Blepharitis

DR MARINA SYRIMI EYE CLINIC

Blepharitis

Blepharitis is a benign condition affecting the eyelid margins. It causes inflammation that lead to redness and sometimes crusting of the eyelid margins (like dandruff of the eyelashes).

What causes Blepharitis?

The eyelids contain small glands which secrete the oily part of the tear film (figure 1). These secretions keep the eye lubricated. In blepharitis these glands get blocked and as result the eyes become sore. In some people, blepharitis is thought to be caused by hypersensitivity reaction to normal skin flora (Staphylococcus). Although the condition is more common in people with allergic eye conditions, like asthma, there is no direct link causation.

Treatment with lid hygiene

Lid hygiene is a method of cleaning the eyelids that eases the symptoms. It should be done daily. The aim of the treatment is to encourage healthy tears, to increase the ocular surface lubrication and o reduce inflammation.

Step-by-step guide to lid hygiene

Step 1: Soften the oils with warm compresses

Hold a warm flannel firmly against closed eyelids for 3-5minutes. This softens the secretions in the glands. Ensure the flannel is comfortable when placed on the skin.

Step 2: Unblock the glands with massage

Following the warm compresses, apply gentle pressure on the eyelids the encourage the stagnant secretions to come out. Use your index finger to massage the lower eyelid in a direction towards the eyelashes. This encourages the secretions to be cleared. For the upper eyelid perform the opposite movements ie. Use the index finger to massage towards the eyelashes.

Step 3: Clean the edges of the eyelids

There are two ways to clean the secretions away from the eyelid margin. You can use commercially available or via the following method. Wet a cotton bud with cool boiled water. Pull the eyelid away from the globe using your finger. With the other hand wipe where the eyelashes come off and then throw the cotton bud.

Other treatments

Your doctor may advise you on other treatment options: