Inverting the upper eyelid using your fingers. Causes of ectropion and its treatment Eversion of the upper eyelid

Foreign bodies, that is, various small particles that enter the cornea and conjunctiva from the external environment. Naturally, the eye tries to get rid of the foreign body on its own, which causes profuse lacrimation, squinting of the eye, etc.

However, not every time these reflex reactions allow for independent removal of a foreign body. Here you should help the body as quickly as possible, since early removal of a foreign body reduces eye injury.

How to remove a foreign body from the eye?

First you need to determine where the foreign body, for example, chips, is located. If you blink a few times, the sensation can tell you whether it is under the lower or upper eyelid.

To examine the lower eyelid (if the blinking method does not help), pull the lower eyelid down in front of the mirror and carefully examine the mucous membrane of the eyelid.

How to turn out the upper eyelid correctly?

The upper eyelid is somewhat more complicated, so it is examined secondarily. For inspection and determination, the upper eyelid should be turned out. To this end, organize good lighting, stand in front of a mirror, tilt your head back as if you were about to look at the ceiling, but look as low as possible with your eyes. Having taken this position, with one hand, gently grab your eyelashes with your fingers. In your second hand you should have a cotton swab, which you should press parallel to the edge of the eyelid in the middle. Then, use a hygiene stick to hold the eyelid, and with the other hand pull the eyelashes upward, thus turning the eyelid out. When the eyelid is everted, you can begin to examine the mucous membrane in the mirror.

You can also use the help of your neighbor; it is quite possible that it will be more convenient and safer for another person to carry out this procedure.

Then the procedure for removing the foreign body begins. When, after examining the eyelid, you visually identify a foreign body, remove it with a cotton swab, or in its absence, with a piece of napkin folded into a triangle (corner).

If your efforts are unsuccessful, you should immediately contact the nearest clinic or. Do not hesitate to call an ambulance; do not tolerate increased eye pain.

Severe lacrimation and a feeling of sand in the eye may be associated with the presence of extropion, which is also called “eversion of the eyelids.” In this case, along with unpleasant symptoms, a noticeable defect occurs, sagging of the lower eyelid and separation of the ciliary edge from the sclera.

In advanced forms, the pathology will be noticeable visually; it refers to cosmetic defects. What leads to this unpleasant pathology? What are its causes and is it true that this seemingly harmless disease will lead to blindness?

There are a number of reasons leading to weakening of the musculocutaneous system of the eyelid, but the result is always sagging of the ciliary edge, moving away from the eyeball.

The eyelids fit very tightly to the mucous tissue of the eye (conjunctiva), since there are tear ducts along their edges. Normally, a person always produces tears; they moisturize the eye and protect the conjunctiva from damage and drying out.

In the normal position of the eyelid, after the tear has washed the conjunctiva, it flows down the lacrimal ducts into a special lacrimal sac located in the inner corner of the eye. Then it moves through special passages into the nasal cavity.

If the ciliary edge does not fit tightly, then the functioning of the tear ducts is disrupted, and the tear cannot move naturally. A number of characteristic symptoms arise, and among the most dangerous possible consequences is a significant decrease in visual acuity.

Pathological detachment of the ciliary edge outward from the eyeball, in which part of the conjunctiva is exposed, is commonly called “eversion.”

This disease received its second name “extropion” due to the fact that most often this pathology affects the lower eyelid.

Is there an eversion of the upper eyelid?

The upper eyelid is not naturally subject to eversion; it has slightly more cartilage and such pathology does not occur under natural conditions. Despite this, inversion of the upper eyelid (extropion) is possible after undergoing blepharoplasty, which is very rare.

The cause of the pathology will be postoperative scars or a miscalculation by the surgeon who removed too large a flap of tissue.

Extropion of the upper eyelid can only be treated surgically.

Types and causes of extropion

In 90 cases out of 100, lower eyelid inversion is diagnosed. In this case, a number of characteristic symptoms are always detected:

Increased lacrimation, very often non-stop.
Redness of the eyelids and conjunctiva due to constant rubbing of the eye.
Sensation of a foreign body or sand in the eye.
Incomplete closure of eyelids.

If the pathology is not treated for a long time, then conjunctivitis and keratitis occur, thickening and then keratinization of the tarsal (tightly adjacent) conjunctiva, clouding of the cornea, and visual acuity is significantly reduced (even to the point of blindness).

There are several types of extropion, each of them has its own ways of occurrence. Often the treatment method will depend on the cause of the inversion. Ophthalmologists use the following classification.

Atonic (involutional) extropion

Occurs most often. It is also called senile, as it occurs in older people. The appearance of atonic eversion of the eyelids is correlated with the natural aging of the body and a weakening of overall muscle tone. The result of involutionary processes is sagging of the skin, which provokes eversion.

With senile extropion, bilateral inversion may be observed, which increases with age. If left untreated, the cornea becomes thickened, followed by keratinization and possibly clouding, which leads to partial blindness.

Not only surgical methods are suitable for the treatment of atonic ectropion. At first, drug therapy may be used. However, this is a temporary measure and will not completely eliminate the problem.

You can get rid of atonic ectropion through surgery. During the manipulation, a part of the skin-cartilaginous tissue is excised horizontally, which restores the natural fit of the eyelid to the eyeball. The operation can be performed in many ways and always gives a good result.

This form refers to a congenital pathology and occurs in the perinatal period, during fetal development. There may be several types of congenital pathology, depending on which structures of the eyelid are undeveloped, but the treatment is always the same - surgery.

If the sagging is minor and there are no significant symptoms, surgery is not performed.

Cicatricial eversion occurs after an injury, plastic surgery on the face and eyes, eyelids, and the skin around them (blepharoplasty). Moreover, eyelid inversion after blepharoplasty occurs after several weeks or months. This is due to the fact that the incisions will take some time to heal and as the sutures dissolve and the scar forms, extropion increases.

Pathology is observed from the side of scar formation.

It is very difficult to treat eyelid inversion after blepharoplasty; in such cases it always involves surgical intervention.

Paralytic type of disease

The paralytic form of extropion is usually part of an extensive paresis or paraparesis, which affects the muscles of other parts of the face: lips, cheeks, and sometimes lower and upper limbs.

In this case, inversion and eversion of the eyelids will be treated by a neurologist. After all, complex treatment of the underlying disease will be required.

Conservative (drug treatment) is used here; surgical methods are usually not resorted to.

When tumors occur in the orbital area, eyelid inversion may also occur. This pathology will arise as a manifestation of another, more complex disease; its dislocation depends on the location of the tumor.

This requires complex treatment, which will include both medications and other treatment methods.

How to detect an eversion of the eyelid?

Typically, diagnosing extropion is not difficult: the defect can be seen by the patient himself in the mirror.

When visiting a doctor, an ophthalmologist performs standard examinations:

External examination, which allows us to determine the presence of decreased tone of the periorbital muscle, the degree of atony, swelling of the skin, the degree of non-closure of the eyelid (lagophthalmos), the presence of tumors or scars.
Biomicroscopy will help to examine the conjunctiva, the edges of the eyelid in more detail, and assess the size of the pathology in more detail.
Visometry and perimetry. These studies will evaluate the impact of eversion on quality of vision.
Computer keratometry to clarify the diagnosis.
A series of laboratory tests on eyelid scrapings and some blood tests.

After the examination, a form of treatment for eyelid inversion is selected.

Advice. Seek advice from an ophthalmology clinic that performs ophthalmological surgeries. This way, you won’t have to do the same examinations twice.

What is blepharoplasty?

With age, a person's skin stretches and the muscles lose their flexibility. This fully applies to centuries. Most often, skin bags appear under the eyes; the skin of the upper eyelids stretches and sags.

Blepharoplasty is a type of plastic surgery that is designed to remove age-related signs. However, as a result of such operations, scars can form; they provoke not only inversion of the lower eyelid, but sometimes lead to inversion of the upper.

Correcting an inverted eyelid after plastic surgery is quite problematic and will require a highly specialized surgeon.

However, the term blepharoplasty includes surgery to correct ectropion of the eyelid.
There are many types of surgical interventions using autoplastic or homoplastic material. To eliminate the pathology, operations are performed according to Blashkovich, Kurlov, Filatov, Kolen, Kunt-Szymanowski, Imre, Fricke. Surgeons consider this type of surgery to be uncomplicated, and it usually gives good results.

The importance of timely treatment

Eversion of the eyelid can include both medical treatment and surgical methods. The choice of treatment method should be carried out by an experienced ophthalmologist, since in some cases a cosmetic defect can only be corrected surgically.

Eversion of the eyelid (also known as ectropion) is a condition characterized by a change in the normal position of the edges of the folds of skin around the organs of vision. The problem manifests itself as a loose fit of the edge of the eyelid (usually the lower one) from the surface of the eyeball.

If only the inner third of the eyelid is deformed, then eversion of the lacrimal punctum is diagnosed. Treatment in most cases consists of surgical correction, which is determined in accordance with clinical data.

Ectropion after blepharoplasty

Eversion is the most important side effect of blepharoplasty. Ectropion is determined by curling the eyelid or pulling the conjunctiva away from the eye. This leads to constant watering, thereby causing continuous moisture and irritation of the skin in the eye area.

Ectropion (inversion of the upper eyelid) is much less common than the lower eyelid and occurs early after surgery due to swelling. The problem is temporary and improves as the density of the swelling decreases. Prolonged eversion is caused by the removal of excessive skin volume or complications in the form of scars in the ligaments and muscles.

In order to avoid ectropion after blepharoplasty, it is important to follow certain rules. The attending physician, before sending the patient home, must familiarize him with how to behave and what to do in the coming days. As a rule, after blepharoplasty, it is recommended to keep your head elevated while sleeping.

For at least a week after the procedure, it is necessary to avoid excessive physical activity, which causes an increase in blood pressure, which is undesirable after plastic surgery. The pitfalls of blepharoplasty include possible swelling of the eyelids in the first days after surgery.

Even some minor hematomas on the lower eyelid should be kept in mind, which disappear within a short period of time.

Ectropion - clinical picture

As a rule, at the first stage, eyelid eversion is manifested by significant lacrimation, the cause of which is considered to be a tear aspiration disorder caused by eversion of the lower lacrimal punctum. The person wipes away the secreted fluid, stretches the eyelid, as a result of which the condition worsens.

In the case of prolonged ectropion, hyperemia and thickening of the conjunctiva gradually develops, sometimes its metaplasia (this condition is usually defined as the final stage of untreated peripheral paresis, when, after the initial lagophthalmos, it reaches the weakening of the muscles around the eyes). Sometimes during the examination exposure keratopathy and even keratitis in the lower half of the cornea are determined.

The main symptoms of eyelid inversion can be summarized in the following points:

loose fit up to the inversion of the eyelid from the surface of the eyeball;
the problem mainly affects the lower eyelid;
in the case of a loose fit of only the inner ⅓ of the eyelid, this indicates eversion of the lacrimal punctum;
A mandatory sign is excessive tearing.

The symptoms of ectropion can vary widely, depending, first of all, on the intensity of changes in the eyelid: if it is slightly drooping, as a rule, clinical signs are absent or appear minimally. The most commonly observed and only symptom of eyelid inversion is chronic conjunctivitis.

Due to inflammation, the connective tissue is red, and sometimes strong discharge appears. With significant exposure to pollen, dust and wind, symptoms become more severe and progressive in nature.

In many cases, it comes to the development of keratitis and horny skin, which, if left untreated, can lead to blindness.

Classification of the disease

Eversion of the eyelid is divided into several types, depending on the etiology. More precise symptoms are also associated with the species, on the basis of which the doctor makes a diagnosis:

Congenital ectropion. This type of disease is autosomal hereditary and rarely occurs on its own (for example, the pathology is often associated with ptosis, or blepharophimosis). Disappears spontaneously as the face grows. Relatively often affects the upper eyelids. The therapy consists of suturing the lateral edges of the eyelids and moving or transferring the skin.
Involutional (atonic) eversion of the eyelid. It is the most common form of the disease. It is especially common in the lower eyelid in elderly patients, in whom the problem is caused by weakening of the tissue and paralysis of the pretarsal part of the orbicularis oculi muscle. The disease is accompanied by significant lacrimation, hyperemia and hypertrophy of the conjunctiva. The therapy consists of horizontal shortening of the eyelid at the site of the temporal (motor) edge, as a result of which re-adhesion (sufficient adherence) of the eyelid to the eyeball is achieved.
Paralytic ectropion. As a result of reduced function of the circular eye muscle (m. orbicularis oculi), a person cannot completely close the eyelids, which often causes the development of lagophthalmos. The cause is often considered to be paresis of the facial nerve n.VII. Therapeutic methods include suturing the edges of the eyelid, that is, tarsography.
Cicatricial ectropion. Occurs, in particular, as a result of tension caused by scars on the skin of the eyelids and around them (often these are formed as a result of burns, including chemical burns, trauma or cancer of the eyelids). The treatment is quite complex: Z-plasty is performed on the site of traction scars. In the case of extensive processes, the cords are excised and the skin is covered plastically from the second eyelid or from the mastoid area (processus mastoideus).

Is it possible to use compresses or not?

If the symptoms of the disease are minor, proven therapy is used, which involves the use of suitable ophthalmic ointments containing antibiotics and corticoids. In addition, subconjunctival injection is possible.

In long-term conditions, surgery is required. Surgical methods vary and depend on the choice of specialist. All of them are aimed at strengthening the lower/upper eyelid, which makes it possible to remove ectropion.

Traditional medicine advice recommends cool compresses or lotions made from a decoction of eyebright to treat ectropion. Are they able to help? In some cases, yes. However, these compresses do not have any effect on the elasticity of the skin; they only reduce swelling of the eyelids.

The use of tonic cosmetics has a similar effect. But in the case of herbal compresses, it is necessary to take into account the risk of allergic skin reactions.

Thus, the swelling does not decrease and such self-medication can only worsen the condition. A similar “disservice” can be provided, for example, by using compresses from chamomile decoction.

Fat pads on the upper and lower eyelids, as well as excess folds of skin in this area, can be removed through surgery. For milder forms of lesions, laser surgery is used, but classical surgical techniques are usually preferred.

As a rule, women come to the doctor at an early age, who are primarily concerned about the aesthetic side of the problem. Men tend to put off resolving the issue until drooping eyelids begin to interfere with vision.

The question of when is the right time for surgery is not so easy to answer. Loss of elasticity of the skin of the eyelid leads to wrinkles. Undesirable “corrugations” are compensated by tightening the skin of the forehead and eyebrows upward.

Over time, such compensation leads to a constant forced “surprised” facial expression and the appearance of deep wrinkles on the forehead. A minor primary problem subsequently causes a larger secondary one. Therefore, in terms of aesthetics, the earlier solution is better.

Plastic treatment

Regarding the prompt solution of the problem, there are a number of questions:

What are the indications for surgery? All types of eyelid malposition or adhesions to the ocular surface must be corrected. The skin must optimally adhere to the eyeball of the eye, otherwise the eyelid cannot properly perform its functions and becomes a source of constant eye irritation. The expected benefit is the restoration of normal skin fold function.
What is the preparation for the procedure? In healthy patients there is no need for special preparation. Only in people taking drugs that affect blood clotting are treatment adjustments sometimes necessary over a short period of time. The decision to discontinue therapy or consider substituting it should always be made by the attending physician or cardiologist. In addition, it is necessary to notify the specialist of any allergies (especially to disinfectants, medications, eye ointments, drops or local anesthetics).
How is the operation performed? The procedure is performed under local anesthesia. The principle is based on plastic correction of the eyelid and its immediate area, possibly using the skin of the armpits, the oral mucosa or the cartilage of the earlobe (this is done in order to create the correct position and shape). The effect depends on the operation itself.
What are the possible complications and risks? Skin bleeding, especially in patients using drugs that affect blood clotting, imperfect healing or dehiscence of the wound, subsequent infection in the wound, incomplete closure of the palpebral fissure, insufficient correction of the position of the skin fold, allergic reactions to disinfection, ointment or local anesthesia, anaphylactic reactions are rare.

This pathology (usually ectropion of the lower eyelid) can only be treated surgically and cannot be cured on its own.

Ectropion of the century can be congenital or acquired. In the first case, the cause is a deficiency of the skin of the lower eyelid and congenital pathologies of the eye muscles.

The following factors can lead to eversion:

injuries and burns, which result in scarring and skin deficiency;
age-related changes (decreased tone of the eye muscles and elasticity of the skin, atrophy of the subcutaneous tissue);
autoimmune connective tissue diseases (ichthyosis, lupus erythematosus, scleroderma);
neoplasms in the orbital area;
facial paralysis, including after surgery;
ptosis of tissues in the periorbital region.

The risk group includes patients who often suffer from inflammatory eye diseases, such as blepharitis and conjunctivitis. In this case, the risk of muscle spasm increases.

For older people, bilateral damage to the eyelids is typical. Without therapy, inversion will only worsen with age.

Symptoms

Eversion of the eyelid is a serious cosmetic defect, but, in addition, it is accompanied by unpleasant symptoms:

ptosis of the lower eyelid;
eversion of the conjunctiva outward;
inability to close your eyes completely (lagophthalmos);
lacrimation, which occurs due to impaired outflow of tear fluid;
foreign body sensation, irritation;
frequent blinking;
redness and swelling of the eye;
thickening of the edge of the eyelid.

Unpleasant symptoms occur due to impaired hydration of the eye. The lower part of the cornea and sclera dries out, but the outer skin of the eyelid and the everted conjunctiva, on the contrary, are constantly washed by tear fluid, and not uniformly. Some areas remain dry.

If the cause of eversion is paralysis, then accompanying symptoms are added, namely ptosis of the eyebrows, corner of the mouth, and lack of facial movements.

Ptosis of the lower eyelid increases the likelihood of eye infection. In this case, symptoms of purulent inflammation are added. The inflammatory process can spread to the eyeball. This is fraught with atrophy of the retina and optic nerve, which will lead to loss of vision.

Classification

There are 4 types of ectropion of the eye:

Scar. This is an eversion caused by damage to the mucous membrane. Occurs as a result of burns, injuries and ophthalmic diseases, which are accompanied by tissue scarring.
Senile. This is the most common form of lower eyelid ptosis. It occurs due to age-related changes, namely during degenerative processes of muscle tissue. The consequence of eversion is inflammation, which without treatment leads to deterioration of vision.
Congenital. It is extremely rare. The cause is a congenital shortening of the muscles or skin.
Paralytic. It is caused by paralysis of the facial nerve, and not only the eyelid droops, but also the lacrimal opening is displaced. Tear fluid may stop being produced altogether. Paralysis is caused by botched surgery, a brain tumor, stroke, or Bell's disease.

Which doctor treats inversion?

It is necessary to consult an ophthalmologist, but in most cases, eyelid inversion is treated surgically, so the help of a surgeon is required. Depending on the etiology of ectropion, the patient may need to consult a neurologist, oncologist and dermatologist.

Diagnostics

Diagnosis of this eye disease is not difficult. Even the patient himself can make a diagnosis by looking at himself in the mirror.

When going to the hospital, the ophthalmologist conducts a visual examination, examines the skin around the eyes, and determines the presence of complications (decreased visual acuity, infection). The main purpose of the examination is to identify the cause of ectropion.

The doctor performs a biomicroscopy, during which he not only evaluates the condition of the eyelids, but also the conjunctiva, cornea and tear film.

Treatment

For eversion of the eyelid, treatment can be conservative or surgical. The choice of therapy depends on the severity of the pathology.

Indications for conservative treatment:

mild degree of defect, when there are no pronounced symptoms;
contraindications for surgery;
therapy for the underlying disease that led to eyelid inversion (if, after treatment of the underlying pathology, ectropion spontaneously resolves).

In the early stages, massage and physical therapy for the visual organs will help with lagophthalmos. Exercise improves muscle tone. Drug treatment must be prescribed to relieve unpleasant eye symptoms:

to moisturize and prevent drying of the mucous membrane, drops of “artificial tears” are prescribed - Vizin, Okutiarz;
To eliminate the symptoms of inflammation, anti-inflammatory drops are prescribed - Indomethacin;
for infection, antibiotics are prescribed - Levomycetin, Ofloxacin ointment, Tetracycline.

If ectropion cannot be cured within 6 months using a conservative method, surgery is indicated.

Indications for surgical intervention:

age-related changes;
congenital ectropion;
scars caused by injury or burn;
complications after previous blepharoplasty.

In most cases, all types of lower eyelid inversion in humans are treated surgically using. The surgeon trims the eye muscles and tightens the stretched tissues. As a result, blinking function is restored and lagophthalmos is eliminated. The prognosis after the operation is favorable, the patient’s ability to work can be restored.

Treatment of paralytic ectropion is symptomatic; consultation with a neurologist is often required.

Prevention

There are no specific preventive measures. To prevent the development of ectropion, it is necessary to undergo an ophthalmological examination once a year. The sooner an inversion can be detected, the more likely it is that surgery can be avoided.

To prevent relapse after blepharoplasty, you should follow all the doctor’s recommendations. You need to be examined every 6 months.

Drooping of the lower eyelid (with the exception of the congenital form) develops gradually over a long period. If treatment is started in a timely manner, the prognosis is favorable. Complications and surgery can be avoided.

Useful video about ectropion of the century

Eversion of the eyelid or ectropion is a condition in which the eyelid turns outward, thereby breaking the tight contact of the eyelid with the eyeball and exposing the mucous membrane (conjunctiva).

This disease is typical only for the lower eyelid. This is explained by the fact that inside each eyelid there is dense cartilage that maintains shape and gives density, and this cartilage in the upper eyelid is twice as large as in the lower.

Under the influence of certain reasons, the eyelid can turn out, and in addition to a cosmetic defect, several symptoms appear.

Symptoms of eyelid inversion

Tearing occurs due to disruption of the normal outflow of tears.

Tear is produced by the lacrimal gland, the produced tear washes the eyeball and, forming the so-called tear duct, between the lower eyelid and the eyeball, is absorbed into the lacrimal openings on the inside of the upper and lower eyelids.

90% of the tear flows through the inferior lacrimal punctum and then through the lacrimal sac and nasolacrimal duct into the nasal cavity. Therefore, if the tight contact of the lower eyelid with the eyeball is disrupted, the tear cannot flow down the lacrimal rivulet into the lacrimal punctum and accumulates between the eye and the eyelid, and then simply rolls down over the edge of the eyelid.

Irritation skin century occurs due to lacrimation. The constant production of tears and mechanical irritation of the eyelid when trying to wipe the eye leads to the skin of the eyelid becoming red, swollen, and irritated.

Feeling of foreign body, sand can occur if the lower eyelid does not cover the lower part of the cornea (the transparent front part of the outer layer of the eye) when blinking, because of this the cornea dries out and these unpleasant symptoms occur, in addition, irritation and redness of the eye is possible in severe cases.

Redness of the eyes can also be caused by changes in the conjunctiva (the mucous membrane that covers most of the front of the eyeball and the inner surface of the eyelids). When the eyelid is everted, despite the abundance of tears between the eyelid and the eye, the conjunctiva is open. Due to this, the conjunctiva periodically dries out, thickens over time, and various microorganisms can easily enter the open mucous membrane, causing inflammation.

Types of eversion of the eyelid.

Depending on the reason that caused the inversion, the following types are distinguished:

Senile inversion of the eyelid - appears in older people; its cause is age-related weakening of muscles and stretching of the skin. As a rule, a bilateral process, the severity of eversion increases with age without treatment.

Cicatricial eversion of the eyelid - occurs when the skin becomes scarred after injuries and burns, due to which the eyelid is pulled away from the eyeball by the scar. This type of eversion develops gradually and its severity depends on the location and size of the scar.
Paralytic eversion of the eyelid is observed when there is paralysis (complete lack of function) of the facial nerve, which regulates the work of many facial muscles, including the muscle that maintains the normal position of the eyelids.
Mechanical eversion of the eyelid is a consequence of various eyelid tumors, which can be located in or near the edge of the eyelid. With the growth of such a tumor, the tissues of the eyelid gradually grow with tumor cells, and due to the mechanical action on the eyelid, it turns out.

Diagnostics.

The patient himself, when examined in a mirror, can detect an eversion of the eyelid. During the examination, the ophthalmologist determines the cause of the inversion and gives the necessary recommendations.

Treatment.

In case of senile ectropion, the main method of treating ectropion is surgery. The main goal of surgical treatment is to restore normal contact of the eyelid with the surface of the eyeball and ensure normal closure of the eyes when blinking.
Cicatricial eversion of the eyelid, which occurs in the presence of an already formed scar, is also treated with surgery.
Paralytic eversion - occurs when the facial nerve is paralyzed, and due to treatment by a neurologist and gradual restoration of the function of the facial nerve, the position of the eyelid is restored.
Mechanical eversion - in the presence of a tumor of the eyelids, treatment of the tumor comes to the fore. After which the position of the eyelid is surgically restored.

In addition, if you complain of a feeling of a foreign body or sand, you can use eye drops based on natural tears, which will help moisturize the eye. However, it is worth knowing that the prescription of any drug must be agreed upon in consultation with a doctor.