Blepharitis
This leaflet
explains what Blepharitis is and how it can be treated
What is Blepharitis?
Blepharitis is an
inflammation of the eyelid margins, where the lashes grow. It is a common
problem and can lead to red, sore eyelids, irritation, burning, grittiness and
sometimes a dry crusty discharge on the eyelashes. Blepharitis interferes with
the spread of the tear film on the front of the eye. Dry patches can develop due
to the rapid break up of the tear film and this can also cause burning and
discomfort, increased blinking and often watering of the eye.
What causes
Blepharitis?
There are several
possible causes, which include:
·
Skin disorders
·
Chemical irritants
·
Infection
·
A
build up of greasy/oily secretions on the eyelid margin leading to inflammation.
What treatment will I
need?
Regular lid
hygiene
is the most important part of prevention and treatment should be done daily as
follows:
Hot Compresses:
Carefully soak a
flannel in fairly hot water that you are able to withstand without burning
yourself and hold it against closed eyes for 5 -10 minutes (you may need to
re-warm your cloth repeatedly). This will not only feel good, but it will make
the lid oil easier to remove. Never share flannels with others.
Cleaning:
Use a cotton bud
soaked in solution A or B and clean the edge of your eyelids carefully scrubbing
the eyelash root several times. (Almost like applying eyeliner).Some people find
this easier using a mirror.
Solution A
·
A
teaspoon of baby shampoo (no tears) in a cup of cooled boiled water
·
Mixed well
·
Prepared fresh daily
Solution B
·
Dissolve a quarter teaspoon of Sodium Bicarbonate to a cup of cooled boiled
water.
·
Mix
thoroughly
·
Prepare fresh daily.
Or
A few drops of
baby shampoo on the palm of your hand brought to a lather and massaged directly
into the eye lashes, then washed off well.
Or
Alternatively,
Lid Care are available at chemists and opticians. Follow the directions given
by the manufacturer.
Antibiotic
ointment:
may be
prescribed and if it is, wash your hands, place a small amount of ointment on
your fingertips and rub into the lid margin. This should be done after carrying
out lid hygiene.
Antibiotic
Tablets:
In some severe
cases we give a course of oral Doxycycline for 3-6 months to improve the quality
of the tear film and blepharitis.
Artificial Tears:
may help if you develop dry eyes and improve symptoms of grittiness and
soreness. For further advice on the eye drops see your local pharmacist or G.P.
Having followed the steps outlined above, we would expect the redness and
irritation to start improving after approximately 8 weeks. Perseverance with lid
hygiene gives the best results, to stop treatment altogether will probably
result in a recurrence of the problems. In some severe cases, further management
may be required under the supervision of an ophthalmologist.
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