Eyelash Base Inflammation

Blepharitis is a very common condition. It causes symptoms such as red eyelash bottoms and burning and stinging that disrupt patient comfort.

Inflammation of the base of the eyelashes is very difficult to treat. It is a chronic condition. Although it is not possible to cure it completely, it calms down with regular treatment and symptoms decrease. The area we call the base of the eyelash is the edge of the eyelid. In this area, the skin in front and the conjunctiva mucosa from behind meet. Eyelashes come out from here. There are also meibomian glands with pores in this area. The oil secreted by these glands lubricates the surface of the eye and slows the evaporation of tears. Inflammation of the base of the eyelashes is a common name for problems in this area. In addition, microscopic parasites called demodex that live in this area are the creatures that increase this inflammation.

There are several types of eyelash base inflammation. There are seborrheic form, which is characterized by dandruff and eyelash loss, and there are also types in which the meibomian glands located inside the eyelids do not work well, that is, the secretion of the oil layer of the tear is impaired. These conditions, which are referred to as inflammation of the root of the eyelashes, may give different symptoms. What they usually have in common is the prevention of adequate wetting of the surface of the eye and the occurrence of dry eye due to inflammation of the eyelashes.

What are the symptoms of eyelash base inflammation?
Symptoms of inflammation of the base of the eyelashes include burning due to dry eyes,

  • Sting
  • The feeling of sand escaping,
  • Watering of eyes
  • Eye redness,
  • Eye tearing may include

In addition, pain in the eyes, swelling of the lids, fullness of the lids, redness, dandruff at the base of the eyelashes, itching at the base of the eyelashes, eyelash loss, whitening of the eyelashes can be counted due to inflammation of the eyelash base. Especially meibomian gland dysfunction, in which the meibomian glands do not work well, is the main cause of burning, stinging, watering and eye fatigue experienced by young people and computer workers.

The secretion of these glands is very important in terms of dry eye, because in the case of inflammation of the base of the eyelashes, the ends of these glands are blocked and when the secretions and secretions are not sufficient, the tear evaporates rapidly and the eye surface dries and also loses lubrication. Also, the lids that do not slide on the dry surface irritate the eye surface and increase the complaints of burning, stinging and watering. The comfort of our eyes depends on the adequate and proper secretion of the secretions of these glands on the eye surface. While the blockages at the ends of these glands simply increase the complaints of dry eye and cause burning, stinging and watering, fully blocked sebaceous glands cause stye, that is, chalazion.

If the ends of these glands, of which there are 20 in the lower lid and 40 in the upper lid, are blocked and destroyed over the years, very serious complaints of dry eye occur at an advanced age.

Eyelash base inflammation treatment?
In order for our eyes to be healthy and comfortable, it is necessary that the area around the base of the eyelashes is clean and healthy. Although the causes may be different, basically similar treatments are applied for all inflammations of the base of the eyelashes and meibomian gland problems. Although cortisone eye drops provide temporary relief, they have little place in the actual treatment, do not provide permanent treatment and have very serious side effects. The treatment of the inflammation of the base of the eyelashes is based on opening the meibomian gland mouths and cleaning the base of the eyelashes, in addition to controlling the demodex parasite, if any. To rid the base of the eyelashes of inflammation, they need to be cared for in the same way as we brush our teeth, because it is not possible to clean their tips very well when we wash our face. Here is what needs to be done to keep the meibomian glands working properly and to prevent inflammation of the base of the eyelashes.

They will be used for inflammation of the base of the eyelashes and meibomian gland dysfunction;

  • Heat application – warming the lids and softening the oil secretion,
  • Mechanical pressure – removing softened oils from the rag orifices by pressure,
  • Mechanical cleaning – to remove dry oil plugs and dandruff,
  • Chemical cleaning – to kill the demodex parasite,
  • Lubricating the surface of the eye – tear drops.

First of all, in order for the secretions of the meibomian glands to reach the base of the eyelashes, their ends must be open, the oil secretion coming to this area dries up due to various metabolic and external influences and plugs are formed.

 

Prof. Dr. Ahmet Akman

Eye Health and Diseases Specialist

October 2023

 

Why do we feel pressure behind our eyes?

Pressure behind the eyes can feel like a throbbing, pressure or squeezing in the head, just behind the eye sockets.

The most common causes of pressure behind the eyes are;

  • Headache: Especially tension-type headaches and migraines cause a feeling of pressure behind the eyes.
  • Eye strain: Working long hours in front of a screen, not wearing glasses even though they are necessary, or inadequate eyeglass ratings can cause a feeling of pressure behind the eyes.
  • Sinusitis: There are empty air-filled spaces called “sinuses” near our eyes and nose. Inflammation of these areas is called “sinusitis” and can cause a feeling of pressure behind the eyes.
  • Dental problems: A toothache can be felt as pain or pressure behind the eye.
  • Angle-closure glaucoma: There are several types of glaucoma (eye pressure). In open-angle glaucoma, the most common type of glaucoma, there is no pain, whereas in the so-called “angle-closure” type of glaucoma, pressure is felt in the eye and behind the eye.

What should we do if we feel pressure behind the eye?

  • If you feel pressure behind the eye, you should consult an ophthalmologist.
  • After performing a complete eye examination, your ophthalmologist may recommend that you also consult neurology, dental and ear-nose-throat departments if necessary.

October 2023

Is Yoga Good for The Eyes?

We often see eye yoga on social media… But does eye yoga really provide the claimed benefits? How do other yoga asanas (postures) affect our eye health?

Eye yoga reduces eye strain
In 2020, the International Journal of Yoga published a scientific study investigating the effects of eye yoga. One group practiced yoga eye exercises for 6 weeks and the other group did not practice yoga eye exercises. It was found that the symptoms of eye fatigue were reduced in those who did yoga eye exercises, while in the other group, the symptoms of eye fatigue were considerably higher. As a result of the study, yoga eye movements were found to help reduce eye strain symptoms and pain around the eyes by exercising the eye muscles.

Eye yoga does not correct myopia, hyperopia and astigmatism
The claim that eye yoga corrects eye disorders such as myopia, hyperopia and astigmatism is not true. In addition, eye yoga is not good for dry eyes and does not reduce dark circles under the eyes as claimed.

Some yoga asanas (postures) increase eye pressure
A scientific study published in 2023 investigated the effects of yoga postures on eye pressure in healthy individuals. This study included 107 volunteers practicing yoga. These volunteers practiced yoga at least 5 days a week for 12 weeks. Their eye pressure was measured before and after each posture before and every 4 weeks during the study. Some of the postures, including deep meditation and alternative breathing techniques, reduced intraocular pressure. But yoga headstand, bellows breathing and breath control temporarily increased intraocular pressure. If you suffer from glaucoma, you should avoid these yoga poses…

October 2023

Unconscious Eye Makeup Leads to Loss of Vision

Improper use of cosmetic products such as eye pencils, mascara and eyeliner used in eye makeup causes many diseases such as permanent eyelash loss, eye infection, droopy eyelids and temporary loss of vision.

Eye makeup, which is indispensable for women, can cause permanent eye damage when not applied consciously. Makeup, which is actively applied by some women every day, is sometimes applied by professional hands on special occasions. Mentioning that make-up products and applications used unconsciously pave the way for eye diseases, Ophthalmologist Op. Dr. Ebru Toprak Ün explained the ways to prevent eye diseases.

Beware of Products Sold in the Market
Products produced illegally under the stairs on the internet and in neighborhood markets can negatively affect your eye health. Because these products are very easy to access because they are cheap. People buy products they do not know what is in them because they are cheap and because they are fake productions of real brands. They think that we bought the right brand. These contain harmful chemicals such as cyanide, mercury and lead.

Stay Away from Cheap Products
Make-up products containing harmful chemicals bring many health problems. Long-term use of these makeup products is problematic because apart from allergic reactions such as swelling, rash, redness, absorption from the skin may pose a long-term risk in long-term use. Because we do not know which chemical is in the product used, how much carcinogenic, how harmful it is. Therefore, it is necessary to be careful with these products. We should not prefer very cheap products. Because there is a problem in it that it is cheaply made. Therefore, women should pay attention to these.

Do Not Apply Pencil Inside the Eye
The most important issue to be considered while applying eye makeup is not to apply any coloring matter into the eye. Makeup should be personal and everyone should use their own makeup. We should prefer water-based and more easily removable products, which are less harmful as they allow the skin to breathe more. Eye shadow and eyeliner can be applied on the eyelashes and lids. In addition, too much eyelid movement while applying eye shadow can cause drooping due to separation between the muscle fibers in the eyelid over time. For this reason, it is recommended not to play with the eyelid too much. People with allergic constitution should not use powder eyeshadow because it can fly and stick to the front surface of the cornea and cause an allergic reaction.

Prefer Water Based Products
If the material is smuggled into the eye, damage to the cornea while trying to clean it will lead to loss of vision. Therefore, water-based products should be preferred as they are

October 2023

If You’re Waking Up with Swollen Eyes!

Beware if you wake up with swollen eyes! Many diseases, especially cardiovascular diseases, can be diagnosed by the symptoms experienced in our eyes.

Stating that morning puffiness in the eyes can be a symptom of heart disease, Prof. Dr. Nur Acar Göçgil said, “During sleep, edema accumulation can occur in the eyelids at most in the body. When we wake up, we may feel swelling in our eyes. Complaints such as this swelling, which decreases later in the day, may be warnings of hidden heart disease.” Most symptoms in our eyes give us signs about other diseases in our body. Reminding that most people do not prefer to go to the doctor before experiencing a certain progression of health problems, Ophthalmologist Prof. Dr. Nur Acar Göçgil emphasized the importance of early diagnosis to prevent many diseases from diabetes to hypertension, vascular changes to clotting.

EARLY DIAGNOSIS CAN SAVE LIVES
Regular examinations increase the chances of treatment in diseases detected early and this saves lives against fatal diseases. Delay in the diagnosis of diseases such as diabetes, hypertension and heart diseases causes the disease to progress and results in the destruction of our eyes. This can result in reduced vision and even permanent vision loss.

SWELLING IN THE EYES MAY BE A SIGN OF HIDDEN HEART DISEASE
If you wake up in the morning with constantly swollen eyes, the cause of this swelling may be heart disease. During sleep, our head is at the level of the heart. During sleep, the most edema accumulation in the body can occur in the eyelids. When we wake up, we may feel swelling in our eyes. Complaints such as this swelling, which decreases later in the day, may be warnings of hidden heart disease.

DIABETES CAN BE DIAGNOSED DURING EYE EXAMINATION
Changes in vision in both eyes or one eye can also indicate diabetes and hypertension. Diabetes, which can cause significant and permanent damage to the eyes, can be diagnosed early with an ophthalmologic examination. Small vessel blockages due to diabetes and hypertension can also cause complaints such as double vision. The main cause of heart diseases is the development of arteriosclerosis. This arteriosclerosis can occur in all vessels in our body. Stiffness in the eye vessels or clot formation in the eye vessels can cause temporary visual disturbances. Disorders in the heart rhythm can also lead to consequences such as clots in the eye vessels. It is important for people with temporary vision loss to be checked for the risk of cardiovascular diseases and heart rhythm disorders. Stating that one should be aware of the symptoms experienced in the eyes, Ophthalmologist Prof. Dr. Nur Acar Göçgil listed the symptoms that may occur in the eye due to cardiovascular diseases as follows: Uncontrolled high blood pressure can cause blockages in the eye veins, causing visual impairment in the central vision or in an area. Hemorrhages in the retina and edema in the yellow spot may develop in the occluded vein area. With close follow-up and timely treatment, permanent visual damage is minimized. Treatment of the underlying systemic disease is also very important. With treatment and close follow-up, the development of new abnormal blood vessels in the retina is prevented. The severity of the disease can be determined by eye examination.

PEOPLE IN THIS GROUP ARE AT RISK OF HEART ATTACK
Especially in congenital cholesterol elevations, whitish ring formation around the iris can be seen in the eye. It is important for people in this group to have their cholesterol levels monitored in terms of the risk of heart attack and to be followed up by a specialist doctor in terms of heart health.

September 2023

Dementia Risk of People with Eye Disorders

According to a new study conducted in the UK, people with eye diseases have a higher risk of dementia.

In a study conducted in the UK, it was stated that people with conditions such as yellow spot disease, cataracts and diabetes-induced eye disease have a higher risk of developing dementia. In the study conducted on 12,364 adults aged 55-73, it was reported that the most risky group was people with diabetes-related eye disease. Experts evaluating the health data emphasized that the risk of developing dementia is 26% higher in people with age-related yellow spot disease. Researchers reported an 11% higher risk of dementia in those with cataracts and a 61% higher risk of dementia in those with diabetes-related eye disease, and underlined that eye pressure is not associated with dementia. Published on September 21, World Alzheimer’s Day, the study reported that visual impairments will affect more than 130 million people worldwide by 2050.

September 2023

Eye Examination is Necessary in Every School Period

Eye health, which is critical for children’s quality of life, is among the factors that directly affect school success.r.

It is very important to have your child’s eyes checked just before they start school to prevent a problem with vision from adversely affecting their adaptation to school. It is not uncommon for children who often get up from their seats and go near the blackboard because they cannot see the blackboard to be characterized as children with low school success and maladaptive children. It is sufficient to perform eye examinations every 2 years in healthy children at school age. Since children at this age are able to express themselves, their examinations do not differ significantly from those of adults. The most important difference is that if a refractive error is suspected, an examination with drops may be necessary until the age of 10-12, depending on the situation. At this age, children’s spectacle numbers can change very rapidly. Apart from routine examinations, headaches and eye pain are the exceptional conditions that require you to bring your child to the ophthalmologist as soon as possible. Apart from these, if your child complains of eye fatigue, blinks frequently, complains that he/she cannot see the blackboard or his/her achievement has dropped for no reason, squints while watching television or tends to approach the screen, a visit to the ophthalmologist is necessary. Prolonged screen activity in the preschool period is not recommended for both the child’s psychosocial development and eye health. Experts recommend limiting screen activity to one hour per day for 5-8 year olds and 2 hours per day for 9-12 year olds. This time should be divided into 2-3 parts and should never be exceeded.

September 2023

What is Bloodshot Eye and What is Good For It?

The eye may bleed due to various reasons. Bloodshot eyes may develop due to external factors or may be a harbinger of a different disease. So, what is good for bloodshot eyes? What causes blood in the eye? How does bloodshot eye recover? Here are the details about bloodshot eyes…

WHAT IS BLOODSHOT EYE?
Bloodshot eyes can also occur as a result of dilated blood vessels in the eye. The eye appears red as a result of the dilated blood vessels filling with blood. The reason for the dilation of the blood vessels is that the oxygen demand of the cornea layer covering the outside of the eye is not met. Under normal conditions, capillaries are not visible. However, in response to the lack of oxygen supply and the condensation of blood, the capillaries become visible. Therefore, there is a bloody appearance in the eye.

SYMPTOMS OF BLOODSHOT EYE
Bloodshot eyes can be defined as a bloody and vascular appearance in the white part of the eye. Redness in the white part of the eye, Itching and irritation, pain in the eye, feeling of fullness in the eye, blurred vision, restricted vision, sensitivity to light, Eye swelling is the most obvious symptom of bloodshot eye. It is possible for several of these symptoms to appear in the eye at the same time.

WHAT ARE THE CAUSES OF BLOODSHOT EYES?

The factors that cause bloodshot eyes can be caused by the following problems:

  • Insomnia
  • Coughing with high pressure
  • Coughing for too long
  • Dry eye
  • Allergic reactions
  • Inflammation in the eye
  • Shallot
  • Eyelash inflammation
  • Scratching the eye too hard
  • Wearing the contact lens incorrectly
  • Blood Pressure
  • Vomiting
  • Heavy load lifting
  • Traumas, injuries or blows to the eye
  • Blood clotting problems
  • Eye cancer
  • Use of blood thinners
  • Aneurysm
  • Diabetes
  • Retinal tear
  • Fluid accumulation behind the eye

Sometimes, excessive alcohol and cigarette consumption can cause bloodshot eyes. In this case, the patient’s smoking and alcohol history can be examined under the supervision of a doctor and these harmful habits can be targeted to be eliminated.

HOW DOES BLOODSHOT EYES RECOVER?
The treatment of bloodshot eye varies according to the disease causing the bloodshot. Bleeding from the eye, which usually resolves spontaneously in 1-2 weeks, may be prolonged in some cases. However, different causes may also lie under the bloodshot eye. In such cases, a specialized doctor should make the diagnosis. If bloodshot eyes are caused by high blood pressure, high blood pressure should be treated. The treatment for more serious eye diseases is different. Eye drops are usually recommended for the treatment of bloodshot eyes. After the doctor’s examination, steroid eye drops are given for swelling, antibiotic drops for bacterial infections, eye drops containing painkillers for pain relief, and antiviral eye drops for viral infections. If there are serious injuries to the vessels in the eye that cause blood supply, laser surgery can be used for treatment. In all treatment methods, patients may need to wear an eye patch for a while to protect their eyes.

September 2023

Attention If You See Double When Looking Away!

Eye Diseases Specialist Assoc. Prof. Dr. Halil Hüseyin Çağatay said that double vision when looking away may be a harbinger of a serious health problem, medical help may be needed, so it should not be neglected.

Eye Diseases Specialist Assoc. Prof. Dr. Halil Hüseyin Çağatay gave important information about double vision when looking away, scientifically known as ‘diplopia’. Assoc. Prof. Dr. Halil Hüseyin Çağatay emphasized that double vision, which can be experienced by many people and is usually a temporary condition, may be a symptom of a serious health problem, may require medical assistance, so it should not be neglected.

THE MOST COMMON CAUSE OF IT IS EYE SLIPPAGE AND STRABISMUS
Stating that the most common cause of double vision is slippage and strabismus in the eye, Dr. Çağatay said, “Double vision increases over the years in cases where the inward shift increases when looking away. Our patients most frequently state that the lanes on the roads are intertwined. Double vision can also occur temporarily as a side effect due to trauma and some medications. For example; in recent years, patients have been presenting with temporary double vision problems after Botox applications. The double vision here typically occurs in side gaze. Other important and common causes of double vision are diseases of the brain and cerebral vessels. The most important thing to remember is that all newly emerging double vision problems require urgent medical examination and research without neglect.  Some problems that cause double vision may also be due to neurological causes. Diseases such as stroke, brain tumor, aneurysm in the brain vessels, multiple sclerosis can cause double vision problems when looking away.”

A DETAILED EYE EXAMINATION IS IMPORTANT IN THIS PROBLEM
People who have double vision problems when looking far away should urgently consult an ophthalmologist. With a detailed eye examination, the strabismus problem, if any, is detected by measuring the slip angles in far, near and side gaze; the diagnosis of strabismus can also be confirmed with binocular vision tests, which we call binocular vision tests. If no problem is detected, the underlying cause can be investigated with more detailed neurological examinations. Double vision is usually treatable; however, the treatment method depends on the source of the problem. It is very important to solve the underlying problem, if any. In addition, double vision can be eliminated with prismatic glasses that control double vision, neurotoxin applications and surgical interventions on the eye muscles. In conclusion, if you experience double vision when looking away, you should not ignore this condition and seek help from a health professional. This will help protect both your comfort of life and your overall health.

August 2023

Don’t Confuse Eye Allergy with Eye Infection

Eye allergy and eye infection are conditions with similar symptoms. Although they have similar symptoms, it is possible to recognize which one it is and to distinguish between an infection and an allergy with a microscopic examination by an ophthalmologist.

The most common symptoms of an eye infection are redness, burning, itching, watering, tenderness and crusting or discharge around the eyelids. Conjunctivitis can be caused by viruses, bacteria, fungi, allergens and other irritants. Because it is contagious, conjunctivitis caused by viruses and bacteria in particular can spread to other people. Eye allergy, or allergic conjunctivitis as it is medically called, is a fairly common disease that, unlike other conjunctivitis, does not spread from person to person. The most important symptoms are redness, itching and watery eyes. If there is no itching, allergy should not be considered. As in other allergic diseases, genetic characteristics and environmental interaction play a role in eye allergy. It is often seen together with other allergic conditions in the body. It is more common in children and adolescence. The incidence gradually decreases at older ages.

Microscopic Examination Required
Experts say that the most common potential allergens that cause eye allergies are pollen, animal dander, chemical odors, house dust and mold. If conjunctivitis is caused by pollen, it is usually seasonal. If the allergic cause is animal dander, mold and dust, it can sometimes cause an allergic crisis. Some people may also develop allergic conjunctivitis to certain eye drops or contact lens solutions. Since allergic conjunctivitis shares similar symptoms with other eye diseases, it is important to make the correct diagnosis. For example, eye allergy and eye infection are different conditions with similar symptoms but different medical causes. A microscopic examination by an ophthalmologist is necessary to identify the disease and to differentiate between infection and allergy. The examination reveals redness of the eye as well as swelling inside the eyelid caused by allergic conjunctivitis. The basic principle of treatment is to avoid the cause of the allergy.

August 2023