Big Pimple/Acne near Eye

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Hayden - 25 May 2009 21:59 GMT

Hi,

I have a big pimple or acne about half inch below my right
eye near the nose. The dermatologist did some pus
drainage to make it decrease in size and told me to
put ointment every few hours which I do. She said if I want,
I can also take antibiotic capsule like doxin. But not
necessary. She said she was not sure of how bacteria
from pimple near an eye behave, whether if it could get
into the subcutaneous in the blood in eyelid and reach
the eye. Have you guys ever encountered bacteria from acne or pimple
near an eye that infect the eye? Tnks!

Hayden

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Mike Tyner - 26 May 2009 08:19 GMT

When germs invade the skin this way, it's called facial cellulitis.

It's remotely possible that your eye could become affected. First you'd
notice the skin and the lid get red, puffy, sore, and crackly-feeling when
you press in.

It isn't as likely to penetrate the eye (endophthalmitis) as it is to
percolate around the eye socket and become meningitis.

There, don't you feel better? :)

-MT

> Hi,
>
[quoted text clipped - 10 lines]
>
> Hayden

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Hayden - 26 May 2009 17:32 GMT

> When germs invade the skin this way, it's called facial cellulitis.
>
> It's remotely possible that your eye could become affected. First you'd
> notice the skin and the lid get red, puffy, sore, and crackly-feeling when
> you press in.

Does it happen to the entire lid all at once or partially? How
about those who have acne right in the eyelids. You let them
take antibiotic? Is it proven that antibiotics can make acne
vanish faster or just a myth?

> It isn't as likely to penetrate the eye (endophthalmitis) as it is to
> percolate around the eye socket and become meningitis.

What's the initial symptoms of meningitis caused by acne
near eyes? So you make your patients take antibiotic when
they have acne near the eye? Would Co-Amoxiclav med work or
does it have to be tetracycline based? Why tetracycline based?
Which antibiotic class best protects the visual organ?

If the eye really got infected. Can antibiotic cure it? Or
would it be a permanent condition like some who
wear dirty soft contacts that make an eye intolerant
forever to any contacts because the eye becomes
super sensitive?

Hayden

> There, don't you feel better? :)
>
[quoted text clipped - 16 lines]
>
> - Show quoted text -

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Mike Tyner - 26 May 2009 21:52 GMT

> Does it happen to the entire lid all at once or partially?

You would see it (red) and feel it (hot, tender, crackly) below the lid
first.

> How
> about those who have acne right in the eyelids. You let them
> take antibiotic?
> Is it proven that antibiotics can make acne
> vanish faster or just a myth?

I don't often treat acne, and when I do it's usually acne rosacea and that's
a little different. In that case, yes, doxycycline has proven beneficial.

> What's the initial symptoms of meningitis caused by acne
> near eyes? So you make your patients take antibiotic when
> they have acne near the eye?

Meningitis is a complication of cellulitis and you don't have cellulitis.
Meningitis usually begins with fever, headache, and stiff neck.

> If the eye really got infected. Can antibiotic cure it?

Some bacteria are notoriously resistant, in the eye or anywhere else.

Fungal infections are difficult to treat. They respond to treatment, but you
have use drops diligently for a long time.

Parasitic infections can be nasty. The FDA yanked salt tablets because
distilled water contained amoeba spores. There's no good treatment for
amoebic keratitis.

Besides all that, most eye infections in healthy young people are not
bacterial, so antibacterial drops are useless.

> Or would it be a permanent condition like some who
> wear dirty soft contacts that make an eye intolerant
> forever to any contacts because the eye becomes
> super sensitive?

That's not so common as you think.

Send 'em to me. :)

-MT

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