Sharnak

This is a growth of fatty substance that occurs on the upper eyelid, weighs it down when opened and makes it seem relaxed. It sits tightly and is not movable, just like the nodules are movable. It most often occurs in children, people with a damp nature, and those who often have tears and sore eyes.

Signs. Signs of the disease include the following: if you press on the tubercle with two fingers and then move them apart, a protrusion will appear between the fingers.

Treatment. It is treated by hand as follows: the patient is seated and his head is held, pulling it back. The skin on the forehead above the eyes is tightened and the upper eyelid is raised. The doctor grasps the eyelid between the index and middle fingers and squeezes lightly, then the substance is collected, being squeezed, into the space between the two fingers. The one holding the head pulls the skin from the middle of the eyebrows; when the tubercle appears, the doctor cuts the skin on it properly, but lightly and shallowly, because this requires caution - gradual cutting is better than making a deep incision right away. If the fatty substance appears after the first cut, then this is good, but if not, then cut again until it appears. As soon as the sharnak is exposed, you need to wrap your fingers in a linen rag and remove it, separating it on the right and left. If there remains a residue that cannot be removed, you should sprinkle it with salt so that it corrodes it. If the sharnak is enclosed in a shell and holds tightly, then the part that is exposed is removed, and the other is left and not touched, but is left to the absorbing power of salt, which is sprinkled with it. Then apply a rag soaked in vinegar. When the morning of the second day comes and there is confidence that there will be no inflammation of the eye, adhesive medications are used; These include khudad, an ointment made from horned poppy and saffron.

Sometimes the grown-in part of the sharnak, which cannot be reached by exposing and removing the skin, is taken with the help of a hair passed through hooks under the sharnak; they move it right and left until the sharnak falls off, or this is done with the help of a feather. When cutting, be careful not to penetrate too deep. If the cutting doctor greatly stretches the eyelid and continues to cut until the skin and even the membrane underneath the sharnak is cut in one go, then fat will appear in the cut area, if you squeeze it with your fingers, which cover the stretched skin on both sides; this will be followed by severe pain and hot inflammation. There will be a solid residue that is bothersome, and it is even worse than the charnak itself. In this case, a piece of the levator palpebral muscle may sometimes be cut off. Then the eyelid loses some of its strength and the eye does not open properly. If the charnak is fresh and poorly developed, it is usually cured with absorbable means without using the hand.