Blepharitis
Overview
Blepharitis is a relatively common eye condition in which the eyelids become inflamed and irritated.
Blepharitis tends to be difficult to treat simply because it is chronic and recurs easily. Prevention
depends on adherence to a strict regime of
eyelid hygiene.
There are two types of blepharitis: anterior blepharitis and posterior blepharitis. As its name
suggests, anterior blepharitis affects the anterior portion of the eyelid – the area at the edge of
each eyelid where eyelashes grow. Anterior blepharitis is most commonly caused either by bacteria
(Staphylococcus) or scalp dandruff (seborrheic dermatitis). Posterior blepharitis affects the inside
portion of the eyelid and is caused by problems with the
meibomian glands. Scalp dandruff can
also cause this type of blepharitis, as can a skin condition known as
acne rosacea. In addition,
dry eye syndrome,
chalazion,
trichiasis, and
conjunctivitis can all be associated with
both forms of blepharitis.
Signs & Symptoms of Blepharitis
Some of the most common complaints associated with blepharitis include burning sensation of the
eyes, excess tearing or watering,
foreign body sensation, and crusting or matting
of the eyelashes. Additional signs and symptoms include red eyelids, red eyes,
photophobia (light sensitivity), pain,
and blurred vision.
Detection & Diagnosis of Blepharitis
Blepharitis can often be diagnosed simply upon close inspection of the eyelids as well as a
patient's account of the symptoms he or she has been experiencing. Any information about adult skin
problems such as
acne rosacea will also be helpful in
determining the causes of the blepharitis.
Blepharitis Treatment
The single most important tool in the fight against chronic blepharitis is eyelid hygiene: keeping
the eyelids as clean as possible.
Warm compresses can be applied to the
eyelids to free up any crusts that have formed and to improve circulation in the area (this is
especially important for posterior blepharitis). A homemade solution for eyelid hygiene is a simple
combination of using a cotton swab with water and baby shampoo. While many will find this sufficient,
others may prefer the convenience of individually-packaged pre-moistened eyelid swabs. Learn more about
Eye Scrub Sterile Eye Makeup Remover Pads.
For more severe cases of blepharitis, an
eyecare professional may decide to put a
patient on antibiotics or steroids. In cases where blepharitis is secondary to another condition
occurring in the body such as dandruff (seborrheic dermatitis) or acne rosacea, this condition should
be controlled in addition to blepharitis treatment, to reduce the chances of recurrence.
Prevention of Blepharitis
Recurrences of chronic blepharitis are best prevented through diligent lid hygiene. Though can be
a bit of a burden at times, it is your best defense against blepharitis.
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