EYELID

Message of common value

WHAT IS CATARACT?

CLOUDING OF THE LENS

ARE THERE...
DISCREET MAGNIFIERS?

YES, SUCH AS EASYPOCKET

SHOW YOUR EYES ...
WITH LENSES !!!

DAILIES: SAY IT WITH
YOUR EYES!

METAMORPHOSIS
(=curved lines)

THIS MAY INDICATE AGE
RELATED MACULA
DEGENERATION

WHY DO YOU REGULAR NEED
EYE EXAMINATION WHEN YOU
HAVE GLAUCOMA?

YOU DON'T FEEL ANYTHING
BUT YOUR EYE CAN GET BLIND
SLOWLY
WHEN THE EYE PRESSURE
IS TO HIGH!

LENSES....
SO EASY !

HOLIDAYS = LENSES

YOU ONLY HAVE 2 EYES:

CHECK YEARLY !

SEE CLEARLY !

EYELID » ZONA »

ZONA

THE TYPICAL HERPES VESICLE: A VESICLE ON A RED BACKGROUND
THE CHICKEN-POX ("VARICELLA"), WICH THE MOST HAVE HAD IN THEIR CHILDHOOD, CAN RETURN ON ELDER AGE IN THE FORM OF ZONA. BY CONTACT WITH ZONA-PATIENTS, CHILDREN CAN GET THE CHICKEN-POX.
THE VESICLES OF ZONA ARE LIMITED TO ONE SKINZONE OF A PARTICULAR NERVE
THE VESICELS CAN OPEN (AFTER A WHILE) - THEY HAVE TO BE DESINFECTED VERY GOOD WITH ISOBETADINE, TO PREVENT FURTHER CONTAMINATION

ZONA-OPHTALMICA

The disease is caused by the varicella-zoster virus. This is a virus from the herpes family, which is responsible for chickenpox (varicella). If that cures disease, the virus does not die, but it will retreat to a nerve node. With a weakening of the general situation, the virus can become active again. It causes the typical lesions of zona (skin blisters spread over a limited skin segment, which is covered by the nerve), preceded and followed by fairly severe pain ("ST-Anthony-fire"), which is caused by cold, heat or a touch.
The rest pains, which occur especially in elderly patients, who sufferd already great pain in the inflammation phase, are difficult to treat.
Fortunately, the scars are rarely severe skin lesions, except if one happens to an additional contemination of microbes.
Disinfection is definitely helpful!
In 40% of the cases, there are eye injuries (mostly superficial mucosal inflammation, but sometimes a deeper cornea or iris-degradation / very rare retina and optic nerve-damage - the last 3 damages are based on inflammation of the local blood vessels ( "vasculitis")).
Curiously, we see mostly eye damage, even when the nose tip exhibits zona lesions. Same nerve innervate the nasal tip and the eye. The severity of skin lesions are not always a measure of the seriousness of eye injuries!
Zona is seen as a flare of a virus, that everyone carries, zona is therefore not contagious. Most, children who have not been through the chickenpox, which may get this disease.
Zona patients can later get the virus after the outburst and never quite pulls back from the body. Some eye injuries can come back at a later date, without skin lesions.
This is due to the fact that our immune systems recognize some virus particles who aren't there anymore.
We speak of a hypersensitivity reaction. There are cortisone drops needed.


Treatment

1) against the Herpes virus is a specific "antibiotic", which is rather exceptional for viruses, Zovirax or Valtrex. With a zona around the eye is almost always justified to administer medication, because the risk of serious ocular complications is thus greatly reduced. The pain after the disappearance of skin lesions is influenced favorably. This medication is usually administered as tablets (5 tab / day). Exceptional is an intravenous Zovirax treatment. The patient may not have a kidney insufficiency. Therefore, a check-up by a doctor best of "Internal diseases" requested. During that consultation should also be verified that there is no reason to weaken the overall situation (as a precipitating factor of zona).

2) As local eye treatment to the patient: prevention Zovirax ointment 5 dd if clear-conjunctivitis (=red eye). If the redness persists stubbornly, our further opinion will be Predmycin P (combination preparation of an antibiotic with an anti-inflammatory) may be given. Predmycin P can also be given if there's swelling around the eye.
As long as the mucous membranes are inflamed, the patient can develop a "dry eye" as a complaint: intermittent burning sensation. Treatment: long-term lubricating agents beforehand as Vidisic or Lacrinorm gel (tubes) or Ocugel (gel in a bottle!)

3) For the skin lesions is best Isobetadine (in water) applied as a disinfectant. In wet form, we prefer three times a day Vioform powder (antiseptic and drying). You might also need a head-scratching bandage to prevent scratching . The lesions usually heal within 4 weeks!

4) The zona-pain can sometimes be very serious. Usually an aspirin or Perdolan is enough. For severe pain Valtran-drops (10 to 15 drops 3 or 4 X per day) works better. This product can only be obtained on prescription. To heal the pain after the zona (especially in people over 60), the nerve healing has to be improved. This happens in two ways: a pill with vitamin B (Befact forte or Beta Mine) promotes the recovery of the insulation layer of the nerve. It's also recommended to go everyday by the physiotherapist for a session diadynamische current (and this during 10 days). This electrical stimulation of the nerve will also promote healing.

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