Eyeclopedia

Blepharitis

What Is Blepharitis?

Blepharitis, often referred to as "granulated eyelids" because of their appearance, is simply an inflammation of the outer edges of the eyelids where the eyelashes originate (the eyelid margins). It is a common condition that may never totally go away, but it can be controlled by treatment.

To keep it under control, you will have to devote some time and effort in its care. If you don’t, it will probably recur, which is why it is also called "chronic blepharitis."

Symptoms

Crusts form on the eyelid margins and continually flake off. If they fall into your eyes, they can be irritating and cause a foreign body sensation, as well as making the eyes look bloodshot. The edges of your eyelids may stay red much of the time, making it look as if you have been crying. Sometimes itchiness of the lids accompanies the crusting.

What Causes Blepharitis?

Blepharitis can be caused by a number of infectious organisms, though in most cases it is related to seborrhea, a common condition of the skin and hair known as "dandruff." It is not caused by a need for glasses, although if you do need glasses and tend to rub your eyes, this could add to the likelihood of lid infections. Blepharitis itself does not affect your eyesight.

Treatment

• A variety of procedures are used in treating blepharitis. Lid compresses or scrubs consist of a warm, clean wash cloth placed on the eyelashes for several minutes followed by gently scrubbing the debris from the eyes.
• Most people with dandruff-related blepharitis benefit from treating their scalp at the same time. If an anti-seborrhea shampoo has been prescribed as part of your treatment, use it on your scalp only as directed. A mild baby shampoo can be used on the eyelashes for chronic blepharitis, with the approval of your eye care professional.
• In severe cases, doctors may gently remove the crusts from the lashes with a Q-tip as a way to promote the healing process. You should not attempt to do so on your own without your doctor’s approval. Do not use mascara or eyeliner during this time.

After the blepharitis has cleared up, you may start again, but use fresh containers and brushes. If you have been putting Vaseline or other petrolatum ointment on the edge of your lids, it is a good idea to stop. Although it may help at first, it may also contribute to the formation of more crusts.

If your blepharitis is severe, you may be given a 1 to 2 week course of treatment with an antibiotic medication (either drop or oral).