How to treat ocular sweat adenoma

How to treat ocular sweat adenoma

Ocular sweat adenoma is a relatively common skin disease, which is mainly a symptom of raised skin surface caused by the proliferation of sweat gland duct cells in the eyes. The common areas of occurrence are the lower eye sockets and eyelids, and also the face, neck, chest and abdomen. Generally, patients with this disease have loose eyelids, often look listless, and have darker eye sockets. So how can we prevent and treat sweat adenoma?

Treatment

Sweat adenoma is not a very difficult disease to treat. Simple sweat adenoma can be successfully cured with laser. A doctor with sufficient experience can make the marks extremely subtle, even invisible to the naked eye.

For laser treatment of sweat adenoma, CO2 laser is the first choice. Routine disinfection and local anesthesia are performed, and a 5W ordinary CO2 laser is used to focus the beam on the skin lesions for cauterization. The depth of ordinary CO2 laser is difficult to control. Using UltraPulse CO2 laser can greatly improve the safety of treatment.

Parameter selection: spot size 1mm handpiece, energy 250-300mJ, power 1.0-1.2W. The operation is performed from the epidermis to the deep part of the syringoma. During the operation, the yellowish, hard, sand-like syringoma tissue should be vaporized and removed as much as possible, but it should not be vaporized too deep to avoid causing scars. Generally, 2-3 times of vaporization are sufficient. If there is still residual syringoma tissue, a clear tumor body can be seen through the new physiological tissue one month after the operation, and it can be vaporized again if necessary. To reduce thermal damage, dry tissue debris on the wound surface must be wiped off with saline gauze or cotton swabs after each vaporization. After the operation, apply chloramphenicol eye ointment and leave the wound exposed or cover it with sterile gauze.

But it must be understood that sweat adenoma is a disease that is very prone to recurrence. It will often grow again two or three years after being cleared and must be treated again. Therefore, the experience of the treating physician is very important. The cleaner the removal, the longer the recurrence will be.

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