A small hole in the lower eyelid may be caused by factors such as the lacrimal punctum, trauma, conjunctivitis, congenital canaliculus fistula, and dacryocystic fistula. Upon experiencing this symptom, it is crucial to seek medical attention promptly to identify the cause and improve the condition through general treatment, pharmacological therapy, surgical treatment, and other methods.
1. Lacrimal Punctum: The lacrimal punctum is the opening of the lacrimal drainage system, located above the lacrimal papillae of the upper and lower eyelids. It serves as the exit for tears and ocular secretions, representing a normal physiological phenomenon that does not require special treatment.
2. Trauma: If the eyelid has been scratched by a foreign object, it may result in localized soft tissue damage, leading to the formation of a small hole in the lower eyelid during the healing process. After suffering ocular trauma, patients can use medications such as erythromycin eye ointment, chlortetracycline hydrochloride eye ointment, and tobramycin eye ointment as prescribed by a doctor to help prevent infection.
3. Conjunctivitis: This condition is typically caused by bacterial infection. Repeated irritation from inflammation can damage conjunctival tissue and enlarge the hair follicles in the conjunctival area, leading to the appearance of abnormal small holes in the local skin. Treatment can include the use of medications such as tobramycin eye drops, gatifloxacin eye drops, and levofloxacin hydrochloride eye drops under a doctor's guidance. When administering eye drops, it is important to wash your hands first and gently instill the drops into the eye.
4. Congenital Canaliculus Fistula: This condition is related to congenital developmental abnormalities and may lead to excessive tearing. Surgical closure of the fistula can be performed by a doctor. After surgery, patients should rest adequately and avoid eye strain.
5. Dacryocystic Fistula: Dacryocystic fistulas are usually caused by embryonic developmental defects or dacryocystitis, which can lead to the formation of pinpoint-sized holes in the corners of the eyes, accompanied by local secretion discharge and pain. Surgical treatments such as dacryocystic fistula excision can be performed by a doctor. After surgery, patients should avoid rubbing their eyes with dirty hands to prevent worsening of the condition.
During treatment, patients should visit the hospital for follow-up every 2 to 4 weeks, take good care of their eyes, and reduce screen time to facilitate recovery.
