Blepharitis

Blepharitis is inflammation of the rims of the eyelids, which causes them to become red and swollen. It is a common condition which can develop at any age but is more common in young children and people over 50. Most people experience repeated episodes followed by periods with no symptoms. It is not possible to catch blepharitis from someone else who has it. Although uncomfortable, blepharitis is usually not contagious and generally does not cause any permanent damage to eyesight.

Blepharitis is classified into two types:

• Anterior blepharitis occurs at the outside front edge of the eyelid where the eyelashes attach.
• Posterior blepharitis affects the inner edge of the eyelid that touches the eyeball.

Symptoms

People with blepharitis may experience a gritty or burning sensation in their eyes, excessive tearing, itching, red and swollen eyelids, dry eyes or crusting of the eyelids. For some people, blepharitis causes only minor irritation and itching. However, it can lead to more severe symptoms, such as blurring of vision, missing or misdirected eyelashes, and inflammation of other eye tissue, particularly the cornea. By touching and rubbing the irritated area, a secondary infection can also result. By touching and rubbing the irritated area, a secondary infection can also result.

Treatments

Treatment depends on the type of blepharitis.

• The key to treating most types of blepharitis is keeping the lids clean and free of crusts.
• Limiting or stopping the use of eye makeup when treating blepharitis is often recommended, as its use will make lid hygiene more difficult.
• Applying warm compresses can loosen the crusts. Then gently scrub the eyelids with a mixture of water and baby shampoo or an over-the-counter lid-cleansing product.
• In cases involving bacterial infection, an antibiotic may be prescribed.
• If the glands in the eyelids are blocked, massage the eyelids to clean out oil accumulated in the eyelid glands.
• Use artificial tear solutions or lubricating ointments, if prescribed.
• Use anti-dandruff shampoo on the scalp.
• Limit or stop using eye makeup during treatment, as it makes lid hygiene more difficult.

Temporarily discontinue wearing contact lenses during treatment.

• Some blepharitis cases may require more complex treatment plans. Blepharitis seldom disappears completely. Even with successful treatment, blepharitis may reoccur.