To get to the appropriate treatment of anything it is important to realize what causes the problem and what are the damages caused by the disease. In this case, we are studying and trying to find out possible treatments for Lacrimal Caruncle Swollen. What basically happens with obstruction to the lacrimal duct is that the tear duct in our eyes is blocked. The function of the lacrimal caruncle which is placed above each eyeball is to produce tears. We all know that tears flow through eyes but what we don’t know is that when they drain out through the lacrimal ducts. To describe it in simple words it is a small hole towards the inner side of the edge of the eyelids. This is the point that marks their opening. The problem starts when your tear duct is obstructed. In this case, the tears will spring out from the eye lids and then run down through the entire face. The point of concern is the impact it has on the stagnant tears which are still inside your system. They can be infected due to this. This then leads to infections and red eyes.
The Causes Behind Lacrimal Caruncle Swollen
When your lacrimal tear duct is obstructed it can lead to inflammation and then an even infection in the lacrimal sac. This can spread up to the area right beneath your eyes which are next to the nose and then this becomes inflamed and red as well as sensitive if you touch it. Usually, if you are experiencing something like this you might feel the need to itch and you will also feel irritated. You will also experience a burning feeling. There might also be redness and some strange body sensations. This is more common in children than it is in adults. The main cause for this problem in adults is an involution. It can also be caused due to eye lid disorder. Various other causes include bacteria and fungi as well as parasites.
What are some ways to treat it?
Now that we come towards the treatment of the problem let’s see what can be some possibilities. If you are seeking a treatment of lacrimal caruncle swollen in children then you must know that this problem in children withers away on its own. Mostly even before the child in one-year-old. In the case of adults dealing with the same problem, you can solve it by massaging the lacrimal sac regularly. This will help you in opening the blockage. If that is not of any help either then there is an antibiotic topical ointment available in the market. It should be applied where the area of infection is. This therapy should be continued for several weeks but if you do not receive desired results even after that then you should see a physician. He will most probably force an irrigation. This works in most cases but for those of you are beyond this treatment as well then they can go for a surgical probing in order to open your duct. This happens under general anesthesia but is often kept as a last resort.
While we talked about what actually causes caruncle swelling, let’s dive a little bit deeper into its histopathology. Medically speaking, caruncle is modified coetaneous tissue located in the inner side of the eye. It contains hair follicle, accessory lacrimal gland, sweat gland, and sebaceous gland. Since it contains an array of tissues it’s fairly hard for doctors to figure out the type of lesion. With an extensive research, it was discovered that it has a female preponderance and commonly occurs in the individuals of ages between 24 – 80. When it come downs the lesions, following are the lesions that usually occur:
- Epithelial lesions
- Inflammatory lesion
- Melanocyte lesion
- Lymphoid lesion
Out of all these, epithelial lesions were more common and can be cysts or inclusion or squamous cell papilloma or oncocytoma or eccrine cyst or sebaceous adenoma.
The caruncle is one of the associated elements of conjunctiva including plica semilunaris. Their main function is to form a protective layer around the anterior two-thirds of the eye. The caruncles significance lies in being a transition zone between mucous and adnexal components. The type of epithelium is stratified squamous non-keratinized epithelium and is slightly thick. Just like all the other tissues stroma, it contains fibroblast along with melanocytes. Surprisingly it has striated muscle fibers which are a part of orbicularis oculi muscle. Arterial supply is via the superior medial palpebral artery and nerve supply is via infratrochlear nerve.
CAUSES: There can be a variety of causes but when it comes down to narrowing the causes following are the most common.
- It can be a congenital blockage due to some abnormality during development. It could be because of abnormality of tear duct development.
- Age-associated changes can also be a reason of caruncle swelling. With increasing age, the tear duct that drains starts to narrow hence it is more likely to get blocked.
- Chronic infection and inflammation can also cause caruncle swelling especially of tear draining system and shockingly nose too.
- A severe facial injury or trauma can result if scarring eventually can cause a blockade of tear draining system causing caruncle swelling.
- Long-term use of certain medications which are used to treat glaucoma can cause blockage too eventually leading to swelling.
- A chemotherapy or radiation therapy as a result of cancer can also cause caruncle swelling
SIGNS AND SYMPTOMS:
As aforementioned, caruncle swelling is a consequence of blockage of the tear duct. Without further ado, let’s talk about some of the signs and symptoms that patients usually present with.
- Most common is excessive tearing and redness
- Recurrent eye infections
- Observable tender swelling
- Mucus of pus discharge
- Blurred vision
- It’s not a rocket science that age is one of the major risk factors since I mentioned before that as you age your tear duct system gets narrower which makes it more liable to get blocked
- If you have had a chronic eye infection, you are at risk for developing caruncle swelling since chronic infection involves a chain of reaction which can result in narrowing of the ducts.
- Any prior surgical procedure that you may have gone through related to eye, nose or sinuses can cause scarring and can cause caruncle swelling.
- Certain medications such as those taken for glaucoma have shown to increase the risk of developing caruncle swelling.
- Previous radiation to face and neck as a result of cancer has shown to increase a risk of blocking tear ducts.
Complications are incredibly self-explanatory since tears aren’t draining; the stagnant tears become a potential site for bacteria, virus, and fungi which means you will suffer from recurrent eye infections and conjunctivitis.
We all know prevention is always better than cure hence it’s important to mention some preventive measures. When it comes down to preventing these lesions make sure you thoroughly sanitized your hands, avoid rubbing your eyes as we usually do, If you use any eye cosmetics make sure you use the safe ones also replace them every once in a while, and don’t share them with other, If you wear contact lenses make sure you clean them properly after every use and use the ones that your ophthalmologist suggest