Lateral canthal fissure
Hello Doctor, I often have small cracks near the inner corners of my eyes, and sometimes they sting when I blink or accidentally touch them.
What could be the reason for this? Could it be due to dryness? If so, can I apply Vaseline? A doctor once told me that my nasal allergies could easily cause this issue.
They usually give me ointments to apply, which help for a while, but it often recurs after some time.
Sometimes it gets severe, and I have two or three wounds.
How can I prevent this from happening repeatedly?
Wabao, 20~29 year old female. Ask Date: 2016/02/16
Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it cannot be confirmed.
If it is very concerning, it is advisable to seek medical attention as soon as possible.
Reply Date: 2016/02/16
More Info
Understanding eye corner cracks, particularly near the inner corner of the eye, can be quite concerning and uncomfortable. These small fissures or cracks can be attributed to several factors, including dryness, irritation, and underlying allergic reactions. Let’s delve into the potential causes, treatment options, and preventive measures to help manage this condition effectively.
Causes of Eye Corner Cracks
1. Dryness: One of the most common reasons for cracks near the eye corners is dryness. The skin in this area is delicate and can easily become dehydrated, especially in dry or windy environments. This can lead to fissures that may sting or hurt when blinking or touching.
2. Allergic Reactions: As you mentioned, allergies can play a significant role in the development of these cracks. Allergic rhinitis or other forms of nasal allergies can cause inflammation and irritation around the eyes, leading to skin breakdown and cracks.
3. Skin Conditions: Conditions such as eczema or dermatitis can also manifest as cracks or fissures in the skin around the eyes. These conditions often require specific treatments to manage inflammation and promote healing.
4. Infections: In some cases, bacterial or fungal infections can lead to skin lesions around the eyes. If the cracks are accompanied by redness, swelling, or discharge, it may indicate an infection that requires medical attention.
5. Environmental Factors: Exposure to harsh weather conditions, such as extreme cold or wind, can exacerbate dryness and lead to cracks. Additionally, frequent exposure to screens without proper eye care can contribute to dryness.
Treatment Options
1. Moisturizers: Applying a gentle moisturizer can help alleviate dryness. While petroleum jelly (like Vaseline) can be used, it’s essential to apply it carefully to avoid getting it in the eyes. A more suitable option might be a hypoallergenic eye cream or ointment specifically designed for the delicate skin around the eyes.
2. Artificial Tears: If dryness is a significant issue, using artificial tears can help keep the eyes lubricated and reduce irritation. This can be particularly beneficial if you spend long hours in front of screens or in dry environments.
3. Topical Treatments: If a doctor has previously prescribed ointments, it’s crucial to continue using them as directed. These treatments can help heal the skin and prevent further cracking.
4. Avoiding Irritants: Identifying and avoiding potential irritants, such as certain cosmetics or skincare products, can help reduce flare-ups. Opt for fragrance-free and hypoallergenic products.
5. Consultation with a Specialist: If the condition persists or worsens, it’s advisable to consult with a dermatologist or an ophthalmologist. They can provide a more accurate diagnosis and tailored treatment plan.
Preventive Measures
1. Hydration: Ensure you are well-hydrated by drinking plenty of water. Proper hydration can help maintain skin moisture levels.
2. Humidifiers: Using a humidifier in your home, especially during dry seasons, can help maintain moisture in the air and prevent skin dryness.
3. Sun Protection: Protecting your skin from sun exposure can prevent further irritation. Wearing sunglasses can shield the area from UV rays and wind.
4. Regular Eye Care: Regularly using artificial tears and maintaining a good skincare routine can help keep the area around your eyes healthy.
5. Allergy Management: If allergies are a contributing factor, managing them through medications or avoiding allergens can help reduce the frequency of cracks.
In conclusion, while small cracks near the inner corners of the eyes can be bothersome, understanding their causes and implementing appropriate treatment and preventive measures can significantly improve your comfort and skin health. If symptoms persist, seeking professional medical advice is essential for a comprehensive evaluation and tailored treatment plan.
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