Unfortunately, the treatment of blepharohalasis has not been developed to this day. To stop the progression of the pathological inflammatory process conservative methods are used, but their effectiveness is not great. The most effective method of therapy is surgical excision of excess skin.
All recommendations and the final decision about the operation are taken by an ophthalmologist and a plastic surgeon. In most cases, blepharoplasty is performed under local anesthesia. The operation lasts about 1.5-2 hours. In addition to removing the hypertrophy of the skin of the eyelids, lateral cantoplasty and an external lifting aponeurosis of the fold can be performed.
The recovery period lasts 1-2 weeks. The patient is prescribed various medications, vitamins and ointments that accelerate the process of recovery and minimize the risk of complications.
Medical treatment of blepharohalasis is performed immediately after the operation. Medicines are necessary to prevent infectious complications. To do this, use eye drops and ointments with antibiotic and antiseptic properties.
Most often, patients are prescribed such medicines:
- Vitabakt is a broad spectrum antimicrobial agent. It has strong antiseptic properties. It is active against fungi, microbes, viruses. It is available in the form of a solution for instillation in the eye. The bottle-dropper contains 10 ml of 0.05% of the preparation. The active substance of drops is pyloxidine hydrochloride. Auxiliary components: polysorbate, anhydrous dextrose, purified water.
- Indications for use: prevention of postoperative complications in the anterior part of the eye, preoperative preparation, bacterial eye infections, dacryocystitis, inflammatory processes.
- Dosage and the way of application are determined by the attending physician, individually for each patient. When bacterial infections are instilled in 2 drops 2-6 times a day. As the inflammatory process decreases, the dosage is reduced. For the prevention of infection before surgery, once inoculated with 1-2 drops. The procedure is repeated the first day after the operation.
- Contraindications: individual intolerance to the components of the drug, pregnancy and lactation.
- Side effects: allergic reactions in the form of conjunctival hyperemia. It is also possible burning and redness. To eliminate these reactions, rinse eyes thoroughly with clean water and consult a doctor.
- Diclof is a non-steroidal anti-inflammatory drug. It has analgesic, antipyretic and decongestant properties. Minimizes the manifestation of miosis during surgical manipulations.
- Indications for use: preoperative preparation, postoperative prophylaxis of inflammatory changes, treatment of posttraumatic processes on the eyeball, inflammatory changes in the conjunctiva.
- How to use: drops are used topically. Installations are carried out in a conjunctival sac. Dosage and duration of use depend on medical indications. Typically, the drug is used 1 drop every 6-8 hours. The average course of treatment takes 7-14 days.
- Side effects: in most cases, the drug is well tolerated. Very rarely develops corneal opacity, blurred vision, itching and redness of the eyelids, swelling of the face, urticaria, fever, vomiting.
- Contraindications: hypersensitivity to the drug components, intolerance to NSAIDs and acetylsalicylic acid, violations of hematopoiesis, gastrointestinal diseases with erosive or ulcerative defects. There have been no cases of overdose.
- Indocollir is a local ophthalmic product with anti-inflammatory and analgesic properties. Contains the active ingredient - indomethacin from the NSAID group. Reduces the intensity of the inflammatory process, decreases the severity of the pain syndrome.
- Indications for use: treatment and prevention of inflammatory processes after surgery. Pain syndrome after photorefractive keratectomy. The drug is used 2-4 times a day for 1 drop in each eye.
- Side effects: hypersensitivity reactions, burning, pain in the eyes and hyperemia, temporary reduction in visual acuity, photosensitivity.
- Contraindications: individual intolerance of the drug components and NSAIDs. It is not prescribed for patients with an aspirin triad in anamnesis, with peptic ulcer, marked impairment of kidney and liver function. With special care is used before the planned operations before the eyes.
- Overdose: Frequent use of drops contributes to an increase in the severity of adverse reactions. To eliminate them, you must stop using the drug, rinse your eyes with running water and seek medical help.
- Tevodex is a combined medicinal product, which includes antimicrobial and corticosteroid components. It has pronounced bactericidal and anti-inflammatory properties. Contains tobramycin (broad-spectrum antibiotic) and dexamethasone (corticosteroid with anti-inflammatory effect). It is available in the form of ophthalmic ointment and eye drops.
- Indications: inflammatory eye diseases with or without bacterial infection. Treatment and prevention of infectious and inflammatory eye diseases after surgery. Injuries of the eye, prevention of infectious and inflammatory pathologies.
- Method of application: the drops are intended for instillation into the conjunctival sac 1-2 drops every 4-6 hours. Ointment is also applied to the conjunctival sac of the affected eye 3-4 times a day.
- Side effects: local allergic reactions, burning, dry eyes and eyelids, temporary reduction in visual acuity, keratitis, edema of the conjunctiva. In isolated cases, development of cataract, photophobia, mydriasis, glaucoma was noted.
- Contraindications: hypersensitivity to the components of the drug. It is not prescribed for the treatment of patients with eye infections caused by the herpes virus, fungi, tuberculosis or mycobacteria. With special care is prescribed for glaucoma and thinning of the cornea.
- Levomekol is a combined agent with chloramphenicol antibiotic and methyluracil immunostimulant. Produced in the form of ointment. It is used to treat purulent-inflammatory skin diseases, with furuncles, trophic ulcers, burns of 2-3 degrees.
The ointment is applied to the affected area and, if necessary, covered with a sterile tissue. The course of treatment is individual for each patient. Levomecol can cause local allergic reactions that go away after the drug is withdrawn. Not used when hypersensitivity to its components.
To accelerate recovery after surgery to eliminate the skin atrophy of the eyelids, patients are prescribed not only medicines, but also microelements necessary for the eyes and organism. Vitamins help to improve eyesight and maintain normal eye function.
As a rule, patients are prescribed such vitamins:
- A - retinol is a component of the ocular pigment of rhodopsin. Deficiency of this substance reduces visual function.
- C - ascorbic acid is necessary for strengthening the walls of the eye vessels and capillaries. It is on their strength that the speed of feeding the tissues of the eye depends. Vitamin C deficiency increases the risk of intraocular hemorrhage.
- Vitamins of group B - have high antioxidant activity. Participate in the process of formation of the visual impulse, interact with retinol. They are responsible for the metabolism of the nervous tissue.
- E - tocopherol stabilizes the state of cell membranes, has antioxidant properties. Protects against negative ultraviolet radiation and bright light.
The above substances can be obtained with food or buy special vitamin complexes for the eyes:
- Riboflavin - appointed with rapid eye fatigue, impaired visual function. Accelerates the healing process of wounds caused by surgical interventions, trauma or eye preparations. Reduces tension and improves visual functions, quickly stops the inflammatory process.
- Viziomax - contains plant extracts. Improves vision, minimizes the risk of developing ophthalmic diseases. Promotes restoration of visual functions, improves overall health.
- Vitafakol - vitamins, which purify the lens and eliminate dryness. Can be used as a remedy at the first stages of cataract.
All vitamins and vitamin complexes should be used after consultation with an ophthalmologist. The doctor will choose the perfect remedy for maintaining eye health and preserving vision.
To accelerate recovery after blepharochalasis surgery, patients are prescribed physiotherapeutic treatment. Physiotherapy is necessary for:
- Sanitation of foci of chronic infection.
- Toning and stimulating local immunity.
- Mobilization of the body's defenses.
- Restoration of the function of the sebaceous glands of the eyelids (secreteness).
Consider the most effective physiotherapy:
- Low-frequency magnetotherapy - it stops inflammation and edema of the eyelids, promotes resorption of infiltrates, speeds up metabolic processes, improves trophism of tissues. Increases the activity of blood plasma elements and proteins, improves local blood flow and enhances blood supply to the eyelids.
- Local darsonvalization of the eyelids - by means of pulsed mid-frequency currents, irritation of the nerve endings of the reflex zones occurs. Thanks to this, the vegetative nervous system is affected, the blood supply improves, and tissue trophism is enhanced.
- Secrecy stimulation - eyelid massage improves blood flow and lymph flow, strengthens the tone of the neuromuscular system, restores the secret of meibomian glands and eliminates stagnation in the eyelids. Massage can be carried out simultaneously with the installation of medicines.
But physiotherapeutic treatment of blepharohalasis, like any therapeutic method, has certain contraindications to the use. Treatment is not carried out with pronounced suppuration in the eyes and appendages, with fever, malignant neoplasms of the eye.
To treat atrophy of the skin, the upper or lower eyelids use not only traditional, but also unconventional methods. Alternative treatment of blepharohalasis:
- Take a pair of onions and boil them until soft. After cooling, strain. Add a mild honey to the broth and rinse with this solution the eyes and skin of the eyelids 4-5 times a day.
- 100 g of peeled fresh cucumbers, pour 250 ml of boiling water and add ½ teaspoon of soda. Use a solution for lotions.
- 25 grams of fennel seeds or chopped dill grass, brew 250 ml of boiling water, and let it brew until it cools. Strain, and used for lotions.
- Mix in equal proportions by weight such ingredients: birch leaves, wild rose leaves, strawberry leaves, St. John's wort, red clover. Grind all ingredients until smooth. A teaspoon of the mixture pour 50 ml of boiling water and insist for 30-40 minutes. Strain. Use the broth for compresses 2-3 times a day.
In addition to the above-described recipes, therapeutic properties are self-massage. It tones the tissues of the eyelids and eyes. With the help of nails can be a reflex massage. To do this, gently prick your eyelids for 2-3 minutes 1-3 times a day.
Another option of alternative therapy for ophthalmic diseases is the treatment with herbs. With blepharohalasis, you can use these recipes:
- 15-25 grams of cornflower flowers without baskets brew 250 ml of boiling water, insist for an hour and strain. Infusion is used as a disinfectant and anti-inflammatory agent. The course of treatment is 4-5 days.
- 15-25 g of crushed oak bark, pour 500 ml of vodka, and boil over medium heat for 15-30 minutes. Strain and cool. The broth is suitable for washing and compresses with pronounced inflammatory processes.
- 30 g of ground psyllium seed is placed in a glass bowl. Add to the vegetable component 2 teaspoons of cold water and shake well. Pour 6 tablespoons of boiling water into the container and continue shaking until the medium has cooled down completely. Strain and use as a lotion.
- Take a tablespoon of chamomile flowers and pour 250 ml of boiling water. Let it brew for 10 minutes, strain and cool. The finished product can be stored in the refrigerator. The broth is used for lotions on the eyes. According to this recipe, you can prepare a decoction of celandine, which is also suitable for lotions.
If you did not find ingredients for the recipes described above, you can use compresses from freshly brewed black or green tea. To eliminate the dryness of the eyelids, milk should be added to the drink.
The conservative method of eliminating such pathology as blepharohalasis has not been developed to date. Surgical treatment is the only way to stop the progressive growth of the skin of the eyelids.
Blepharoplasty is an operation to correct or change the shape of the eyelids. Excision of superfluous tissues is directed both on correction of a defect, and on aesthetic rejuvenation of the patient. With the help of the operation it is possible to tighten the upper and lower eyelids, giving the look easy and open. After the procedure, the number of wrinkles on the eyelids decreases.
Indication for surgical intervention:
- Atrophy of the tissues of the upper eyelids and their saccular dangling.
- Presence of bags under the eyes.
- The presence of fatty glands under the eyes.
- A large number of wrinkles in the lower eyelid.
- Pathologies and birth defects.
- Omission of the corners of the eyes.
Contraindications to blepharoplasty:
- Inflammatory process in the body with increased temperature.
- The presence of acute or chronic respiratory disease.
- Diabetes mellitus type 1 or type 2.
- Infectious or oncological diseases.
- Pregnancy and lactation.
- The patient is under 18 years old.
- Violation of blood clotting.
- Acute course of internal diseases.
- Increased intracranial pressure.
- Infectious diseases of the nose or eyes.
- Thyroid dysfunction.
Surgical treatment is carried out in ambulatory or hospital settings under local anesthesia. The operation lasts 1-3 hours. With blepharohalasis, such procedures are shown:
- External lifting aponeurosis folds.
- Removal of sebum.
- Lateral cantoplasty.
For surgery on the upper eyelids, the doctor makes an incision on the natural fold. The incision slightly touches the area above the outer corner of the wrinkles that appear when smiling. Through the incisions, excess skin and fat tissue are removed. As the restoration is restored, the incision becomes invisible, since it repeats the normal contour of the upper eyelid. In the operation on the lower eyelids, the incision is made below the line of the lower lashes. Through an incision, remove adipose tissue, muscles and excess skin. To eliminate swelling, the doctor can redistribute the tissues.
The excision of tissues can be carried out with the help of a scalpel or laser method. Laser blepharoplasty allows you to remove excess skin around the eyes, change their size or shape, eliminate wrinkles, swelling. The procedure is carried out using an erbium or carbon dioxide CO2 beam.
After surgical treatment the patient is waiting for a recovery period, the duration of which is individual for each patient. In the early days you need to rest. Increased activity can lead to such operational complications as swelling and bruising. Sutures, as a rule, are removed for 4-5 postoperative day. Initially, scars have a pink color, but after 2-3 months they become invisible.
It is worth paying attention to the fact that immediately after the operation, vision can be clouded and remain so for several days. In addition, photosensitivity, increased tear, dry eyes. To eliminate these symptoms use special medicines (drops, ointments). It is also recommended to wear sunglasses for 2-3 weeks after surgery to protect the eyes from sun irritation and wind.