Eye Health

眼瘡啱啱好返冇幾耐，點知上個月又生？明明已經睇咗醫生、食咗藥、搽咗藥膏，但每隔幾個月就會再嚟一次？好多30-50歲嘅女性都會問同一個問題：「點解我嘅眼瘡會一直返嚟？我明明好注意衛生，每日都有洗面。」其實反覆發作背後有好多可能原因，可能係眼部衛生習慣、可能係體質因素、可能係荷爾蒙變化，又或者係眼瞼本身已經有慢性問題。要真正杜絕復發，首先要搵出你反覆發作嘅真正原因，而唔係每次生完就算。

一年生3次眼瘡，你承受緊咩？

如果你一年生3次眼瘡，諗返轉頭，呢一年你過成點？每次生眼瘡，唔止係身體上嘅不適，更加係心理上嘅折磨。你要不斷請假睇醫生，每次至少半日時間。工作堆積如山，同事要幫你分擔，你自己都覺得過意唔去。

對於要返工見客嘅你嚟講，每次生眼瘡嗰個星期，你可能都唔敢主動約客，因為覺得個樣難睇，影響專業形象。見客嘅時候冇晒信心，成日覺得對方係咪望住你隻眼。如果啱啱公司有個大project要pitch，但你啱啱生眼瘡，你個presentation可能會做得好唔自信，成場meeting都心不在焉。呢種狀態下，你嘅工作表現一定會受影響。

但更難受嘅係心理上嘅壓力。你會開始好驚，驚幾時又會再生。每次洗面、化妝，都會好小心翼翼，驚會唔會又觸發到。你開始唔敢化眼妝，唔敢戴con，影響咗你對自己形象嘅自信。朋友約你影相，你會諗辦法推，因為驚啱啱又生。呢種長期嘅心理負擔，比起眼瘡本身更加折磨人。

好多人都會問：「點解我會不停生眼瘡？」其實大部分反覆發作都係有原因，而且可以預防。問題係，如果你唔知道源頭喺邊，你就會不斷重複呢個cycle：生眼瘡→醫好→過幾個月又生→又醫好→又生。呢個cycle每重複一次，你就要再承受多一次呢啲痛苦。

好多人忽略嘅眼部衛生習慣

反覆生眼瘡嘅人，好多時都有一啲眼部衛生習慣上嘅問題，但自己可能冇為意。呢啲睇落好微不足道嘅小習慣，日積月累之下，就會增加眼瘡復發嘅機會。

第一個常見問題係化妝品使用習慣。如果你有化妝，特別係眼妝，要注意化妝品開封後都有建議使用期限。長時間使用同一支產品，加上每次使用都會接觸到眼睛周圍嘅皮膚，有機會增加細菌滋生嘅風險。雖然唔同產品嘅建議使用期限都唔同，但一般嚟講，眼部化妝品開封後都建議定期更換，保持衛生。

第二個問題係卸妝習慣。好多時返工返到好夜，或者太攰，可能會卸妝卸得唔夠徹底。眼妝嘅殘留物會積聚喺睫毛根部同眼瞼邊緣，堵塞瞼板腺嘅開口，久而久之就容易引起發炎。特別係防水嘅眼妝產品，更加需要用專門嘅卸妝產品先可以徹底清潔。

第三個問題係用手捽眼嘅習慣。當眼睛覺得痕或者有異物感，好多人都會不自覺咁用手去捽。但我哋嘅手每日接觸好多嘢，上面會有好多細菌。如果經常用手捽眼，就會將細菌帶到眼睛，增加感染機會。

第四個問題係共用化妝品或者工具。有時同朋友share化妝品、去化妝專櫃試用產品、或者化妝師用同一套工具幫唔同人化妝，都有機會交叉感染。特別係眼部產品，因為會直接接觸到眼睛周圍，風險會更高。

但要注意，呢啲衛生習慣問題只係其中一部分原因。如果你已經改善咗衛生習慣，但眼瘡仍然反覆發作，咁就代表可能有更深層嘅問題需要處理。

點解改善衛生習慣都仲會生？深層問題先係關鍵

當反覆生眼瘡嘅人做詳細眼瞼檢查，好多時會發現背後有一啲深層嘅原因。可能係慢性瞼緣炎、可能係蟎蟲問題、可能係瞼板腺功能障礙。呢啲問題唔係靠改善衛生習慣就可以解決，需要專業治療。

好多人都唔知道，當你嘅眼瘡反覆發作一段時間之後，你嘅眼瞼會出現一啲深層嘅改變。呢啲改變你自己睇唔到，但佢哋會令你不斷生眼瘡。第一個問題係慢性瞼緣炎，即係你嘅眼瞼邊緣長期處於發炎狀態。你可能會覺得眼皮有時會痕、有時會有啲眼屎、眼睛會乾，但你以為呢啲係正常。其實唔係，呢啲都係瞼緣炎嘅症狀。

瞼緣炎會令你嘅瞼板腺功能失調，分泌嘅油脂會變質、會堵塞，於是就好容易形成眼瘡。而每次你生眼瘡，又會令瞼緣炎更加嚴重，形成一個惡性循環。你以為自己醫好咗，但其實只係醫好咗急性感染，個慢性發炎仍然喺度，所以過一排又會再生。

第二個問題係蟎蟲。我哋嘅睫毛根部其實會有微量蟎蟲存在，叫做Demodex，正常情況下數量少就冇問題。但某啲情況下，蟎蟲數量可能會增加，堵塞瞼板腺、引起發炎。如果係呢個原因，就需要醫生做詳細檢查同處理。

第三個問題係瞼板腺功能障礙。特別係30-50歲嘅女性，荷爾蒙變化會影響瞼板腺嘅油脂分泌。如果油脂分泌過多或者變得太濃稠，就會特別容易堵塞。而每次你生眼瘡，都會對瞼板腺造成損害，令佢嘅功能越嚟越差。到咗某個階段，就算你唔化妝、好注重衛生，都會不斷生眼瘡，因為你嘅瞼板腺已經出咗問題。

如果你已經改善咗衛生習慣，但眼瘡仍然反覆發作，咁就代表可能有深層問題需要處理。要徹底解決，你需要搵眼科醫生做詳細檢查，搵出你反覆發作嘅真正原因，然後做針對性嘅治療。

反覆發作會造成永久損害，及早處理好重要

好多人覺得眼瘡只係「生完醫、醫完生」嘅小事，唔係咩大問題。但呢度有一個好嚴肅嘅事實：如果你嘅眼瘡反覆發作，而你唔做任何預防治療，你嘅瞼板腺會造成難以恢復的持續性損害。

有啲人年輕時已經開始經常生眼瘡，但一直都係生咗就醫，醫好就算，從來冇諗過要做預防。到咗40幾歲，開始覺得雙眼好乾、好唔舒服、成日都好似有沙入咗眼咁。睇過好多醫生，大家都話係乾眼症，俾咗好多眼藥水，但都冇乜改善。

點解？因為經過詳細檢查會發現，大部分嘅瞼板腺已經萎縮、堵死咗。長期反覆發炎，每次發炎都會損害瞼板腺，累積咗幾十年，終於去到一個地步，大部分瞼板腺都已經冇晒功能。而瞼板腺係負責分泌油脂去保護眼睛嘅，冇咗呢啲油脂，眼淚會好快蒸發，所以會長期乾眼。

如果十幾年前開始做預防治療，控制返瞼緣炎，就唔會去到呢個地步。許多人直到問題嚴重時才意識到，眼瘡並非小事。而呢個階段嘅損害係難以完全恢復要一世都用人工淚液，而且仍然會不斷生眼瘡，因為瞼板腺功能已經好差。

呢個唔係個別情況。許多人輕視反覆發作的問題，但其實每次生都係對瞼板腺嘅一次損害。當你年輕嘅時候，瞼板腺功能仲好，可能損害咗都會恢復返。但去到30歲之後，瞼板腺嘅再生能力開始下降，每次損害都可能係永久性嘅。

所以如果你一年內生眼瘡超過2-3次，唔好再諗住「生完醫就算」。你需要搵出點解會反覆發作，然後做針對性嘅預防治療，阻止瞼板腺繼續受損。因為一旦去到永久性損害嘅地步，就真係返唔到轉頭。我們不希望你在未來承受長期乾眼的不適。

對於35歲左右嘅女性嚟講，而家開始做預防仲未算太遲。但如果你再拖多幾年，去到40幾歲先嚟，可能就真係太遲。越早搵醫生做詳細檢查，搵出反覆發作嘅真正原因，越能夠保護返你嘅瞼板腺功能，避免將來嘅永久損害。

Frequently Asked Questions FAQ

▶ 1. 我已經好注重衛生，點解仲會反覆生眼瘡？ 眼瘡反覆發作嘅原因有好多，衛生習慣只係其中一部分。如果你已經反覆發作一段時間，你可能有瞼緣炎、蟎蟲問題或者瞼板腺功能障礙。呢啲深層問題係需要專業檢查先會發現，單靠改善衛生習慣未必夠。要搵醫生做詳細檢查先知真正原因。

▶ 2. 我一年生2次眼瘡算唔算多？需唔需要做預防治療？ 一年2次已經算係反覆發作，應該搵醫生檢查有冇深層問題。如果唔處理，可能會越嚟越頻密，而且會累積性損害你嘅瞼板腺。越早處理越好，唔好等到去到永久損害先嚟後悔。

▶ 3. 預防治療做完之後係咪就唔會再生眼瘡？ 預防治療可以大大減低復發機會，但唔代表100%唔會再生。你都要繼續保持良好嘅眼部衛生習慣，定期更換化妝品（睫毛膏3個月一換），每年返診所檢查一次，先可以長期保持效果。

▶ 4. 瞼板腺功能受損嚴重影響生活品質。 瞼板腺功能受損會導致長期乾眼、不斷生眼瘡，嚴重影響生活質量。而且有啲損害係持續性嘅，到時就算點治療都難以完全恢復。所以及早預防好重要，唔好等到永久損害先嚟後悔。

▶ 5. 我唔化妝都會反覆生眼瘡，係咪冇得救？ 唔化妝都反覆生，更加要睇醫生。呢個好大機會係瞼緣炎或者蟎蟲問題，需要專業治療。好消息係，呢啲問題都係可以治療嘅，唔係冇得救，但你要及早處理。

▶ 6. 我可以等眼瘡生咗先睇醫生？ 你當然可以，但咁你就要不斷重複呢個cycle，持續受到眼瘡問題與心理壓力困擾。與其不斷治療，不如做預防性治療，一次過解決問題。而且你拖得越耐，瞼板腺嘅累積性損害就越嚴重，最終可能會去到永久損害嘅地步。

▶ 7. 化妝品需要定期更換嗎？ 眼部化妝品開封後都有建議使用期限，因為開封後會接觸到空氣同皮膚，有機會增加細菌滋生。雖然每個產品嘅建議期限都唔同，但一般專業建議係定期檢查同更換。如果你反覆生眼瘡，可以考慮更頻密咁更換眼部化妝品，睇下會唔會有改善。如果改善咗衛生習慣都仲係反覆發作，就要搵醫生檢查有冇其他深層問題。

眼皮腫咗一舊，上網search話要熱敷，於是你每日勤力咁敷，但2星期過去，個腫塊完全冇細過，仲越嚟越硬？好多人都試過呢個情況：眼皮有個硬塊已經3星期，每日都有熱敷3-4次，朝早敷、夜晚敷，好乖咁跟網上教學做。第一個星期諗「可能未夠時間」，第二個星期開始懷疑「點解冇用？」，到第三個星期，個硬塊唔止冇細，仲大咗，先決定去睇醫生。結果顯示，這並非急性麥粒腫，而是慢性霰粒腫。在這種情況下，熱敷已無法發揮作用，需要考慮手術清除。呢個時候好多人都會好無奈咁問：「即係話我呢3星期都係白做？」答案係：係。如果一開始就去確診，第一個星期已經可以做完手術好返，唔使白白浪費咁多時間。今日我會話你知，點解搞錯會浪費咁多時間，同埋點樣避免。

浪費3星期嘅代價：你承受緊咩？

如果浪費咗3星期做無效治療，最後都係要做手術。呢3個星期，你要頂住個硬塊，每日照鏡都見到佢，每日出街都會諗：「人哋會唔會望到？」朋友約你影相，你會推。想化妝遮一遮，又驚會刺激到個位。呢種狀態，真係好折磨。

如果一開始就去確診，會有咩唔同？第一個星期可以做完手術，第二個星期已經好返晒。你唔使承受呢3個星期嘅心理壓力，唔使每日擔心個硬塊幾時會好，唔使避開所有社交場合。為咗避免睇醫生，結果浪費咗3星期，仲要承受咁多心理負擔。

但更難受嘅係，呢3個星期你心理上嘅折磨。每日照鏡都見到個硬塊，你會開始諗：「會唔會越嚟越大？」「會唔會好唔返？」「係咪生咗啲奇怪嘅嘢？」你上網search，睇到各種可能性，越睇越驚。夜晚瞓覺都會諗，影響睡眠質素。呢種心理壓力，日日夜夜都跟住你。

呢個就係搞錯嘅真實代價。唔止係浪費咗3星期時間，而係呢3星期你要承受住腫塊嘅存在、承受住心理壓力、承受住對日常生活同社交嘅影響。而呢啲全部都可以避免，只要你一開始就搵醫生確診，就可以用最快最啱嘅方法解決。

點解網上資訊會害你浪費時間？

好多人會問：「咁我上網search唔係會搵到答案咩？」問題係，網上嘅資訊通常都會話「眼瘡要熱敷」、「眼挑針可以自己好」，但佢哋好少會同你講，其實眼皮腫塊分兩種完全唔同嘅情況，而兩種需要完全唔同嘅處理方法。

醫學上，眼皮腫塊分為麥粒腫（急性細菌感染）同霰粒腫（慢性腺體堵塞）。麥粒腫係突然出現、會痛、會紅腫、有膿，呢種情況熱敷可能會有用，配合休息同藥物，可能幾日到一星期會好。但霰粒腫係慢慢形成、唔痛、有硬塊，呢種情況入面嘅組織已經纖維化，熱敷效果有限，手術是針對此類慢性硬塊最有效且徹底的清除方法。

問題係，喺廣東話入面，大家都會統稱佢哋做「眼瘡」或者「眼挑針」，所以當你上網search「眼瘡點處理」，你搵到嘅資訊可能係針對麥粒腫，但你自己可能係霰粒腫。咁你就會跟住啲無效嘅方法做，浪費時間。

更麻煩嘅係，麥粒腫如果處理唔當，拖得太耐，都會變成霰粒腫。所以你一開始可能真係麥粒腫，熱敷都有效嘅，但因為你太忙冇時間好好處理，或者做得唔夠頻密，結果拖住拖住就變咗霰粒腫。到咗呢個階段，繼續熱敷就冇用。

好多人都係咁。一開始眼皮腫，諗住係麥粒腫，於是開始熱敷。但太忙，只係夜晚先有時間敷一次，做咗幾日都冇改善。跟住諗：「可能我敷得唔夠密，加多啲次數啦。」但呢個時候其實已經變咗霰粒腫，就算敷幾多次都冇用。結果試咗成個月，最後都係要做手術。如果第一個星期就去睇醫生，可能嗰時仲係麥粒腫，拎啱藥可能會好。就算已經係霰粒腫，都可以早1個月做手術。

你以為自己知，但其實係估錯

有啲人會話：「我上網睇過啦，我知我係麥粒腫定霰粒腫。」但好多時候，佢哋估錯。因為兩種情況有時會好似，而且會隨時間改變。你今日可能係麥粒腫，過幾日可能已經變成霰粒腫。你自己點會知？

有啲人會自己上網睇完之後話：「我知我係霰粒腫，因為唔痛、有硬塊。我想直接預約做手術。」但去到診所檢查之後，醫生可能會話：「你係麥粒腫，唔係霰粒腫。你摸落去硬係因為佢喺深層，但其實入面仲係有急性發炎。如果而家做手術，反而會令發炎擴散，要等佢穩定咗先做。要食藥先，食完再覆診。」

呢個時候你可能會好surprised，以為自己搞清楚晒。但就算係醫生，都要用儀器檢查先確診。自己睇網上資訊，點可能100%準確？好多時食完藥，個麥粒腫自己好返，連手術都唔使做，好彩有去確診，如果唔係可能會搞出更大問題。

仲有一種情況更加麻煩。有啲人會有兩種同時存在。外面係麥粒腫，但入面其實有個舊嘅霰粒腫。咁你自己點分？你可能覺得「而家會痛、有紅腫，應該係麥粒腫」，於是你熱敷食藥，個急性發炎好返咗，你以為搞掂。但其實入面個霰粒腫仲係度，過一排佢又會發炎，你又會以為生多次麥粒腫，又係同樣方法處理，結果就係不斷重複呢個cycle。

呢啲情況，你自己上網睇係分唔到嘅。你需要專業嘅眼科醫生，用儀器檢查，先可以準確知道你嘅確實情況。與其估嚟估去，浪費時間試無效嘅方法，不如一開始就確診，用最快最啱嘅方法解決。

「試下先」係最浪費時間嘅選擇

好多人嘅心態係：「等我自己試下先，唔得先睇醫生。」聽落好合理，好似好穩陣咁。但其實呢個係最浪費時間嘅做法。

假設你一開始就嚟睇醫生。如果係麥粒腫，醫生俾藥你，食5-7日藥就好。如果係霰粒腫，即刻預約手術，一星期內做完，兩星期完全康復。總共最多2星期解決。

但如果你決定「試下先」。第一星期你自己熱敷，冇改善。第二星期你去藥房問，買咗啲眼藥水藥膏試，都係冇用。第三星期你開始驚，上網再search，試埋其他方法，仍然冇效。第四星期你終於決定睇醫生，但要預約排期，等多幾日。第五星期先睇到醫生，確診係霰粒腫，預約做手術。第六星期做手術，第七、八星期康復。

總共成兩個月先解決。你以為自己試下先會穩陣啲，其實浪費咗成個半月時間。

但更折磨嘅係，呢6個星期你承受緊咩？每日照鏡都見到個硬塊，你會問自己：「點解仲未細？」「會唔會越嚟越大？」每次出街，你都會擔心人哋會唔會望到。朋友約你聚會，你會推。想拍張selfie post上IG，你都會猶豫。呢6個星期，你嘅日常生活、社交、心情，全部都受影響。

呢種情況唔少見。因為避免睇醫生，試咗幾個星期無效方法，結果白白浪費時間，仲要承受好多不必要嘅心理壓力。呢個係最深刻嘅教訓。

所以「試下先」唔係穩陣，而係最浪費嘅做法。真正有效率嘅做法，係一發現有問題就即刻搵醫生確診，用最快最啱嘅方法解決。你慳返嘅時間、避免嘅心理折磨，先係最重要。

Frequently Asked Questions FAQ

▶ 1. 我自己睇網上資訊，覺得知係咩，可唔可以唔使睇醫生？ 就算你覺得自己知，都可能估錯。而且情況會隨時間改變，今日係麥粒腫，過幾日可能已經變霰粒腫。與其估錯浪費時間，不如確診咗先開始啱嘅治療。

▶ 2. 如果我試咗3日冇效，係咪應該睇醫生？ 係。3日係一個好關鍵嘅時間點。如果3日內冇改善甚至惡化，就代表唔係簡單嘅情況，要專業評估。唔好再等，因為拖得越耐越麻煩，而且你每多等一日，就係多浪費一日時間。

▶ 3. 我朋友上次生眼瘡，熱敷幾日就好咗，點解我唔得？ 因為你哋可能唔係同一種情況。你朋友可能係麥粒腫，熱敷有效。但你可能係霰粒腫，熱敷冇用。或者你本來係麥粒腫，但因為處理唔當已經變咗霰粒腫。呢個就係點解唔可以靠估，要確診。

▶ 4. 確診需唔需要做好多檢查？ 唔需要。大部分情況醫生睇一眼就知，最多用儀器睇清楚啲。過程好快，但可以幫你慳返好多時間，避免浪費幾星期去試無效嘅方法。

▶ 5. 如果係霰粒腫，一定要做手術？ 如果硬塊已存在超過2星期，通常建議考慮手術清除，因為這是最徹底的解決方案。我見過有病人等咗半年，個硬塊仲係度，最後都係要做手術。

▶ 6. 手術會唔會好痛？要唔要住院？ 局部麻醉，過程唔痛。門診手術，當日做完就可以返屋企，唔使住院。手術只需5-10分鐘。

▶ 7. 我可以等到有時間先睇醫生？ 你呢個心態就係點解好多人會浪費咁多時間。你越等，個問題越大，最後需要嘅治療時間反而更長。如果你係霰粒腫，拖得越耐個囊腫會越大，到時手術會更複雜、康復會更慢。不如而家就預約，早啲解決早啲輕鬆。

▶ 8. 「試下先」唔係好合理咩？點解話係最浪費時間？ 因為你試嘅過程本身就係浪費。如果你估錯咗，你可能會浪費幾星期時間做無效嘅治療，最後都係要睇醫生。呢幾星期你要頂住個硬塊，承受心理壓力，影響日常生活同社交。時間一去唔返，呢啲心理折磨都係唔必要嘅。

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結語：唔好再浪費時間估嚟估去

許多患者最終都意識到，早些確診能避免不必要的等待與心理壓力。以後無論咩病，都會第一時間睇醫生確診，唔會再「試下先」。

太多人嚟到診所嘅時候都會話：「早知一開始就嚟，唔使自己試咗咁耐。」但時間已經浪費咗，冇得返轉頭。如果你而家眼皮有腫塊，唔好再上網估係咩、試下呢樣試下嗰樣。最快嘅方法，就係搵醫生確診，然後用最啱嘅方法處理。

你慳返嘅時間、避免咗嘅心理折磨，先係最寶貴。唔好再用「試下先」嚟拖延，因為你試嘅每一日，都係浪費緊時間，承受緊不必要嘅心理負擔。

建議你盡快聯絡醫生預約檢查，確定你的確實情況，以便提供最快速有效的治療方案。

眼瘡反覆發作超過兩星期，熱敷、藥膏都試過還是腫著不消？每天照鏡子看到眼皮腫得變形，影響工作形象，客戶見面前都要想辦法遮掩？我在診所遇過很多30-50歲的患者，都是試遍網上的偏方和自行處理方法後才來求醫，但其實已經拖延了最佳治療時機。當眼瘡持續不退、形成硬塊，就代表已經進入慢性階段，這時候只有割眼瘡手術才能徹底解決問題。這個門診小手術只需15分鐘、不用住院、傷口微細不留疤，讓你快速痊癒。

為什麼你的眼瘡一直好不了？

很多30-50歲的患者來到診所時都會問我同一個問題：「為什麼以前年輕時長眼瘡，幾天就會自己好，但現在卻纏綿不癒？」其實這背後有很明確的醫學原因。

隨著年齡增長，我們的新陳代謝逐漸減慢，瞼板腺分泌的油脂變得更濃稠，更容易堵塞。加上現代職場人士長時間對著電腦、經常熬夜加班、睡眠不足，這些都會讓免疫系統功能下降，身體處理發炎的能力變弱。所以同樣是眼瘡，年輕時可能自己會好，但到了這個年紀就變得特別頑固。

更關鍵的是，很多人誤以為眼瘡是「熱氣」或清潔不足造成的小問題，所以會先自行處理一段時間。但當你發現眼瘡摸起來硬硬的、不太痛但就是一直存在不消退，這其實代表它已經從急性發炎變成慢性囊腫（霰粒腫）。這種情況下，囊腫內的組織已經纖維化變硬，不會自行消失，必須透過手術清除。這也是為什麼你試了那麼多方法都沒效的真正原因。

網上流傳的生眼瘡解決方法為何無效？

當發現眼瘡後，大部分人都會先上網搜尋解決方法，或者問朋友有什麼偏方。讓我以眼科醫生的角度，分析一下這些常見方法的實際效果。

熱敷方法（熱雞蛋、熱毛巾）

這是最多人嘗試的方法，網上甚至有很詳細的教學，說要每天敷4-5次、每次15分鐘。理論上熱敷確實能幫助溶化堵塞的油脂，但前提是眼瘡還在初期階段，只是輕微腫脹。問題是對於忙碌的職場人士來說，要每天堅持這個頻率根本不可能。早上趕上班、中午在公司、晚上回家又累，根本做不到。而且如果眼瘡已經形成膿腫或慢性囊腫，無論你怎麼熱敷都沒有用，硬化的組織不會因為熱敷就自己溶掉。

抗生素眼藥水或藥膏

有些人會去藥房買眼藥水或藥膏，或者看過醫生後按處方用藥。抗生素確實能控制細菌感染，防止情況惡化，但它只是「控制」而不是「治癒」。對於已經形成的膿腫或囊腫，藥物根本觸及不到深層的病灶。我見過很多患者用藥2-3週，眼瘡依然腫在那裡，既浪費時間也浪費金錢。

自行擠壓或挑破

這是我最不建議、也是最危險的做法。我知道當看到眼瘡有膿點時，很多人會忍不住想自己擠出來，希望能快速解決。但眼睛周圍的血管網絡非常複雜，而且與腦部血管相連。如果自行擠壓，細菌可能被推向更深層組織，嚴重時甚至可能引發蜂窩性組織炎或腦內感染。

為什麼這些方法對你沒效？

如果你已經試過上述方法超過2-3週都沒有改善，那很大機會是因為眼瘡已經進入慢性階段，或者是長在深層瞼板腺的內麥粒腫。這時候繼續用保守方法只是拖延病情，不但浪費時間，還要每天忍受眼瘡帶來的不適和外觀困擾。這種情況下，割眼瘡手術是最快速、最有效、最徹底的解決方案。

什麼情況下必須考慮割眼瘡手術？

當患者出現以下情況時，我會建議他們認真考慮手術治療：

第一，保守治療超過2-3週無效。如果你已經試過熱敷、用藥等方法，但眼瘡依然沒有縮小，這代表保守治療對你的情況已經無效，繼續等待只會延長痛苦。

第二，眼瘡摸起來硬硬的、不太痛但持續不消。這是典型的慢性囊腫（霰粒腫）症狀。硬化的囊腫不會自行消失，必須透過手術清除。很多患者以為不痛就代表在好轉，其實恰恰相反，這代表已經進入慢性階段。

第三，眼瘡持續腫大，開始影響視線或外觀。對於需要經常面對客戶、開會、拍照的職場人士來說，眼瘡不但影響健康，更嚴重影響專業形象和自信心。與其每天為此煩惱，不如及早透過手術解決。

第四，同一位置反覆發作。如果你的眼瘡總是在同一個位置發作，每次都要經歷紅腫疼痛的過程，這代表該處的瞼板腺已經有問題。與其讓它反覆發作，不如透過手術徹底清理病灶。

割眼瘡手術過程是怎樣的？

許多患者一聽到「手術」就會擔心，但其實割眼瘡手術是一個非常簡單、安全的門診小手術，跟你想像的可能完全不同。

手術基本資料：

• 時間：10-15分鐘
• 麻醉：局部麻醉
• 住院：不需要，當天可回家
• 傷口：3-5毫米（米粒大小）
• 疤痕：幾乎看不見

整個過程是這樣的：首先醫護人員會清潔消毒你的眼部，然後醫生會在眼瞼位置注射局部麻醉藥。這時候你會感到短暫的刺痛，但真的只有幾秒鐘，之後整個手術過程你都完全不會感到疼痛，最多只有輕微的壓力感。

麻醉生效後，醫生會用專用器械輕輕固定眼瞼，然後在最適當的位置做一個小切口。如果是長在眼皮外側的外麥粒腫，切口會順著皮膚紋理，癒合後幾乎看不見疤痕；如果是長在內側的內麥粒腫或霰粒腫，切口會在眼瞼內側，外觀上完全看不到。

接著醫生會小心地將膿液、囊腫內容物或發炎組織完全清除乾淨，確保傷口沒有出血後。最後塗上抗生素藥膏，整個手術就完成了。

手術後麻醉藥效還在，所以你不會感到痛楚，可以立即回家休息。當天晚上麻醉消退後可能會有輕微不適，但用普通止痛藥就可以緩解。

術後多久可以恢復正常生活？

這是職場人士最關心的問題。簡單來說：

時間階段	恢復狀況	注意事項
手術當天	需要預留半天時間	包括術前準備和術後休息
第2天	可以正常上班	避免過度勞累。如果工作需要經常開會見客，眼睛可能還有輕微腫脹，可以戴眼鏡遮擋一下
第3-7天	正常工作和生活	按時用藥，注意傷口清潔，避免碰水。這段時間可以正常工作和生活，只是不要做劇烈運動
第7-14天	基本完全恢復	回診讓醫生檢查康復情況。基本上已經完全恢復，可以化妝（但建議更換新的眼部化妝品）

整個康復過程大約1-2週，期間最重要的是按醫生指示用藥、保持傷口清潔、避免揉眼睛。術後要注意飲食清淡，不要熬夜，讓身體有充分時間修復。

Why see an ophthalmologist?

Although styes are common, a doctor can accurately determine the type of stye you have, assess whether surgery is truly necessary, and select the most suitable incision location and technique. Postoperative follow-up is equally important. The doctor will provide detailed postoperative care instructions, schedule regular follow-up appointments to evaluate your recovery, and offer personalized advice to prevent recurrence. Only through this comprehensive treatment and follow-up can you truly resolve your stye issue completely.

Frequently Asked Questions FAQ

▶ 1. 割眼瘡手術會很痛嗎？ 手術使用局部麻醉，過程完全不痛，只有注射麻醉時短暫幾秒的刺痛感。術後輕微不適用止痛藥即可緩解。

▶ 2. 手術後會留疤嗎？ 現代眼科手術技術精細，傷口只有3-5毫米，而且會順著皮膚紋理或從內側切開，術後幾乎完全看不到疤痕。

▶ 3. 手術費用大概多少？ 費用因診所和個案而異，建議直接向眼科診所查詢。部分醫療保險可能涵蓋此手術費用。

▶ 4. 做完手術還會復發嗎？ 手術可完全清除該位置病灶，同一位置復發機會很低。但如果不注意眼部衛生，其他位置仍可能長新眼瘡，所以術後保養很重要。

▶ 5. 眼瘡一定要手術嗎？ 初期輕微眼瘡可透過熱敷和藥物治療。但如果保守治療2-3週無效、形成慢性囊腫或反覆發作，手術是最有效的解決方案。

▶ 6. 糖尿病患者可以做手術嗎？ 可以，但需特別注意血糖控制。術前應告知醫生，讓醫生評估風險並調整用藥方案。

▶ 7. 手術後多久可以化妝？ 建議術後至少1週才化妝，而且要更換全新眼部化妝品，避免舊化妝品的細菌導致再次感染。

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結語：別再拖延，及時治療才是上策

眼瘡看似小問題，但如果處理不當或一直拖延，不但會影響外觀和自信，還可能導致更嚴重的併發症。對於30-50歲的職場人士來說，時間就是金錢，與其每天為眼瘡煩惱、試用各種無效的方法，不如及早尋求眼科醫生的協助。

割眼瘡手術是一個簡單、安全、快速且有效的治療方式。15分鐘的小手術，就能徹底解決困擾你多時的問題，讓你重拾清晰視野和專業形象。

如果你的眼瘡已經持續2週以上、試過熱敷和藥物都無效、或者反覆發作影響生活，不要再猶豫了。歡迎聯絡我們預約詳細檢查，為你進行全面評估，提供最適合你的治療方案。及早處理，才能及早康復。

虹膜炎（英文：Iritis）是一種眼科疾病，主要發生在眼睛的虹膜部分。虹膜是位於瞳孔周圍的有色組織，主要負責控制瞳孔大小，調節進入眼睛的光線。當虹膜發炎時，會導致眼紅、疼痛和視力模糊等症狀。這種病症可能與其他眼部或全身性疾病有關，如類風濕性關節炎、自身免疫性疾病或感染。早期診斷和治療對於預防虹膜炎引起的視力損害至關重要。

什麼是虹膜炎？

虹膜炎又稱前葡萄膜炎或虹彩炎，發病時眼珠旁會有明顯的紅血絲，通常由於感染、創傷或免疫系統異常等疾病引起。虹膜是位於角膜與晶狀體之間的部份，它會按照光線強弱收縮或放鬆，藉此調整瞳孔大小，控制進入眼睛的光線強度。虹膜具有許多滋養眼睛的血管和色素，當虹膜發炎時，眼睛會紅腫、疼痛，視力也可能受到影響。虹膜炎可分為急性和慢性兩類，也有可能反覆發作。一旦出現虹膜炎症狀，一定要儘快求醫，及早控制病情，降低虹膜炎帶來的嚴重後遺症。

虹膜炎和紅眼症是同樣的眼疾嗎？

對於一些民眾來說，虹膜炎和紅眼症的病徵同樣是眼白發紅，因此常誤認為這是同一種眼疾，只是名稱不同。實際上，虹膜炎和紅眼症雖然都是眼睛的炎症，但發炎的位置不同，症狀也有所差異。

虹膜炎顧名思義即發生在眼睛虹膜部分，如果仔細觀察，虹膜炎的血絲會從黑眼珠往眼白的方向延伸。紅眼症又稱結膜炎，當結膜發炎時，內部的細血管就會充血和腫脹，導致眼睛變紅，不同的是，紅眼症的充血通常是從眼白向黑眼珠的方向擴散。

	虹膜炎	紅眼症（結膜炎）
Symptoms	眼紅眼痛畏光視力模糊瞳孔變形飛蚊增加	眼睛紅腫疼痛畏光流眼水異物感痕癢流出黏稠白色或黃色分泌物嚴重者有可能結膜下出血、角膜受損
治療方法	類固醇眼藥水散瞳劑免疫抑制劑	抗生素眼膏眼藥水冷敷
傳染性	None	There is

虹膜炎種類

急性虹膜炎

急性虹膜炎會在幾小時或幾天內突然發病，病徵明顯，包括眼紅、疼痛、畏光等，通常影響單眼。急性虹膜炎多數不具傳染性，除非由感染引起。醫生通常會檢查眼睛的前房和虹膜來診斷此病，必要時進行影像學檢查。急性虹膜炎需要立即治療，以避免病情快速惡化。這類虹膜炎也有可能會翻發，特別是在患有自體免疫性疾病的患者中。

慢性虹膜炎

慢性虹膜炎病徵前期較輕微，但持續時間長，病情發展週期一般超過3個月，因此定期檢查眼睛是非常必要的。慢性虹膜炎治療方法包括長期使用低劑量的類固醇眼藥水，有時需要口服免疫抑制劑。和急性虹膜炎一樣，慢性虹膜炎通常不具傳染性。無論是急性或慢性虹膜炎都有機會復發，因此一定要聽從醫生指示用藥，定期回診。

虹膜炎症狀

• envy
• 眼痛
• photophobia
• Blurred vision
• 瞳孔變形
• 飛蚊增加

虹膜炎成因

目前來說，大部分虹膜炎的原因不明，醫生一般不會糾結於患者是什麼原因造成虹膜炎，但如果虹膜炎持續復發，醫生則會建議進行抽血或更仔細的身體檢查，以確定是否是自身免疫系統引起的虹膜炎。目前常見的虹膜炎成因有以下幾種：

• 自身免疫疾病：如類風濕性關節炎、強直性脊柱炎等，這些疾病可能導致身體的免疫系統失調，導致虹膜炎。
• 感染：細菌、病毒或真菌感染可能引發虹膜炎，特別是在免疫力低下的患者中。
• 外傷：眼部受到外傷或手術後，可能會引起虹膜的炎症反應。

虹膜炎後遺症

若未及時治療虹膜炎，可能會導致虹膜粘連，影響瞳孔的正常功能，進而導致視力模糊。其他更為嚴重的虹膜炎後遺症也包括了白內障、青光眼、角膜炎等，甚至可能會致盲。因此若發現眼睛出現虹膜炎症狀，應儘快找眼科醫生檢查及治療。

虹膜炎治療方法

常見的虹膜炎治療方法會使用眼藥水、散瞳劑及免疫抑制劑等藥物，但具體治療方法會跟著病患的情況來決定，眼科醫生可能會同時搭配兩種或以上的藥物來幫助患者更有效的改善虹膜炎，因此切記勿亂使用網上推薦的藥方，有任何眼疾問題一定要諮詢專業的眼科醫生才是。

Steroid eye drops

最常見的治療方法是使用類固醇眼藥水來減輕虹膜炎症狀。類固醇可以有效減少虹膜的炎症反應，但需要在醫生指導下使用，以避免副作用。

散瞳劑

散瞳劑可以幫助放大瞳孔，防止虹膜與晶狀體粘連，也有助於緩解疼痛和畏光症，但長期使用可能需要監控眼壓。

免疫抑制劑

對於自身免疫性疾病引起的慢性虹膜炎，可能需要使用免疫抑制劑來控制病情。這些藥物能減少免疫系統對虹膜的攻擊，降低炎症的風險。

虹膜炎飲食禁忌

建議患者應儘量避免能夠提升身體免疫力的飲食，導致免疫力過度旺盛，反而攻擊健康的身體組織或惡化病情。另外，患者也需減少攝入酒精、高糖、辛辣等刺激食物，以免加重虹膜炎的炎症反應。除了醫生的藥方，平日也可以適量攝取omega-3魚油、亞麻仁油、富含維生素C和E的食物等，來抑制和減少眼部炎症。

Frequently Asked Questions

虹膜炎多久會好？

虹膜炎的恢復時間取決於病情的嚴重程度和治療方法。急性虹膜炎通常在幾周內可以得到控制，但慢性虹膜炎可能需要幾個月甚至更長的時間來恢復。

虹膜炎會傳染嗎？

虹膜炎本身通常不具傳染性，除非是由感染性疾病引起的。在這種情況下，與感染源的接觸可能會增加傳染風險。

虹膜炎會復翻發？

虹膜炎可能會復發，特別是在患有自身免疫性疾病的患者中。因此，定期眼科檢查和持續的免疫抑制治療對於防止復發至關重要。

虹膜炎要戒口嗎？

對於患有虹膜炎的患者，戒口和適當的飲食調整有助於減少炎症。避免高糖、高脂肪和辛辣食物，多攝取富含抗氧化劑的食物，有助於維持眼睛健康。

虹膜炎可以斷尾嗎？

虹膜炎是否可以完全斷尾取決於引發炎症的原因。如果是由感染引起的，一旦感染得到控制，炎症可能不會再復發。但對於自身免疫性疾病引起的虹膜炎，可能需要長期治療來控制病情，防止復發。

虹膜炎會自癒嗎？

某些輕度的虹膜炎可能會自行消退，但大多數情況下需要醫療干預來防止視力損害和其他併發症。因此，建議任何虹膜炎的症狀應及時就醫，以確保得到適當的治療。

Swollen eyelids are a common condition, with either the upper or lower eyelids potentially becoming puffy. Some cases cause no pain or itching, while others may be accompanied by redness, swelling, pain, and itching in the eyelids.

Common Causes of Swollen Eyelids

There are various causes of puffy eyelids, with edema being the most common. Potential causes of edema include drinking too much water or consuming excessive salt before bedtime. Additionally, insufficient sleep and high levels of stress may also lead to puffiness in the upper and lower eyelids. However, this type of eyelid swelling typically does not cause pain or itching and can usually be alleviated by making appropriate adjustments to lifestyle and dietary habits.

However, in some cases, swollen eyelids may be caused by more serious underlying factors. If persistent swelling is accompanied by pain or discomfort, it is advisable to consult a doctor to determine the cause of the eye swelling and receive appropriate treatment.

The following are some causes of eye swelling that may require medical intervention:

Eye Allergy

Swollen or puffy eyes may be caused by allergies to dust, pollen, certain foods, medications, or other substances. Allergic redness and swelling around the eyes can also occur on just one eyelid, possibly because the hand touched an allergen and then touched that single eye.

Stye

Stye, also known as a hordeolum, primarily forms when the oil glands along the eyelid margin become blocked, leading to inflammation or bacterial infection. This causes swelling and pain in the inner or outer eyelid, with a noticeable lump appearing on the eyelid, giving the appearance of a swollen eyelid.

Conjunctivitis

Conjunctivitis, also known as pink eye, is typically caused by viruses, bacteria, or allergies. It leads to redness, a burning or dry sensation, increased discharge, and swelling and pain in the eyes and eyelids. Generally, patients with conjunctivitis experience swelling in both the upper and lower eyelids simultaneously. It is recommended to seek appropriate treatment from an ophthalmologist.

Blepharitis

Blepharitis can occur on either the upper or lower eyelid. This inflammation causes redness, swelling, dryness, itching, and stinging in the eyelids. Causes include overgrowth of Staphylococcus aureus, chronic dermatitis, or prolonged inadequate makeup removal leading to eyelid redness and allergic reactions.

Hyperthyroidism

Hyperthyroidism (Graves' disease) is an autoimmune disorder. When the body's immune system malfunctions, it mistakenly identifies healthy tissues as foreign invaders and releases antibodies to attack healthy cells.Hyperthyroidism (Graves' disease) targets the extraocular muscles, orbital tissues, and eyelid structures, leading to symptoms such as eyelid swelling, puffy eyes, and protruding eyes. In severe cases, there is even a risk of blindness.

Cellulitis

Sinusitis caused by the common cold may lead to serious complications such as orbital cellulitis if left untreated. Patients with cellulitis may experience eye swelling, red and swollen eyelids, heat and pain, and sudden vision loss.

mosquito bites

If one eyelid is swollen and itchy, and blinking causes slight pain, it may be due to an insect bite. As long as you maintain good eye hygiene, it should improve on its own within a few days. However, there is also a chance of further inflammation and swelling in the eyelid. It is advisable to monitor the condition closely and seek medical attention if necessary.

Methods for Reducing Eye Puffiness

Ice pack

Applying ice packs appropriately can help alleviate the sensation of swelling and heat in the upper and lower eyelids caused by insect bites or allergies. However, this does not provide a curative effect; it only temporarily relieves discomfort.

Hot compress

Applying heat can promote blood circulation while also helping to soften and drain blocked oils or pus. Proper heat application can resolve eye issues such as styes and blepharitis.

Massage around the eyes

Gently pressing around the eyes with your index or middle finger can help reduce puffiness and alleviate itching. Be sure to thoroughly wash your hands before massaging to prevent bacterial eye infections.

Pharmacotherapy

Antibiotics, eye ointments, and eye drops can effectively control bacterial infections and reduce symptoms of eyelid inflammation and swelling. Since eyelid swelling can stem from numerous causes, different medications may be prescribed depending on the underlying cause and severity of symptoms. These may include antihistamines, antithyroid drugs, immunosuppressants, and others. Therefore, patients must strictly follow their doctor's prescription and instructions to effectively address eyelid swelling.

Surgical treatment

For more severe conditions such as chalazion, cellulitis, or hyperthyroidism, if a series of treatments fails to achieve satisfactory results, doctors may recommend surgical intervention to address the root cause of eyelid swelling.

In summary, there are many causes of eyelid swelling, and it should never be taken lightly. If you experience persistent swelling, heat, or pain in the eyelid, it is advisable to seek prompt examination by an ophthalmologist and actively pursue treatment.

Frequently Asked Questions

The cornea is located at the front of the eyeball. Because it is exposed to the external environment, the cornea is more susceptible to damage. If an injured cornea is not treated with care, the wound may fail to heal over time, leading to ulceration and potentially causing permanent vision impairment.

When dealing with skin wounds, we can use adhesive tape or ointment to promote healing; but if the cornea is unfortunately damaged, how should we handle it to avoid scarring or other complications?

What is the cornea?

The cornea is a transparent membrane located at the front of the eye, in front of the iris and pupil, forming the eye's outermost layer. Its primary function is to allow light to enter the eyeball, enabling the formation of clear visual images. The cornea not only prevents bacteria from entering the eye but is also richly innervated with sensory nerves. Should any foreign object come into contact with the cornea, the eyelids will immediately close to protect the eye.

Causes of Corneal Damage

There are many causes of corneal damage, with common situations including:

• Foreign Body Injury: Sand entering the eye, being poked by a fingernail, or other sharp objects can cause corneal abrasions. After corneal injury, vision becomes immediately blurred and the eye feels painful. Additionally, accidental exposure to chemicals can damage the cornea and even lead to severe corneal ulcers.
• Eye conditions such as ingrown eyelashes, incomplete eyelid closure, and dry eye syndrome can all cause eye pain, stinging sensations, and corneal abrasions.
• Improper use of contact lenses: Inserting contact lenses into the eye using improper techniques can easily damage the cornea. Therefore, when wearing contact lenses, strictly follow the instructions and carefully place the lenses into the eye. UV rays reflected off snow can also cause eye irritation.
• Misuse of eye drops: Long-term use of steroid-containing eye drops may cause corneal thinning and even perforation.
• Ultraviolet rays: Prolonged exposure of the eyes to ultraviolet radiation (snowy terrain, ocean surface) can cause corneal cell death and result in severe pain.

Symptoms of Corneal Damage

Symptoms of corneal damage include:

• Vision loss: Following corneal injury, vision becomes blurred. Objects appear as if viewed through a transparent film or haze, with a noticeable decrease in visual clarity.
• Eye pain: Patients may experience eye discomfort or a stinging sensation, particularly when exposed to light, accompanied by photophobia.
• Foreign body sensation in the eye: When the cornea is scratched, the eye may feel like there's something in it and appear blurry, as if a transparent film has been placed over it.
• Other symptoms may also include involuntary tearing, conjunctivitis .

Treatment Methods for Corneal Injuries

Minor corneal damage typically heals naturally within 1 to 2 days. However, prompt treatment is essential when the cornea is injured. If you experience significant discomfort, it is recommended to seek immediate care at an eye clinic to address the injury. Below are some common treatment approaches:

• Immediately rinse your eyes: If you experience a foreign body sensation or discomfort in your eyes, promptly use eye drops to flush out any debris. Avoid rubbing your eyes to prevent further damage to the cornea.
• Medication: Damage to the cornea is typically treated primarily with eye drops. Using antibiotic eye drops or artificial tears can reduce the risk of infection and aid in corneal healing. If the patient continues to experience pain or the condition worsens, they should seek immediate medical attention.
• Take appropriate breaks: Reducing screen time, especially avoiding excessive use of electronic devices, helps the cornea repair itself.

Complications Following Corneal Damage

If an eye injury does not receive prompt and appropriate treatment, it may lead to serious complications. Common complications following corneal damage include:

• Permanent vision loss: Scar tissue formation may cause vision impairment, which may not fully recover even after surgery.
• Corneal Ulcer: Untreated corneal injuries may lead to corneal ulcers, a potentially dangerous condition that can cause blindness.
• Light sensitivity: Following a corneal injury, the eye may become more sensitive, leading to increased photophobia.

Consult an ophthalmologist immediately.

Eye injuries can be minor or serious. If you experience any discomfort in your eyes, consult an ophthalmologist promptly for examination. Let a professional eye doctor develop an effective treatment plan to safeguard your eye health.

Frequently Asked Questions

麥粒腫，也就是我們常說的眼挑針，雖然它並不是什麼嚴重的眼疾，但眼皮突然冒出一粒東西，多少都會對日常生活造成困擾。儘管這種病症常見且多數情況下無需醫療干預，但了解其原因、症狀、治療方法以及預防措施對於減少發病和加速康復非常重要。

本文將全面介紹麥粒腫的相關資訊，讓您更好地認識和處理這種眼部問題。

什麼是麥粒腫？

麥粒腫，也稱為「瞼緣炎」或「針眼」，是一種常見的眼部炎症。麥粒腫的形成原因主要是因為眼瞼邊緣的油脂腺體阻塞，導致細菌感染，腺體或毛囊發炎，形成一個小而疼痛的膿腫。麥粒腫通常在眼瞼的內側或外側形成，表現為紅腫、疼痛和局部熱感。

另外，許多人會誤以為麥粒腫與霰粒腫是一樣的眼部炎症，其實這兩者的形成原因和疼痛程度有所不同。霰粒腫是由眼瞼腺體慢性發炎而引起的無痛性腫塊，而麥粒腫則是細菌感染引起的，會感覺紅腫熱痛。霰粒腫通常較大且不疼痛，而麥粒腫則較小但疼痛明顯。

麥粒腫類型

麥粒腫主要有2種類型，即是外麥粒腫和內麥粒腫。

• 外麥粒腫：位於睫毛根部，會形成黃色膿包，一般較快痊癒。
• 內麥粒腫：位於眼瞼內部，發炎時間較長，通常會比外麥粒腫更加痛。

麥粒腫症狀

• 眼瞼紅腫
• 眼瞼局部疼痛
• 眼瞼局部熱感
• 眼瞼邊緣或內側出現小膿腫
• 眼部異物感
• 眼部流淚
• Swollen eyelids

麥粒腫原因

麥粒腫的形成原因通常是由瞼板線的腺體油脂分泌過旺，導致眼皮內生油脂粒，並堵著毛囊或腺體時，細菌就會繁殖並引發感染，導致眼皮內生瘡。此外，不良的眼部衛生習慣、觸摸眼睛、使用受污染的化妝品和隱形眼鏡等也可能增加麥粒腫的風險。

麥粒腫治療方式

瞼緣炎不算是嚴重眼疾，長針眼初期可以自行在家進行熱敷及按摩，幫助排出內眼皮的油脂粒，這個方法不用多久麥粒腫就會好。如果熱敷和按摩無法改善，建議尋求眼科醫生幫助去改善麥粒腫，治療方式包括使用麥粒腫藥膏、口服抗生素、手術等等。

1. 熱敷：每日敷4～5次，每次約10-15分鐘，幫助膿腫自行排出。
2. 按摩：用手指輕推。如果針眼長在上眼瞼，手指就從眼皮往下推；如果針眼長在下眼瞼，就從眼袋往上輕推。
3. 麥粒腫藥膏：在醫生指導下使用眼皮發炎藥膏或眼藥水去控制感染。
4. 口服抗生素：在嚴重感染或併發症情況下，醫生可能會開口服抗生素。
5. 手術引流：對於無法自行排出的麥粒腫，醫生可能會進行小手術排出膿液。

如何預防產生麥粒腫

1. 保持眼部清潔：定期清潔眼瞼，避免細菌滋生。
2. 避免觸摸眼睛：用手觸摸眼睛前要洗手，減少細菌感染機會。
3. 不與他人共用毛巾或化妝品：減少交叉感染風險。
4. 更換化妝品：定期更換眼部化妝品，特別是睫毛膏和眼線筆。
5. 正確使用隱形眼鏡：佩戴隱形眼鏡時遵守衛生規範，避免細菌感染。
6. 管理皮膚健康：治療皮膚病，如痤瘡和脂溢性皮炎，減少眼皮內生瘡的風險。

通過了解麥粒腫的原因、症狀及治療方式，我們可以更好地預防和應對這種常見的眼部問題。

如果有持續或嚴重的症狀，請及時就醫，以獲得專業的治療建議。如果有更多問題，建議隨時向眼科醫生進行諮詢。

Frequently Asked Questions

麥粒腫等於霰粒腫嗎？

不，麥粒腫是細菌感染引起的疼痛性膿腫，而霰粒腫是由腺體阻塞引起的無痛性腫塊。

麥粒腫會自己好嗎？

是的，許多麥粒腫會在幾天到一周內自行痊癒，但適當的治療可以加快康復過程。

麥粒腫多久會消？

通常在一到兩周內，但如果感染嚴重或未得到適當治療，可能需要更長時間。

麥粒腫可以擠嗎？

不建議擠壓麥粒腫，這樣可能會加重感染並引發併發症。

麥粒腫需要看醫生嗎？

如果麥粒腫持續不退、疼痛加劇或影響視力，應該及時就醫。

麥粒腫不能吃什麼？

沒有特定的飲食禁忌，但保持均衡飲食和良好的營養有助於提高免疫力。

麥粒腫具有傳染性嗎？

麥粒腫本身不具有傳染性，但引起感染的細菌可能會傳播，因此應保持良好的個人衛生。

可以戳破麥粒腫嗎？

不建議自行戳破麥粒腫，這樣可能會引發嚴重感染，如，蜂窩性組織炎、腦內發炎等，建議交由醫生處理。

Macular degeneration (MD) commonly affects individuals over the age of 65, hence it is also known as age-related macular degeneration (AMD). Patients with this eye condition experience symptoms such as blurred central vision and distorted vision, which in severe cases can lead to blindness.

Since macular degeneration is an incurable eye disease, once diagnosed, only certain treatments or dietary approaches can slow its progression. Therefore, preventing macular degeneration becomes crucial, and modifying one's diet or adopting specific dietary therapies is one of the most direct methods. This article will outline key nutrients and dietary habits for managing macular degeneration through nutrition, helping readers maintain healthy vision.

6 Key Nutrients for Preventing Macular Degeneration

The following are nutrients beneficial for preventing macular degeneration and some corresponding food references:

• Lutein: Spinach, asparagus, carrots, cauliflower, pumpkin, etc.
• Vitamin A: Red sweet potatoes, egg yolks, beef liver, mangoes, goji berries, etc.
• Vitamin B complex: Salmon, pork, avocado, milk, nuts, etc.
• Vitamin C: Lemons, kiwis, oranges, papayas, strawberries, etc.
• Vitamin E: Salmon, almonds, cashews, wheat germ, olive oil, etc.
• Zinc: Whole grains, seafood, meat, and legumes

葉黃素

Lutein is a vital component of the retina and macula, serving as the primary source of retinal pigment. It not only possesses antioxidant properties but also absorbs harmful light, reducing eye damage from light exposure and lowering the risk of developing macular degeneration.

Vitamin A

Appropriate supplementation of vitamin A helps maintain normal retinal epithelial cell function and promotes metabolism in the cornea and retina.

Vitamin B Complex

The B vitamin complex includes multiple vitamins such as B1, B2, B6, and B12, which effectively maintain photoreceptor and retinal nerve cells while preventing cellular aging. These vitamins help promote blood circulation within the eye and alleviate eye fatigue. Individuals who frequently strain their eyes are advised to supplement with these nutrients to reduce the risk of developing macular degeneration.

Vitamin C

Increasing vitamin C intake not only helps prevent macular degeneration but also guards against eye conditions such as cataracts, glaucoma, and retinal disorders. Vitamin C possesses powerful antioxidant properties that shield the eyes from free radical damage. It also enhances blood circulation in the retinal microvasculature, thereby helping to prevent macular degeneration.

Vitamin E

Vitamin E possesses free radical scavenging properties and can slow the oxidation of lutein, thereby maintaining eye health and helping prevent macular degeneration. Furthermore, vitamin E is primarily concentrated in the retinal pigment epithelium layer and photoreceptor cells, making it one of the essential nutrients for preserving retinal health.

Zinc

Zinc possesses significant antioxidant properties and has been confirmed by numerous scholars to effectively maintain eye health and prevent macular degeneration. Furthermore, zinc aids in the metabolic function of vitamin A within the eye, helping to maintain normal retinal epithelial function and preserve visual health.

Dietary Habits for Preventing Macular Degeneration

In addition to specific nutrients, good dietary habits are also key to preventing macular degeneration. Here are several dietary approaches that support vision health:

Low Glycemic Diet

Diabetics are more susceptible to macular degeneration and a range of eye diseases than the general population. This is because excessively high blood sugar levels can damage the retina and even cause retinal detachment. Therefore, ophthalmologists generally recommend that diabetic patients follow a low-glycemic diet to reduce advanced glycation end products (AGEs). This approach helps control blood sugar while also preventing eye conditions such as retinal detachment and macular degeneration.

A low-glycemic diet , as the name suggests, involves consuming foods with low glycemic loads to minimize blood sugar fluctuations. Examples include whole grains, vegetables, and lean meats, which are considered low-glycemic foods. Conversely, white rice, white bread, and processed meats are classified as high-glycemic foods.

Beyond individuals with diabetes, the general population may also consider adopting a long-term low-glycemic diet to maintain overall health. The simplest approach to implementing a low-glycemic diet is to follow dietary guidelines for diabetes management. This not only helps prevent macular degeneration but also reduces the risk of developing diabetes.

Mediterranean Diet

A study in Australia found that participants following a Mediterranean diet had a 41% lower risk of developing macular degeneration compared to those not following the diet, confirming that the Mediterranean diet can help prevent macular degeneration.

The Mediterranean diet emphasizes fresh vegetables, fruits, fish, olive oil, and nuts, with limited red meat and dairy products. This dietary pattern is rich in antioxidants and unsaturated fatty acids, effectively reducing eye inflammation and helping prevent macular degeneration.

If you wish to prevent or improve macular degeneration through the Mediterranean diet, it is recommended to consult your ophthalmologist for further advice or seek additional knowledge and dietary guidance on preventing macular degeneration from your nutritionist.

Balanced Diet

If you are unable to follow a low-glycemic diet or Mediterranean diet to prevent macular degeneration due to work or other reasons, then strive to ensure balanced nutrition daily. Aim to consume two servings of fruit and five different colored vegetables each day, while reducing intake of fast food or foods high in oil, salt, and sugar.If needed, consult a nutritionist to create a personalized dietary plan for preventing macular degeneration or consider appropriate supplements. Maintaining a balanced diet not only helps prevent macular degeneration but also supports overall health.

If you suspect you have macular degeneration, do not blindly trust folk remedies or unproven treatments. It is essential to consult an ophthalmologist promptly and undergo a thorough examination. Allow a professional doctor to develop the most effective treatment plan for you.

Frequently Asked Questions

Floaters are a common vision issue where patients see floating dark spots, tadpole-shaped figures, thread-like objects, and other shapes in their field of vision. Floaters come in many forms, and each patient describes them differently. Can floaters be treated? Will they go away on their own? Dr. Tong Wenjie, an ophthalmologist, will address these questions below.

What is floaters?

Floaters are medically known as vitreous degeneration. Inside our eyeball lies a transparent, gel-like substance called the vitreous humor, situated at the center of the eye—behind the lens and in front of the retina.Under normal conditions, the vitreous fills the entire vitreous cavity, maintaining the eye's shape and ensuring light is properly refracted onto the retina to form images. When vitreous degeneration occurs, the gel-like substance within liquefies, forming tiny fibers that float within the vitreous cavity—these are the dark spots patients perceive.

Causes of Floaters

The primary causes of floaters can be broadly categorized into three types: physiological, degenerative, and pathological.

physiological

Physiological floaters commonly occur in individuals under 40 or those who overuse their eyes long-term, such as garment workers, teachers, and office workers who spend extended periods at computers.Generally, up to 80% of floaters cases are physiological. Patients may perceive dark spots or lines within their visual field, which are caused by impurities within the vitreous humor. Currently, there are no medications or surgical procedures to treat this type of floaters. However, there is no need for excessive concern, as these dark spots will typically fade from the visual field over time.

Degenerative

Inside the eyeball is a transparent gel-like substance called the vitreous humor, located behind the lens and in front of the retina.As we age, this vitreous body degenerates and breaks down into tiny fibers. These fibers float within the vitreous, causing us to see dark spots or patches in our vision. Some people may also see thread-like or worm-like shapes. As long as the dark spots in the eye do not increase in number and remain relatively stationary, this is considered benign floaters, and there is no need for excessive worry.

pathological

Pathological floaters arise from other eye conditions or systemic vascular diseases, such as: traction from external force, trauma, or systemic vascular disorders like retinal detachment, diabetes, or hypertension. These can all lead to vitreous detachment and hemorrhage, causing dark spots or even dark patches in the visual field.If left untreated, this type of floater can potentially lead to permanent vision loss. Patients are advised to seek treatment for floaters as early as possible.

Symptoms of Floaters

The initial symptoms of floaters are easily recognizable. Patients perceive floating objects within their field of vision—visible yet elusive—particularly noticeable under bright light or against a light background. Floaters manifest in diverse shapes, so each patient observes different forms:

• Black spots in the eye
• The eyes see lines
• See the mesh
• cloud-like formation
• The eyes see things that look like worms, one after another.

If you experience worsening symptoms of floaters, such as a sudden increase in floaters, flashes of light in the eyes, dark shadows in the eyes, vision obstruction, or blurred vision, you should immediately seek a thorough examination by an ophthalmologist and follow the doctor's recommended treatment plan to improve the floaters.

Treatment Methods for Floaters

Generally, early-stage floaters do not require immediate treatment. Most people adapt to the presence of dark spots over time, or these spots may settle at the bottom of the vitreous over time, no longer affecting vision. However, if you notice an increase in dark spots, experience shadows in your vision, or feel these spots are impacting your daily life, you may consider laser treatment or floater surgery to improve the dark spots in your eyes.

Laser therapy

Laser treatment is suitable for larger, concentrated vitreous fibers. By breaking these fibers into smaller fragments with laser energy, symptoms of floaters can be improved or eliminated.Performed under local anesthesia, the procedure is painless and takes approximately 15 to 20 minutes. However, this treatment is not suitable for everyone. If the fibers are loose or located too close to the macula or lens, laser therapy should be avoided to prevent complications such as cataracts or macular damage.

Vitrectomy

Vitrectomy surgery involves removing the vitreous gel inside the eye through a small incision and replacing it with a solution to maintain the eye's shape. The procedure typically takes about 10 to 15 minutes. While this surgery can effectively clear fibrous debris, it may also cause bleeding or retinal tears, potentially leading to new floaters. Therefore, most physicians do not recommend this surgery for treating floaters.

Additionally, many patients attempt to alleviate symptoms of eye degeneration by using eye drops and request floaters eye drops from ophthalmologists. It is important to note that eye drops cannot penetrate the vitreous humor, so relying solely on eye drops cannot treat vitreous degeneration. Remember not to casually trust floaters eye drops recommended by non-professionals.

Preventing Floaters

Floaters are primarily caused by vitreous degeneration due to aging and high myopia. Currently, there is no way to completely prevent floaters from occurring, but we can slow down the progression of eye degeneration through daily care. Here are some methods to help prevent floaters:

• Avoid excessive use of electronic devices (take a 5- to 10-minute break after every hour of screen time).
• Read or work in well-lit conditions whenever possible to prevent worsening myopia.
• Ensure a balanced diet daily and reduce intake of foods high in oil, salt, and sugar.
• Increase your intake of nutrients such as carotenoids, anthocyanins, and vitamins.
• Get regular physical and eye exams

Frequently Asked Questions

Conjunctivitis, also known as pink eye, is a common eye condition. Early signs or precursors typically include itchy eyes and a sensation of having something in the eye. As it progresses, the entire eye may become red, accompanied by a burning sensation and possible blurred vision.Conjunctivitis can be caused by various factors, including viruses, bacteria, and allergies. Understanding the different types, symptoms, causes, and treatments of conjunctivitis can help us better prevent and manage this condition.

What is conjunctivitis?

Conjunctivitis, also known as pink eye, is an inflammation that causes redness, pain, and itching in the eyes. The conjunctiva is a thin membrane covering the eyelids and the white part of the eye, serving to moisturize and protect the eye. However, when this membrane becomes inflamed or irritated, the tiny blood vessels within it become engorged and swollen, leading to redness in the eye.Symptoms of conjunctivitis include redness, swelling, itching, increased tearing, and discharge. Depending on the underlying cause, symptoms may vary slightly.

Types of Conjunctivitis (Pink Eye)

Viral Conjunctivitis

Viral conjunctivitis is associated with the respiratory tract and caused by viral infections, with adenoviruses and enteroviruses being the most common pathogens. This type of conjunctivitis is highly contagious and typically spreads through direct contact with an infected person's secretions or contaminated objects. Symptoms include redness and swelling of the eyes, tearing, a burning sensation, and clear, watery discharge. Some patients may also experience inflammation at the inner corner of the eye.

Bacterial conjunctivitis

Bacterial conjunctivitis is caused by bacterial infection, with common pathogens including Staphylococcus aureus, Streptococcus, and Streptococcus pneumoniae. Symptoms of this type of pink eye include redness and swelling of the eye, pain, discharge of thick white or yellow mucus, and eyelids sticking together, especially upon waking in the morning. Inflammation of the eye caused by bacteria requires prompt treatment to prevent more serious eye health issues.

Allergic conjunctivitis

Allergic conjunctivitis is the most common type. It is triggered by allergens and is typically associated with seasonal or perennial allergies. This type of conjunctivitis is not contagious but causes extreme discomfort.

Seasonal allergies

Seasonal allergic conjunctivitis typically occurs in spring and fall and is associated with allergens such as pollen and grasses. Symptoms of this type of pink eye include itchy eyes, tearing, redness, and increased discharge.

Perennial allergies

Perennial allergic conjunctivitis can occur throughout the year, typically triggered by allergens such as dust, dust mites, pet dander, and mold. Its symptoms resemble those of seasonal allergies, though they are generally milder.

Giant Column Sensitive

Giant papillary conjunctivitis is a relatively uncommon allergic conjunctivitis typically associated with contact lens wear.Long-term contact lens wearers develop an uneven conjunctival surface, leading to eye inflammation. This type of red eye condition presents with severe itching and discharge. The solution is to never purchase contact lenses without professional guidance. Always seek a qualified ophthalmologist for fitting and follow their care recommendations to reduce the risk of complications and long-term effects.

Conjunctivitis (Pink Eye) Symptoms

• red and swollen eyes
• Tears
• Itchy eyes
• burning sensation
• Increased discharge (which may be watery, thick, or purulent)
• Swollen eyelids
• A foreign body sensation in the eye
• Blurred vision (in some severe cases)

Causes of Conjunctivitis

The causes of eye inflammation can generally be divided into three major categories: viral infections, bacterial infections, and allergies. Beyond these three types, contagion is also a common cause of eye inflammation.Conjunctivitis is typically spread through direct contact with an infected person's secretions or indirect contact with contaminated objects. Both viral and bacterial conjunctivitis are highly contagious, placing individuals in close contact with infected persons—such as family members, classmates, and coworkers—at higher risk. Conjunctivitis caused by allergens, however, is non-contagious and usually relates to an individual's allergic constitution.

High-risk groups for conjunctivitis:

• Children and preschoolers: Because they are easily spread in school and kindergarten settings.
• Individuals who have come into contact with infected persons: including household members and close contacts
• Individuals with allergic constitutions: Prone to developing allergic conjunctivitis
• Contact lens wearers: particularly those who wear them improperly or fail to follow hygiene guidelines

Treatment Methods for Conjunctivitis (Pink Eye)

How long does it take for a bacterial eye infection to heal? How can conjunctivitis be treated quickly? These are undoubtedly among the most pressing questions for anyone suffering from conjunctivitis. The treatment for pink eye depends on the underlying cause of the inflammation. Different types of pink eye require different approaches. Early diagnosis and appropriate treatment can alleviate eye inflammation symptoms, shorten the duration of the illness, and prevent complications.

Viral Conjunctivitis

Viral conjunctivitis resolves on its own without specific treatment, with symptoms typically subsiding within a few days to two weeks. Patients may use eye drops for pink eye and apply cold, damp compresses to reduce swelling and discomfort. It is important to note that due to its high contagiousness, patients should avoid touching their eyes whenever possible and frequently wash their hands to minimize transmission.

Bacterial conjunctivitis

Bacterial conjunctivitis typically requires antibiotic treatment. Antibiotic eye ointments or drops effectively treat pink eye, alleviate bacterial infections, shorten the duration of illness, and reduce the risk of transmission. When using antibiotics, follow your doctor's instructions and complete the full course of treatment.

Allergic conjunctivitis

The primary treatment for allergic conjunctivitis is avoiding allergens.If accidental exposure to an allergen causes allergic conjunctivitis, will it resolve on its own? As long as you promptly clean your eyes and avoid touching them with your hands, this type of allergic conjunctivitis will typically resolve within hours or days. If symptoms are particularly bothersome, a doctor may prescribe anti-allergy medication tailored to the patient's condition to alleviate inflammation of the conjunctiva.

How to prevent conjunctivitis?

• Maintain good personal hygiene and wash your hands frequently.
• Avoid touching or rubbing your eyes.
• Do not share personal items such as towels and pillows with others.
• Clean contact lenses regularly and follow proper wearing and cleaning guidelines.
• Avoid contact with individuals infected with conjunctivitis.
• During allergy season, try to avoid going outdoors or wear protective eyewear.
• Avoid using expired or contaminated cosmetics.

We hope this article helps you better understand conjunctivitis. If you have further questions, feel free to click the button below to consult our professional ophthalmologists.

Frequently Asked Questions