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Blepharitis

What is Blepharitis?

  • Inflammation of the eyelids
  • Affects the base of the eyelashes
  • Can be chronic or recurrent
  • Often affects both eyes
  • Not contagious but can cause discomfort

What causes Blepharitis?

  • Bacterial infection, usually staphylococcal
  • Clogged oil glands in the eyelids
  • Dandruff of the scalp or eyebrows
  • Rosacea and other skin conditions
  • Allergic reactions or irritants
  • Mite infestation on eyelashes

What are the symptoms of Blepharitis?

  • Red, swollen eyelids
  • Itchy or burning eyes
  • Crusts or flakes at the base of eyelashes
  • Watery or dry eyes
  • Sensitivity to light
  • Gritty or foreign body sensation in the eyes
  • Blurry vision that improves with blinking
  • Eyelash loss or abnormal growth

Types of Blepharitis

Anterior blepharitis

  • Affects the front part of the eyelid
  • Caused by bacteria or dandruff

Posterior blepharitis

  • Affects the inner edge of the eyelid
  • Caused by issues with oil glands

How is Blepharitis diagnosed?

  • Eye examination by an eye care professional
  • Slit-lamp exam to inspect eyelid margins
  • Review of symptoms and medical history
  • Swab of eyelid for lab testing if infection is severe

How is Blepharitis treated?

Eyelid hygiene

  • Daily cleaning of eyelids with warm water and gentle cleanser
  • Use of warm compresses to loosen crusts
  • Gentle massage of eyelids to clear blocked oil glands

Medications

  • Antibiotic ointments or drops
  • Oral antibiotics for severe or persistent cases
  • Steroid eye drops for inflammation
  • Artificial tears for dryness

Lifestyle and self-care

  • Avoid eye makeup during flare-ups
  • Wash hands regularly and avoid touching eyes
  • Manage skin conditions like rosacea or dandruff

What are the complications of Blepharitis?

  • Chronic eye irritation
  • Eyelid scarring or thickening
  • Loss or misdirection of eyelashes
  • Dry eye syndrome
  • Conjunctivitis
  • Chalazion or stye formation

How can Blepharitis be prevented?

  • Maintain good eyelid hygiene
  • Treat underlying skin or scalp conditions
  • Avoid irritants such as smoke or dust
  • Use non-irritating eye makeup
  • Replace eye makeup products regularly

When to see a doctor?

  • Persistent eye redness or irritation
  • Blurred vision that does not improve
  • Pain or swelling in the eyelid
  • Frequent styes or chalazia
  • Symptoms that affect daily activities