blef-a-right-is) is a common inflammation of the eyelids. It occurs more frequently in older people.
This affects the base of the eye lashes with a dandruff-like condition. It is
due to a low grade staphylococcal (bacterial) infection in the eyelids.
This is due to an overaction of the meibomian (sebaceous) glands
that can become blocked, inflamed
The single most important treatment principle of blepharitis patients is a daily routine of lid margin hygiene. Blepharitis and other eyelid disorders can be exacerbated by poor eyelid hygiene. Treatment for both forms of blepharitis involves keeping the lids clean and free of crusts.
Warm compresses should be applied to the lid to loosen the crusts, followed by a light scrubbing of the eyelid with a cotton swab and an eyelid cleanser such as Ilast Hydraclean. Because blepharitis rarely goes away completely, most patients must maintain an eyelid hygiene routine for life. This can be achieved with a cream product such as Ilast Care or Steriblef Foam.
If the blepharitis is severe, an eye care professional may also prescribe antibiotics or steroid eye drops. In addition to the warm compresses, patients with posterior blepharitis will need to massage their eyelids to clean the oil accumulated in the glands. Patients who also have acne rosacea should have that condition treated at the same time.
Ointments for the lids: Chloramphenicol ointment is used at night, for a few months to treat low-grade infections with the staphylococcus bacteria.
If the lids are very inflamed then a short course of Betnesol (steroid) ointment is given to settle the inflammation.
Both these ointments are applied with a cotton bud, and rubbed into the base of
Drops for the eye: To help soothe ocular irritation during the day, artificial tear drops such as Oftaox™ are prescribed to be used whenever the eyes feel dry.