to children from 4 months and adults.
- Zinc ointment is an inexpensive, effective remedy for the treatment of skin diseases based on zinc oxide. The drug relieves inflammation, provides an astringent effect, and kills bacteria.
- Celestoderm is a betamethasone-based ointment that provides anti-inflammatory and antiallergic effects. Contraindicated for children under 6 months and pregnant women.
Eye drops
To speed up the recovery process and improve the patient’s condition with allergic eye dermatitis, drops can be prescribed as part of complex therapy. This form of medication quickly affects the body, relieves swelling and itching, and prevents further development of pathology. Below are the popular drugs in this group:
- Opatanol – drops based on olopatadine hydrochloride. The product is a selective inhibitor of histamine receptors, suppresses the effects of allergens on the body, eliminates inflammation of the conjunctiva and lacrimation. The effect is observed 2 hours after applying the drops.
- Olopatadine is an analogue of Opatanol. It has a double effect, relieving allergy symptoms and affecting mast cells, which prevents the development of the disease. It has virtually no contraindications or side symptoms. Prescribed for adults and children.
- Allergodil is a drug based on azelastine hydrochloride. It has an antiallergic effect on the patient’s body, strengthens the membranes of eye cells, and relieves allergy symptoms. Not for children under 4 years of age, pregnant women, or nursing mothers.
- Azelastine, a drug in the form of drops, is a phthalazinone derivative. After use, the medicine provides membrane-stabilizing, antiallergic, antihistamine effects. Not prescribed during lactation, during pregnancy and for children under 4 years of age.
- Cromohexal is a product based on cromoglicic acid with disodium salt and benzalkonium chloride. The drug provides stabilization of mast cell membranes and relieves allergy symptoms. The effect of the medicine is observed only after 3-5 days, so it is prescribed more often for prevention or as part of complex therapy.
- Lecrolin is an inexpensive product containing sodium cromoglycate. The drug is an antihistamine, relieves the symptoms of the disease, eliminates inflammation from the membrane of the eye. Prescribed to patients with allergic dermatitis over 6 years of age.
Possible consequences and complications
To reduce the likelihood of progression of eyelid dermatitis, experts recommend abandoning the idea of hiding the affected areas of the skin using cosmetics.
Otherwise, re-infection may occur, which is difficult to overcome even with modern medications. Without effective treatment for ocular dermatitis, the likelihood of developing serious complications increases significantly.
In such a situation, it is possible that an inflammatory process may occur in the area of the cornea of the eye, which will contribute to a rapid decrease in visual acuity. At the early stage of development of eyelid dermatitis, properly selected ointments and creams help to cope with the disease in 15-20 days.