Eye Health: Common Concerns and Expert Answers

Q: Eye Health: Common Concerns and Expert Answers

Hello： <br>Q1. <br>For the bump caused by meibomian gland obstruction, an initial treatment method can be warm compresses. <br>Warm compresses help to soften the blockage in the meibomian glands, promoting drainage, and may sometimes reduce the bump. <br>However, if there is no i

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Dear Dr.
Gao,
Thank you very much for your response to my inquiry in the article "#206836".
Your reassurance that a slight touch of the cotton swab on the sclera of my right eye should not cause any harm has truly put my mind at ease! I am also very grateful for this platform that allows for consultations, as the limited time during regular appointments often prevents me from asking many questions.
I sincerely appreciate your attentive responses to patient inquiries every time.
As mentioned in my previous message, after undergoing a fundus examination yesterday, I still felt a slight foreign body sensation in my right eye.
Today, upon examination, I noticed some protrusions along the meibomian glands of my right eye, which I suspect may indicate a blockage.
Additionally, when I everted my right lower eyelid, I observed a small white-headed bump on the red conjunctiva.
I would like to ask Dr.
Gao the following questions:
Q1.
In your opinion, can the protrusions caused by meibomian gland blockage be resolved with warm compresses, or would it be better to see an ophthalmologist for needle extraction?
Q2.
Regarding the small white-headed bump on the red conjunctiva of my right lower eyelid, what do you think is the likely cause of this lesion?
Q3.
After researching, I found that the white-headed bump on my right lower eyelid resembles a conjunctival stone.
Generally speaking, how should conjunctival stones be managed? Is it advisable to attempt self-removal of a conjunctival stone?
Q4.
After instilling the mydriatic agent yesterday, I noticed a slight up-and-down movement of objects when viewing them, even though my head was still.
Today, this phenomenon persists.
Dr.
Gao, could this slight up-and-down movement of objects be a side effect of the mydriatic agent, or could it be due to another issue? (This phenomenon only appeared after the instillation of the mydriatic agent yesterday, as I had not noticed it before.)
Thank you once again, Dr.
Gao.

Kris, 40~49 year old female. Ask Date: 2024/03/23

Dr. Gao Pilin reply Ophthalmology

Hello:
Q1.
For the bump caused by meibomian gland obstruction, an initial treatment method can be warm compresses.
Warm compresses help to soften the blockage in the meibomian glands, promoting drainage, and may sometimes reduce the bump.
However, if there is no improvement after warm compresses, or if the obstruction is more severe, it is advisable to consult an ophthalmologist for further evaluation and management.
Q2.
The small bump with a white head on the red conjunctiva you described may be a conjunctival stone.
Q3.
If the white-headed bump inside your right lower eyelid is confirmed to be a conjunctival stone, it is generally recommended not to attempt to remove it yourself.
Conjunctival stones are formed by the precipitation of minerals in the tear film, and attempting to remove them may cause damage to the ocular tissue or increase the risk of infection.
It is advisable to have an eye examination, where the physician will provide appropriate treatment recommendations based on the size and location of the stone.
Q4.
The phenomenon of slight up-and-down movement of objects you experience after instilling a dilating agent may be related to the side effects of the dilating agent.
Dilating agents expand the pupil, making the eyes more sensitive to light, which can affect visual perception.
This phenomenon is usually temporary and will gradually disappear as the dilating agent is metabolized.
If it persists or if you experience other discomfort, it is advisable to have an eye examination, where the physician will conduct a detailed assessment and provide appropriate recommendations.

Reply Date: 2024/03/23

More Info

Dear Patient,
Thank you for your thoughtful questions regarding your eye health. It's great to see you taking an active interest in understanding your symptoms and seeking appropriate care. Let's address your concerns one by one.

Q1: Regarding the obstruction of the meibomian glands (瞼板線) and the small protrusion you mentioned, heat compresses can indeed help. The application of warm compresses can soften the oil in the blocked glands, promoting drainage and alleviating discomfort. If the obstruction persists or if you experience significant pain, redness, or swelling, it would be advisable to consult an eye care professional. They may need to use specialized instruments to express the glands or remove any blockages safely.

Q2: The small white-headed bump on the inner surface of your lower eyelid could be a stye (hordeolum) or a chalazion. A stye is typically caused by a bacterial infection of the oil glands, while a chalazion is a blockage of the meibomian glands that can become inflamed. Both conditions can cause discomfort and may require treatment. If the bump does not resolve with warm compresses or if it worsens, a visit to an ophthalmologist is recommended for further evaluation and treatment.

Q3: If the bump resembles an eye stone (眼結石), it is often referred to as a conjunctival cyst or a calcified deposit. These can occur due to various reasons, including chronic irritation or inflammation. While some small cysts may resolve on their own, others may require removal if they cause discomfort or vision problems. It is generally not advisable to attempt to remove these yourself, as improper handling can lead to infection or further complications. An eye care professional can provide the safest options for treatment.

Q4: The slight oscillation of objects you are experiencing after dilation could be related to the effects of the dilating drops. Dilation can temporarily alter your vision and depth perception, leading to sensations of movement or blurriness. If this symptom persists beyond a day or two after the dilation, or if you experience other visual disturbances, it would be prudent to follow up with your eye doctor to rule out any underlying issues.

In summary, while some of your symptoms can be managed with home care, it is essential to monitor them closely. If you notice any worsening or new symptoms, do not hesitate to seek professional medical advice. Eye health is crucial, and timely intervention can prevent complications.

Thank you for your trust in my guidance. Please feel free to reach out with any further questions or concerns regarding your eye health.

Best regards,
Doctor Q&A Teams

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