Dermatitis eyelids

Medicinal dermatitis of the eyelids can occur in two forms: acute and chronic.

Depending on the degree of pre-sensitization, the skin lesion of the eyelid develops more or less quickly. At the expressed sensibilization to a medicine with high allergenic activity - penicillin, streptomycin, dicain, etc. During the first 6 hours from the beginning of an allergic reaction there is a growing hyperemia and edema of the eyelid, often with vesicular and even bullous rashes. The skin is hot to the touch, dry, rough, and sometimes, on the contrary, wetting. Perhaps the development of concomitant allergic conjunctivitis, sharp edema of the conjunctiva leads to a complete closure of the ocular gap. Abundant secretion of an adhesive transparent liquid causes skin maceration at the corners of the eye slit. The defeat of the skin of the eyelids is accompanied by holonomic pain, chills, general weakness, severe itching of the eyelid skin.

Similarly, allergic dermatitis associated with the use of any cosmetics (makeup, nutritional lotions, creams, etc.).

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Chronic drug dermatitis

Chronic drug dermatitis of the eyelid develops slowly, has a protracted character: the skin of the eyelid with a small edema and hyperemia at first gradually thickens, becomes dry, wrinkled, with areas of eczematiza- tion, spotty, papular or papular-vesicular rashes. The period of clinical manifestations is preceded by numerous subjective complaints of patients on itching, stitching, burning sensation in the eyes. The defeat of the eyelids is always symmetrical.

Disease of the dermatitis of the eyelid often develops when the medicinal substances are introduced into the conjunctival sac or applied to the skin of the eyelid - with the use of ointments (erythromycin, streptocid, albucid, yellow mercury, tetracycline, etc.), and also after electrophoresis. The localization of the lesion in some cases depends on the dosage form of the drug used. For example, ointments more often cause a diffuse lesion of the skin of the eyelids, while drops - an angular dermatitis.

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Eksematozny skin dermatitis

Eksematozny dermatitis of the eyelids and blepharitis without affecting the conjunctiva refers to the more rare forms of allergic reaction. They can develop with prolonged use of ointments with antibiotics and sulfanilamide preparations, antiviral agents, after several sessions of electrophoresis on the eyelids. Eczema of the eyelids can be both exogenous (maceration of the skin with a tear, eyelid twist, action of drugs) and endogenous (diathesis, gastrointestinal diseases, helminthic invasions, etc.), but the allergic component is mandatory in all cases.

With eczematous dermatitis, the skin of one upper or one lower eyelid or both eyelids of one eye can be affected. Typical symptoms of eyelid dermatitis are observed : hyperemia, edema, vesicle eruptions on the eyelids, the formation of pustules and crusts, bursting, tearing and exposing the wetting surface; worry pain, painful itching. Sometimes the dermatitis of the eyelids begins with the swelling and inflammation of the eyelid edges, but the scales and ulcers that are observed with conventional blepharitis are absent. Thus, the damage to the skin of the eyelids during drug sensitization, as well as due to the use of drugs of different pharmacological effects, occurs both with local treatment and with general therapy, has an isolated character or is accompanied by a general reaction.

Treatment of eyelid dermatitis

• Discard the drug that has allergies.
• Assign desensitizing drugs inside.
• Lubricate the eyelid with eye hydrocortisone ointment (outside the wetting surface).

Treatment of eczematous dermatitis of the eyelids

• In the beginning of development of eczema - zinc paste.
• When wet eczema - lotions of cold strong tea.
• After drying the surface - greasing hydrocortisone cream (not ointment).
• Assign desensitizing agents, cleansing the intestines.
• The dressing is not needed.