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Blepharitis

Blepharitis is an inflammatory condition that affects the eyelids and usually causes itching and irritation. The eyelids often appear red and swollen with crusty or flaky skin around the edges of the lids.

Blepharitis is very common but can be managed with the correct advice and treatments. It may always be present although the severity may change over time. Blepharitis is caused by inflammation of the skin and or inflammation of the meibomian glands which are found along the eyelid margin at the base of the eyelashes.

Blepharitis is not a contagious condition and cannot be transferred by being close to household contacts or sharing pillows and towels using the same towel.

There are several different types of blepharitis; some respond well to hot compresses and lid massage treatments, others may call for medications. Rarely, blepharitis can cause infection of the anterior eye which can lead to irreversible disease to the eye.

Blepharitis

Causes and associated conditions include:

  • Seborrheic dermatitis — dandruff of the scalp and eyebrows
  • Infection
  • Clogged or malfunctioning oil glands in your eyelids
  • Rosacea — a skin condition characterised by facial redness
  • Allergies, including allergic reactions to eye medications, contact lens solutions or eye makeup
  • Eyelash mites or lice
  • Dry eyes

Whatever the cause, perseverance and patience are important as it may take a few weeks before you notice the effects of any treatment.

 

How to control blepharitis

  • The key to controlling the condition is to keep your eyelids and eyelashes clean
  • Always wash your hands first
  • Use cotton eye pads dipped in warm, previously boiled water
  • Use each cotton eye pad once on one eye only and then discard
  • Several cotton eye pads may be required for each eyelid
  • Never place a used eye pad back into the cleaning solution
  • Do not clean inside eyelids
  • Thoroughly cleanse the edge of eyelids and remove any crusts, paying particular attention around the roots of eyelashes
  • Various eyelid-cleaning solutions and eyelid wipes are available commercially, or you can try making one at home. 
  • There is no single treatment for blepharitis. As well as the above measures there are a number of new treatments and procedures for blepharitis only an experienced ophthalmologist can advise and prescribe.

 

Remember

There is no connection between blepharitis and glaucoma. However, many people with glaucoma suffer from blepharitis.

Blepharitis can result in a dry eye due to evaporation of the tear film. In these cases lubricant tear drops and ointments may be helpful to relieve symptoms.

If you experience any of the symptoms from the list above and would like an honest, friendly and professional opinion, contact us using the form provided, via email info@privateophthalmologist.co.uk or call 07949 767906. These symptoms can happen in other conditions and we can guide you to the most appropriate care.

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