Blepharitis

Blepharitis is an inflammation of the eyelids that can cause red, irritated, itchy eyelids and the formation of a dandruff-like scales on eyelashes. It is a common eye disorder caused by either bacterial or a skin condition such as dandruff of the scalp or acne rosacea. It can affect people of all ages. Although uncomfortable, blepharitis is not contagious and generally does not cause any permanent damage to eyesight.

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 signs and symptoms such as blurring of vision, missing or misdirected eyelashes, and inflammation of other eye tissue, particularly the cornea.

Blepharitis can be diagnosed through a comprehensive eye examination at Sullivan - Ostoich Eye Center. Testing, with special emphasis on evaluation of the eyelids and front surface of the eyeball, may include:

• Patient history to determine any symptoms the patient is experiencing and the presence of any general health problems that may be contributing to the eye problem.
• External examination of the eye, including lid structure, skin texture and eyelash appearance.
• Evaluation of the lid margins, base of the eyelashes and meibomian gland openings using bright light and magnification.
• Evaluation of the quantity and quality of tears for any abnormalities.
  

Using the information obtained from testing our doctors can determine if you have blepharitis and advise you on treatment options. An important part of controlling blepharitis involves treatment at home. In cases involving bacterial infection, an antibiotic may also be prescribed.

At Home Treatment:

Directions for a Warm Soak of the Eyelids:

1. Wash your hands thoroughly.
2. Moisten a clean washcloth with warm water.
3. Close eyes and place washcloth on eyelids for about 5 – 10 minutes, reheating the washcloth as necessary.
4. Repeat as directed by your doctor.

Directions for an Eyelid Scrub:

1. Wash your hands thoroughly.
2. Mix warm water and a small amount of non-irritating (baby) shampoo.
3. Using a clean cloth (a different one for each eye) rub the solution back and forth across the eyelashes and edge of the closed eyelid.
4. Rinse with clear water.
5. Repeat with the other eye.