Quặm mi là tình trạng lông mi cuộn vào trong mắt, cọ xát vào giác mạc. Có thể xảy ra ở mi trên hoặc mi dưới. Nguyên nhân do khiếm khuyết bẩm sinh cấu trúc của sụn mi, tăng sản cơ vòng mi và lớp da bờ mi mắt.

Dấu hiệu nhận biết: bé thường chảy nước mắt, dụi mắt từ lúc sau sinh và khi kéo dài tình trạng này sẽ có đổ ghèn. Khám: bờ mi cuộn vào trong, lông mi cọ giác mạc gây tróc biểu mô, loét, hoặc có sẹo mờ đục.


Biến chứng loét giác mạc của quặm mi (Nguồn: Pubmed)

Lưu ý, một số trường hợp gây chảy nước mắt do nguyên nhân khác: tắc lệ đạo, viêm kết mạc sơ sinh…

Khi có biến chứng như: viêm giác mạc, sẹo đục giác mạc, loét,.. thì cân nhắc điều trị phẫu thuật cho bé, ở mốc tuổi bé lên 3.

Khuyến cáo, khi trẻ thường hay dụi mắt, chảy nước mắt tái diễn kéo dài thì nên đưa bé đến khám chuyên khoa Mắt để xác định bệnh và điều trị, tại bệnh viện Sản Nhi An Giang.

BsCKI. Nguyễn Thị Cẩm Quỳ (Sưu tầm và tổng hợp).


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