Some people don't care much even if they have a stye in their eyes, which will make the stye more serious, or even more swollen, eventually affecting their normal eye use and vision. People need to use medication to relieve the symptoms, such as some therapeutic eye drops, or directly use surgery, which is currently the most effective treatment method. What to do if the stye is getting more and more swollen 1. Drug treatment: Topical application of various antibiotic eye drops, 3 to 4 times/d. Before applying the medicine, squeeze and empty the secretions in the lacrimal sac so that the medicine can be absorbed into the lacrimal sac; systemic use of sulfonamides or antibiotics. After a period of treatment, the purulent secretions can disappear, but the blockage and retention cannot be relieved. This can only be used as a preparation before surgery. 2. Flush the lacrimal duct: In order to completely remove purulent or mucous secretions and enhance the efficacy of drugs, the lacrimal sac can be flushed with normal saline. After the pus is flushed clean, 0.3 to 0.5 ml of antibiotics can be injected. Flushing with a mixture of antibiotics, cortical hormones and cellulose-soluble liquid can resist infection, inflammation and soften adhesions. It can have a better effect on early blockages without fixed scars. 3. Lacrimal duct dilation and exploration: After the above treatment and flushing without purulent secretions, dilation and exploration can be tried. Simultaneous intranasal drops of antibiotics and ephedrine solution may be effective for membranous or fibrinous obstruction. If probing fails 2 to 3 times, surgical treatment should be considered. 3. Dacryocystectomy: In order to remove purulent lacrimal sac lesions, people have performed dacryocystectomy a long time ago, and it has become very common since then. Until the beginning of the 20th century, dacryocystorhinostomy was gradually developed and improved, and chronic dacryocystitis was generally treated with dacryocystorhinostomy. However, it is still necessary to perform lacrimal sac removal when continuing to perform intraocular surgery for patients with lacrimal sac tuberculosis, lacrimal sac tumors suspected to be malignant, or severe corneal ulcers, acute glaucoma, or ocular trauma. During surgery, the lacrimal sac should be completely separated, with special attention paid to removing the base of the lacrimal sac, the connection between the lacrimal sac and the common (small) lacrimal duct, and the lower end of the lacrimal sac. The mucosa of the entire length of the nasolacrimal duct to the nasal cavity should be scraped. Once diseased mucosa remains, it may recur, become festered or form fistulas. After the lacrimal sac is removed, no pus will be discharged into the conjunctival sac, the irritation will be reduced, and the symptoms of tearing will be greatly alleviated. The patient can get used to it after a few weeks, so it is still a valuable operation. In order to avoid leaving scars on the skin, some scholars make the incision at the junction of the inner canthus skin and mucosa, from the upper lacrimal punctum to the lower lacrimal punctum, but the exposed surgical field is slightly narrow, making the operation more difficult. |
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