Eye Stones: Causes, Treatment, and Potential Risks - Ophthalmology

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Sure! Please provide the content you would like me to translate regarding eye stones?


Dr.
Feng: Hello! I would like to ask, I went to see a doctor because my eyes were not feeling well.
The first doctor said it was keratitis.
After a while, I felt uncomfortable again and went to see another doctor, who said I have eye stones.
I would like to know how eye stones are formed, how they are treated, and if there are any potential complications.
Thank you very much!

A Di, 20~29 year old female. Ask Date: 2004/06/16

Dr. Feng Jiefan reply Ophthalmology


Hello~ Eye stones, or conjunctival concretions, are formed due to chronic inflammation of the eyelid conjunctiva, which alters the pH balance and leads to the precipitation of calcium, resulting in the formation of white crystalline structures.
Therefore, conjunctivitis is often associated with the presence of eye stones.
Most eye stones are encapsulated by the conjunctiva and do not cause discomfort.
However, if the superficial conjunctiva erodes and the eye stones become exposed, they should be removed to prevent damage to the cornea.
Additionally, treatment for conjunctivitis should be administered.
In summary, when eye stones become exposed and pose a risk of corneal injury, they should be removed, and conjunctivitis should be treated with medication.
Under the care of a qualified ophthalmologist, significant complications are generally not expected.
Sincerely, Dr.
Feng Jie-Fan, Ophthalmology.

Reply Date: 2004/06/16

More Info


Eye stones, also known as conjunctival concretions or eye concretions, are small, calcified deposits that can form on the conjunctiva, the clear membrane covering the white part of the eye and the inner eyelids. Understanding the causes, treatment options, and potential risks associated with eye stones is essential for maintaining eye health.


Causes of Eye Stones
Eye stones typically form as a result of chronic inflammation of the conjunctiva, often due to conditions such as conjunctivitis or blepharitis. When the conjunctiva is inflamed, it can alter the pH balance and lead to the precipitation of calcium and other minerals, resulting in the formation of these small, white or yellowish deposits. Factors that may contribute to the development of eye stones include:
1. Chronic Inflammation: Conditions like allergic conjunctivitis, bacterial infections, or chronic irritation from environmental factors can lead to persistent inflammation.

2. Age: Older adults are more prone to developing eye stones due to age-related changes in the conjunctiva and tear film.

3. Dry Eye Syndrome: Insufficient tear production can cause irritation and inflammation, increasing the likelihood of eye stone formation.

4. Poor Eyelid Hygiene: Inadequate cleaning of the eyelids can lead to the accumulation of debris and bacteria, exacerbating inflammation.


Treatment Options
The treatment for eye stones depends on their size, location, and whether they are causing discomfort. Here are common approaches to managing eye stones:
1. Observation: If the eye stones are small and not causing any symptoms, they may not require any treatment. Regular monitoring by an eye care professional is advisable.

2. Medication: Anti-inflammatory eye drops may be prescribed to reduce inflammation and discomfort associated with conjunctivitis or other underlying conditions. However, these drops do not eliminate the stones themselves.

3. Removal: If the eye stones are large, protruding, or causing significant discomfort, they may need to be removed. This is typically done using a sterile needle or forceps by an ophthalmologist. It is crucial to have this procedure performed by a qualified eye care professional to avoid complications, such as corneal abrasion or infection.

4. Addressing Underlying Conditions: Treating any underlying conditions, such as dry eye syndrome or allergic conjunctivitis, is essential to prevent the recurrence of eye stones. This may involve using artificial tears, antihistamines, or other medications as directed by a healthcare provider.


Potential Risks and Complications
While eye stones themselves are generally not harmful, there are potential risks associated with their presence and treatment:
1. Corneal Damage: If an eye stone is left untreated and becomes exposed, it can cause irritation and damage to the cornea, leading to complications such as corneal ulcers or scarring.

2. Infection: Any procedure involving the removal of eye stones carries a risk of infection. Proper sterile techniques must be followed to minimize this risk.

3. Recurrence: Eye stones can recur, especially if the underlying causes, such as chronic inflammation or dry eye, are not adequately managed.


Conclusion
In summary, eye stones are a common condition resulting from chronic inflammation of the conjunctiva. While they may not always require treatment, it is essential to monitor their presence and address any discomfort or underlying conditions. If you experience symptoms such as irritation, blurred vision, or persistent discomfort, it is advisable to consult an eye care professional for a thorough evaluation and appropriate management. Regular eye examinations can help detect and manage eye stones and other ocular conditions effectively, ensuring optimal eye health.

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