The Treatment Algorithm for Meibomyitis, Hordeolum and Halazion
V. N. Trubilin, 
E. G. Poluninа,
D. V. Andzhelova,
Yu. V. Evstigneeva,
K. V. Chinenova,
V. Kumar,
M. D. Pozharitsky
E. G. Poluninа,
D. V. Andzhelova,
Yu. V. Evstigneeva,
K. V. Chinenova,
V. Kumar,
M. D. Pozharitsky https://doi.org/10.18008/1816-5095-2019-4-515-521
Abstract
Despite the fact that the frequency of treatment the eyelids inflammatory diseases affecting the modified sebaceous glands (Meibomian glands, Zeiss glands) is very high in outpatient clinical practice, and the basic principles of treating this pathology are well known to everyone, there are always many questions. Therefore, interdisciplinary approach with gastroenterologists, dermatologists, endocrinologists and other specialists is often required treatment of this patients group. In addition, the transition of the inflammatory process to a chronic form and the encapsulation of the inflammatory focus and / or the formation of a halazion requires an accurate algorithm of actions from the practitioner, which depends on the duration of the pathological process. There is always a question — what form of an antibacterial drug is better to prescribe — ointment or drops? In addition, there is no consensus on the use of hormone therapy in the treatment of meibomyitis, hordeolum and chalazion. This article presents an algorithm for the prevention and treatment of this group of patients, which involves a certain sequence of therapeutic and preventive measures, depending on the severity and duration of the inflammatory process. Eyelid hygiene (warm compresses + self-massage of the eyelids with gel) is recommended in case of chronic blepharitis clinical signs, complaints of dryness, discomfort, wearing contact lenses. In case of the acute inflammatory process — meibomyitis and/or hordeolum in addition to eyelid hygiene, local antibiotic therapy is recommended. If a halazion is forming the choice of treatment tactics (local instillation therapy, intracapsular administration of a prolonged corticosteroid or surgical treatment) depends on the halazion duration (more or less than 2 months). The presented algorithm has the practical importance, since adequate treatment will not only eliminate the focus of chronic infection on the eyelids, but also improve the patient’s quality of life, since the presence of such a disease gives pronounced psycho-emotional discomfort because of its localization zone.
About the Authors
V. N. Trubilin
Academy of postgraduate education under FSBU FSCC of FMBA of Russia
Russian Federation
Russian Federation
МD, рrofessor, Head of the of Ophthalmology Department
Volokolamskoye highway, 91, Moscow, 125371, Russia
E. G. Poluninа
Academy of postgraduate education under FSBU FSCC of FMBA of Russia
Russian Federation
Russian Federation
MD, professor
Volokolamskoye highway, 91, Moscow, 125371, Russia
D. V. Andzhelova
Research Institute of Eye Diseases
Russian Federation
Russian Federation
MD, Senior Research Officer
Rossolimo str., 11A, B, Moscow, 119021, Russian Federation
Yu. V. Evstigneeva
Ophthalmology Clinic of Dr. Kurenkov
Russian Federation
Russian Federation
PhD, ophthalmologist
Rublevskoe highway, 48, Moscow, 121609, Russian Federation
K. V. Chinenova
Ophthalmology Clinic of Dr. Kurenkov
Russian Federation
Russian Federation
ophthalmologist,
Rublevskoe highway, 48, Moscow, 121609, Russian Federation
V. Kumar
RUDN University,
Skhodnya city hospital
Russian Federation
Russian Federation
MD, professor, head of ophthalmology department
st. Miklukho‑Maklaya, 6, Moscow, 117198, Russia
st. Michurina 31A, G.O. Khimki, md. Skhodnya, Moscow Region, 141420, Russian
M. D. Pozharitsky
Academy of postgraduate education under FSBU FSCC of FMBA of Russia
Russian Federation
Russian Federation
MD, professor, Head of anesthesiology department
Volokolamskoe Highway 91, Moscow, 125371, Russian Federation
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Review
For citations:
Trubilin V.N., Poluninа E.G., Andzhelova D.V., Evstigneeva Yu.V., Chinenova K.V., Kumar V., Pozharitsky M.D. The Treatment Algorithm for Meibomyitis, Hordeolum and Halazion. Ophthalmology in Russia. 2019;16(4):515-521. (In Russ.) https://doi.org/10.18008/1816-5095-2019-4-515-521
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