Blepharitis

Blepharitis is a common condition which causes inflammation of the eyelids. It is a chronic external eye disorder resulting in red, burning, and irritated eyes.

The cause of blepharitis is due to the inflammation of the tear glands that are located behind the eyelashes. These tear glands are responsible for producing the oily component of tears.  With blepharitis, the oils from these glands do not flow freely and the gland openings become plugged. Left untreated, these glands can become infected. Loss of eyelashes can occur as well as recurrent painful eyelid swelling or styes. Dandruff-like scales may be found at the base of the eyelashes. Many patients complain of burning eyes, worse in the morning upon awaking in addition to their eyelids being matted shut.

There are many causes as to why these glands become inflamed. Frequently blepharitis occurs in people who have a tendency towards oily skin and dandruff. It can occur at any age.

Since blepharitis is a chronic condition, there is no cure. There are several ways to treat it and patients can manage it quite well. Cleaning away the crusty material around the lashes with warm compresses helps to keep the lashes clean. This involves holding a warm washcloth over the eyelids and gently scrubbing the area at least twice a day. This technique also helps to keep the oily component of the tears flowing better. Commercial lid scrubs can also help to clean the eyelids further. Lid scrubs are medicated pads similar to the ones used to remove eye makeup. Instead of the lid scrubs, patients can dilute a small amount of baby shampoo in a small cup with warm water. A Q-tip soaked in the diluted shampoo can be carefully applied to the eyelashes.

Sometimes antibiotic ointments applied to the lid margins may help manage the symptoms of blepharits. Artificial tear and steroidal eye drops also may be prescribed. In severe cases oral antibiotics may have to be considered as a treatment.

To help keep the effects of blepharitis in check, the above therapies may have to be done on an ongoing basis. Early diagnosis and strict compliance with the treatment suggested by your local optometrist or ophthalmologist is crucial in the management of blepharitis. 


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