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Blepharitis

Understanding About Blepharitis

Blepharitis is an inflammation of the eyelids, typically where the eyelashes grow. It is a common condition that can cause discomfort, redness, and irritation. While it isn’t usually serious, it can be chronic and difficult to manage. Blepharitis can occur due to various factors, including bacterial infections, blocked oil glands, or skin conditions such as dandruff or rosacea.

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Types of Blepharitis:

This affects the outside front of the eyelid where the eyelashes attach. It is commonly caused by bacteria or dandruff on the scalp and eyebrows.

This occurs when the oil glands in the inner eyelid become clogged. It’s often associated with skin conditions like rosacea or seborrheic dermatitis.

A combination of both anterior and posterior types, leading to more severe symptoms.

Symptoms:

The inflammation causes the eyelids to appear red, swollen, and sometimes warm to the touch.

A persistent itch or burning sensation is common with blepharitis.

Scales or crusts may form around the base of the eyelashes, particularly upon waking.

The eyes may feel like they have grit or sand in them, causing irritation.

Blepharitis can lead to excessive tearing or watery eyes.

The inflammation can interfere with the proper functioning of the tear film, leading to dryness and discomfort.

Treatment:

Applying a warm compress to the eyelids helps loosen crusts and unblock oil glands.

Keeping the eyelids clean is essential. Using diluted baby shampoo or special eyelid cleansers to gently wash the eyelids can reduce symptoms.

Lubricating eye drops can help alleviate dryness and irritation.

In cases of bacterial infection, antibiotic eye drops or ointments may be prescribed. Steroid eye drops can reduce inflammation.

Precautions:

Regularly clean your eyelids with mild, non-irritating cleansers to prevent buildup of bacteria and oils.

Eye makeup can worsen the condition. Avoid using it during active flare-ups, or ensure proper removal at the end of the day.

 

If you live in a dry climate or frequently use air conditioning or heating, using a humidifier can help maintain moisture in the air and reduce eye dryness.

Manage any underlying skin conditions like dandruff or rosacea, as these can contribute to blepharitis.

Before Surgery

Although surgery is rarely needed for blepharitis, severe cases of blocked oil glands (meibomian gland dysfunction) may require surgical intervention to unclog them. Before considering surgery, your doctor will thoroughly assess your condition, often recommending conservative treatments like warm compresses or medicated eye drops first. If surgery is necessary, the procedure may involve the expression of oil glands or other techniques to open blocked glands and restore proper tear film function.

During Surgery

Blepharitis treatment usually involves maintaining good eyelid hygiene and using prescribed medications. Warm compresses are applied to the eyelids to soften any debris or oils, followed by gentle cleaning with a cotton swab or gauze pad. Artificial tears may be used to relieve dryness. If there is an infection, your doctor will prescribe antibiotic drops or ointment. Oral antibiotics or anti-inflammatory medications may also be given for more persistent cases. It’s important to follow your doctor’s instructions closely and attend follow-up appointments to monitor progress.

After Surgery

After starting treatment, it is essential to maintain good eyelid hygiene to prevent recurrence. Symptoms should begin to improve within a few days of treatment, though full recovery may take several weeks. If medications like antibiotics or steroids are prescribed, it is crucial to complete the entire course as directed. Even after symptoms subside, regular eyelid cleaning can help prevent future flare-ups.

 

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Blepharitis FAQs

No, blepharitis is not contagious, but it is often a chronic condition that can recur.