Monnett Eye & Optical Center

Blepharitis

Blepharitis is chronic inflammation of the eyelids. The severity and time course of which can vary. While blepharitis is more annoying and irrating to those who have it; it is not dangerous, is relatively easy to treat.

Types of blepharitis:

Staphylococcus blepharitis is caused by infection of the anterior portion of the eyelid by Staphylococcal bacteria also known as "staph." As the infection progresses, the sufferer may begin to notice a foreign body sensation, matting of the lashes, and burning. The condition can sometimes lead to a chalazion or a stye.

Seborrhea blepharitis is the most common type of blepharitis. It is often found in people with a Rosacea skin type. It occurs when the oil glands in the lid secrete a modified oil which leads to inflammation at the meibomian gland openings which are found at the edge of the lid. Hormones, nutrition, general physical condition and stress are also believed factors in seborrhea.


Ulcerative blepharitis is a less common but more severe condition that may be characterized by matted, hard crusts around the eyelashes. It can leave sores around the outside of the eyelid.

Symptoms of blepharitis:
  • Itchy, burning, watery eyes
  • Sore eyes
  • Sticky discharge that may causes the lashes to stick
  • Redness of the eyelid edges
  • Frequent sty formation
  • Tiny pimples on the eyelid edges
  • Scaly skin flakes along the eyelid margins
  • Gritty sensation leading to irritated eyes and light sensitivity
  • Blurred vision

Causes of blepharitis:
  • Poor eyelid hygiene
  • Excess oil produced by the glands in the eyelid
  • Bacterial infection (often staphylococcal)
  • Allergic reaction
  • Treating blepharitis:

In addition to eliminating redness and soreness, treatment can prevent potential infection and scarring of the cornea. You doctor will perform a complete eye examination to determine the most effective treatment.

Treatment
The single most important treatment principle is a daily routine of lid margin hygiene, as described below. Such a routine needs to be convenient enough to be continued for life to avoid relapses as blepharitis is often a chronic condition. But it can be acute, and one episode does not mean it is a life-long condition.

Other treatment methods may also apply:
1. Apply a warm wet compress to the lids
2. Removal of eyelid debris
3. Antibiotic reduction of lid margin bacteria (at the discretion of your physician)
4. Avoid the use of eye make-up until symptoms subside.