Tuesday, January 22, 2008

wishes~
hopes~
expectations~


we wishes.. you asked.. you agreed.. then suddenly you said no.. then yes again.. then no.. and you said that it is not false hope.. if it is not, then what does it called? you said we expect too much.. well, we wont put very high expectations if you just make up your mind and say NO.. fullstop!



- new chapter -




i'm so gonna make sure i have a lot of fun next week.. ahha.. lets just hope my bf gets his crdt card by then.. weehoo~ wanna noe why..? obviously coz my mom is not around..


the thing on my eye is getting worst! it is like a much bigger version of pimple.. yucks!! got pus somemore.. i'm gonna make sure i drain all of the pus out tomorrow coz today would be very painfull~ so now i noe the thing on my eye is called 'chalazion'.. thanks to the net..


"A chalazion is a lump in the eyelid that is caused by inflammation of a gland within the skin. Typically, this lump grows over days to weeks and is occasionally red, warm, or painful.
The gland involved in the formation of a chalazion is a modified sweat gland that lies within the eyelid. This gland produces oil. When this gland becomes blocked, it can rupture and the inflammation process begins.
Inflammation is a process in which the body reacts to a condition and produces a biologic reaction. This reaction can cause swelling, redness, pain, or warmth."

Treatment

The primary treatment is application of warm compresses for 10 to 20 minutes at least 4 times a day. This may soften the hardened oils blocking the duct and promote drainage and healing.


Topical antibiotic eye drops or ointment (eg chloramphenicol or fusidic acid) are sometimes used for the initial acute infection, but are otherwise of little value in treating a chalazion. Chalazia will often disappear without further treatment within a few months and virtually all will resorb within two years.


If they continue to enlarge or fail to settle within a few months, then smaller lesions may be injected with a corticosteroid or larger ones may be surgically removed using local anesthesia. This is usually done from underneath the eyelid to avoid a scar on the skin. If the chalazion is located directly under the eyelid's outer tissue, however, an excision from above may be more advisable so as not to inflict any unnecessary damage on the lid itself. Eyelid epidermis usually mends well, without leaving any visible traces of cicatrisation.

Depending on the chalazion's texture, the excision procedure varies: whilst fluid matter can easily be removed under minimal invasivion, by merely puncturing the chalazion and exerting pressure upon the surrounding tissue, hardened matter usually necessitates a larger incision, through which it can be scraped out. Any residual matter should be metabolised in the course of the subsequent healing process, generally aided by regular appliance of dry heat. The excision of larger chalazia may result in visible haematoma around the lid, which will wear off within three or four days, whereas the swelling may persist for longer. Chalazia excision is an ambulant treatment and normally does not take longer than fifteen minutes. Nevertheless, owing to the risks of infection and severe damage to the eyelid, such procedures should only be performed by a doctor.


Rarely chalazia may reoccur and these will be biopsied to help rule out tumors.

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