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Children wink and make eyes look good. Parents should be careful.
Chinese Academy of Chinese Medical Sciences Xiyuan Hospital /Zhang Yuping

Children are naturally lively, occasionally making faces or even squeezing, which may make you smile happily. However, if the child blinks and winks frequently every day for no reason, and involuntarily twitches on multiple parts of the face, the more the warning becomes, the more serious you will be, you will definitely not be happy. Then do you know what causes children to win and get eyes frequently?
Dry eyes for children
Previous studies have believed that dry eyes mainly occur in adults, with a prevalence rate of 20% to 30%. In recent years, there have been more and more reports on dry eyes in children, and children have also experienced the same dry eyes as adults, with a prevalence of 15% to 20%. Adult dry eyes patients mainly complain about dry eyes and red eyes, while children with dry eyes have abnormal eyes.
Flash abnormality: In natural state, 10 to 15 blinks per minute. If the blinks frequently and more than 15 times per minute, it is defined as abnormal eyes or frequent blinks and frequent blinks.
Children's dry eyes also have fear of light, squinting, rubbing eyes, red eyes, eye pain, vision fluctuations, etc.
Doctors diagnose dry eyes, in addition to based on the patient's symptoms, there are other objective indicators as the basis for judgment. The main objective indicators of dry eyes in adults and children are: the tear film breaking time ≤ 5 seconds, and this item has no pain during the examination. It is most suitable for children to check.
The main reason for dry eyes is that electronic products such as mobile phones, computers, game consoles, etc. are becoming increasingly in-depth in life. Some infants and young children also like to watch mobile phones, cry when they don’t show it, and can even operate mobile phones. In addition, due to the epidemic and other reasons, online teaching has increased and normalized. According to clinical reports, the use rate of video terminals in some developed countries has reached 89.9%. Some children are focused when staring at the screen, their eyes are wide open, and the area of tears evaporates increases, and the tear film with eye moisturizing effect cannot be formed in time. In addition, due to the damage of screen light, it will damage the function of the eye surface in the long run. Tears secretion decreases, resulting in dry eyes, and discomforts such as dry eyes, photophobia, red eyes, and astringent discomforts, frequent blinking, blinking, squinting, and even the face. Twitch. Patients experience the above situation, of course there are physical factors.
Allergic conjunctivitis
This is the most common allergic disease in children's eyes. It often occurs with frequent blinking, squeezing, rubbing eyes, foreign body sensation, burning sensation and other symptoms similar to dry eyes. Children aged 6 to 14 years old, the prevalence of allergic conjunctivitis is 0.3% to 20.5%. This disease significantly reduces the stability of the tear film, so it is often accompanied by dry eyes.
This disease has its own characteristics: generally has obvious seasonality, frequent spring and autumn, and also has perennial diseases; it often occurs with allergic rhinitis , pharyngitis , asthma ; children have allergic constitution, and their parents are also often allergic constitution.
Ticarticular syndrome
This disease is also known as multiple tics in children. At the beginning of the disease, in addition to frequent blinking and squeezing, there are also nose sucking, pouting, opening the mouth, sticking out the tongue, nodding, etc. As the disease progresses, the twitches gradually become more diverse, and rotations appear such as shrugging, turning the head, shaking the head, kicking, shook the hand, weird screams in the mouth or twitching the limbs.
Ticle syndrome often aggravates when emotionally excited or hearing others mention it, and the twitch disappears when playing or sleeping. It is often seen in children aged 3 to 12, and is more common in boys. In recent years, the incidence of this disease has increased significantly. The cause and pathogenesis are not yet clear, and it is now believed that it is closely related to biology, society, psychology, environment, etc. If the disease is not detected and treated as soon as possible, the condition will be difficult to cure, which will cause harm to the child's physical and mental health.
Refractive error
Refractive error includes myopia, hyperopia, and astigmatism. When children suffer from refractive errors, they will be unable to see objects due to their loss of vision. Those with far-sightedness cannot see things near the distance clearly; those with myopia cannot see things far-sightedness cannot see things near the distance clearly. If the child sees something blurry, he will squint, blink, and rub his eyes, and may also experience dry eyes and red eyes. Studies have shown that children with mild hyperopia and mild astigmatism have higher incidence of dry eyes than frontal and mild myopia.
Emboed eyelashes
Emboed eyelashes are not uncommon among children. Some children have a lot of facial fat, low nose bridge, no bulge, and a lot of excess flesh at the edge of the lower eyelid, causing eyelashes to roll inward, burp the eyelashes to the cornea, or even straight prick the cornea, which can cause punctate keratitis, and often do not heal for a long time. In severe cases, corneal clouds and even corneal vascular hyperplasia will form, causing permanent damage to vision.
Because the cornea is rich in nerve endings, it is very sensitive to lesions. The so-called "not rubbing sand in the eyes" refers to the degree of sensitivity of the cornea to stimulation. Therefore, when inverted eyelashes harsh the eyeballs, the child will also blink frequently. The cornea is the only completely transparent tissue in the body, with no blood vessels, poor resistance, poor repair ability, easy to form scars (that is, cloud cataracts) and affect vision, and it is difficult to treat. To this day, corneal disease is still regarded as a serious ophthalmic disease, and parents should attach great importance to it.
Blepharitis
This disease is a subacute or chronic inflammation of the eyelid margin surface, eyelash follicles and their glandular tissue. In recent years, the incidence of blepharitis in children in my country has been on the rise, and treatment is delayed because the early symptoms of children are atypical and parents are easily ignored. Recurrence of this disease can cause dry eyes, even keratitis, keratitis, and damage visual function.
Meibomian Genditis
This disease is an acute inflammation caused by the invasion of the eyelid glands of the pyogenesis bacteria. It is what ordinary people call "-needle eye ". It is one of the common eyelid diseases in children. Children have poor awareness of hand hygiene, often touching their eyes with dirty hands, but lack resistance. If the needle eye cannot become pus and ulcer and heal, chronic granuloma will often form, and it will occur one after another and recurrence. Multiple and recurrent meibomian glanditis can easily cause meibomian gland dysfunction . The meibomian gland secretes less fluid (eye lubricating oil), which will also lead to dry eyes.
Immune function abnormal
Children Autoimmune disease can reduce the secretion of tear fluid by damaging the lacrimal gland; damage the meibomian gland function, causing abnormal secretion of lipid lipid fluid, resulting in dry eyes.
diabetic
study shows that the tear secretion and lacrimal gland stability in children with type 1 diabetes can cause chronic inflammation of dry eyes and eyes.
Sleep deficiency
Research shows that children with insufficient sleep will have an increased incidence of eye diseases such as dry eyes, eye inflammation, and myopia.
The environment of emotional tension in the family
The atmosphere of the family is tense and discordant. The emotional instability of children is the cause of eye diseases, the cause of indigestion, and the cause of nervous system dysplasia.
partially consuming
children with spleen and stomach discomfort and have weak digestibility, and there are also families with vegetarians. Children with fat-soluble vitamin are insufficiently absorbed. For example, vitamin A deficiency can not only cause dry eyes, but also cause vision loss and systemic diseases.
What should parents do
1. You should always pay attention to children's behavior and detect abnormal phenomena as soon as possible.
2. If abnormal situations are found, you need to go to the hospital for examination as soon as possible.
3. Regular physical examinations. Every six months (up to 1 year), go to the hospital for a specialized physical examination.
4. Parents should set an example. Children like to imitate adult behavior. Parents should look less at mobile phones and other electronic products when they are at home. They should not let children get in touch with electronic products too early, and they should not treat them as their children's toys. They should often take their children to play games, go outdoor activities, and get in touch with nature.
5. Create a harmonious family environment. In some families, couples are incompatible, mother-in-law and daughter-in-law are not sunny, and are less tolerant, and often quarrels over trivial matters, which makes the family atmosphere in a long-term depression. Children are young and have strong dependence on adults. The body, spirit, and nervous system are not developed and . For some adverse stimuli, the body cannot deal with them normally, which may cause permanent damage. Liver depression and qi stagnation are the main causes of allergic conjunctivitis, dry eyes, myopia, spleen and stomach discord.
6. Diseases are discovered, and formal and thoroughly treated.Once a child is diagnosed with illness, parents must overcome difficulties and go to the hospital for treatment as directed by the doctor. They cannot delay the treatment of their children at will because they are busy with work or are troublesome, thus leaving behind sequelae.
Western medicine treatment
dry eyes can be used for eye contact. Sodium hyaluronic acid eye drops, polyvinyl alcohol eye drops, carbomer eye drops, etc. are used in clinical practice. Children with allergic conjunctivitis can use diclofenac sodium eye drops, pyracensate potassium eye drops, etc. For those with meibomian gland dysfunction, add antibiotics such as levofloxacin eye drops, and ask a doctor to clear the blocked meibomian glands.
In short, children should be cautious when taking medicine, and need to be applied under the guidance of a professional doctor and reviewed in a timely manner.
Chinese medicine understanding and maintenance recipe
. In terms of disease name
the above diseases belong to the symptoms of "metaphora", "white astringent", " slow convulsion ", "jinti meat swelling", etc., which have been recorded in ancient medical books.
2. In terms of cause
" Huangdi Neijing " says, "the liver opens to the eyes", "the liver can see when it receives blood", and "the liver controls the tendons". Children are pure yang bodies, and their livers are often excess. If the environment is not harmonious, the liver yang is hyperactive and the tears are burned, it will lead to dry eyes; if the liver wind is triggered, you will blink, suck your nose, shrug your shoulders, etc. Children often have insufficient lungs, which are delicate organs. External evils invade the eyes, mouth, nose and fur, resulting in allergic diseases. Children's diet is hungry and full and cannot control themselves, which often leads to damage to the spleen and stomach, insufficient qi and blood, and ischemia in the eyes, brain and other parts. "If you don't have a good stomach, you will feel restless." When you sleep, you will kick the quilt, sweat, grit your teeth, wet the bed, and frequently turn over. You are prone to colds and have poor immune function. It is prone to conjunctivitis , needle eye (meibomian glanditis), keratitis and other surface inflammations, and it can also cause myopia to progress faster.
3. In terms of treatment
There are more than a dozen diseases involved in children's winks and eyes. They look very complicated, but in fact they are not difficult to treat in traditional Chinese medicine, because using the great wisdom of "treatment of different diseases and concurrently" in traditional Chinese medicine can make treatment simple.
Traditional Chinese Medicine Prescription
The author has more than 30 years of clinical experience in treating the above symptoms and satisfactory in the treatment of the above symptoms. The following prescriptions for reference are:
lotus seed meat, keel bone , white peony, wheat, roasted licorice , cicada shed , silk silkworm , papaya , black plum , chicken gizzard, chrysanthemum, kudzu root, codonopsis pilosula, wolfberry, tangerine peel, yam , etc.
This reference prescription is an oral prescription. Decoct the medicines together for half an hour, take the juice, take 100 ml each time, twice a day, and take oral half an hour after the meal. Adding honey will not affect the efficacy. This prescription has a calm nature and a mild effect. It is mainly dietary therapy and has a sweet and sour taste. It has the effects of relieving the liver, strengthening the spleen, nourishing the stomach, calming the mind and improving eyesight, and enhancing immune function.
It should be noted that this prescription can only be used as a reference. The clinical situation is complicated. You must also ask your doctor to make a decision based on the patient's condition and then prescribe the most suitable prescription.
Chinese patent medicine
Under the guidance of a doctor, according to the dosage and instructions of children, you can refer to the application of honghua Qinggan Shisanwei Pills , Mingmu Dihuang Pills, Buzhong Yiqi Pills, Xiaoyao Pills, etc.
Acupuncture treatment
pressing needles, ear beans, etc. are painless, easy for children to accept, and the effect is also good. Doctors can diagnose based on the eight-class , determine the location of the disease, and provide treatment.
topical therapy
herbal eye wash wet compress recipe, which can be used for various eye surface diseases above except keratitis. Prescriptions and usage have been mentioned many times in the previous article "Love Eyes and Youdao". Interested readers can check it as needed and will not repeat it here.
Some things you want to say to parents:
Children's internal organs are delicate, their language expression ability is not strong, their physical and mental development is not yet perfect, their ability to resist external stimuli is poor, and they are dependent and imitated on adults. Therefore, parents should set an example, teach by example, guide correctly, and cultivate their children's positive, cheerful, brave and upward character. Personality directly affects children's health, mainly affecting the eyes, digestive system, nervous system, etc., which has been confirmed by countless clinical research institutes.Parents should also pay attention to the abnormal situation in children as early as possible and go to the hospital for examination in time. Once the disease is confirmed, it will generally not be cured once or twice. We must insist on treating according to the course of treatment.
I hope our children can grow up healthily and have a bright future.


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Author of this article: Zhang Yuping
Editor of this article: Xiulong
