Blepharitis.

What is blepharitis?

Blepharitis is any inflammation of the eyelid margin. It can affect all age groups and is usually a chronic condition that needs consistent management. Blepharitis usually affects both eyes but this can be unequal. If not managed, it can lead to worse symptoms such as styes, scarring and more persistent infections.

What causes blepharitis?

The common causes of blepharitis are staphylococcus and seborrheic dermatitis. Demodex Mites also play a role. Meibomian Gland Dysfunction (MGD) is also considered a form of blepharitis.

Staphylococcus is a common type of bacteria living in low numbers on our skin. For most of us it does no harm but for some individuals this bacteria, and it’s toxins, can cause blepharitis.

Seborrheic blepharitis is related to a form of dermatitis. The affected skin tends to be oilier and can become scaly. Seborrheic dermatitis is known to cause dandruff as well as a rash on the face or upper body.

Demodex Mites are also commonly found in skin, particularly as we get older. When we get too many of these they like to live in our lashes and cause Demodex Blepharitis.

What are the symptoms of Blepharitis?

Symptoms of Blepharitis can be constant or intermittent. Symptoms of Blepharitis do depend on the severity of the case and can vary person to person, but can include:

  • Crusty Eyelids & Lashes

  • Red, swollen eyelids

  • Gritty Eyes

  • Burning and stingy eyes

  • Itchy eyes

  • Eye discomfort on waking

  • Styes

Treatment for Blepharitis.

A good eye care professional will give you individualised advice but key options for management of Blepharitis include:

  • Warm Compresses to soften debris, crusting and scales on the lids. This is also beneficial if there is also signs of MGD. Ideally with a wheat bag, Bruder Mask, OptiSoothe Mask or another device designed to effectively warm the glands for long enough to the right temperature.

  • OptiMel™, a unique honey-based eye drop, has been shown to be an effective in reducing bacterial load on the lid margin, improving signs of inflammation & redness.

  • Clean lids are healthy lids so lid hygiene is important. Lids & Lash Hygiene are key.

  • A course of topical antibiotics can be used if the severity warrants it.

  • NuLids™ device to effectivily remove debris may be beneficial.

  • Other procedures an eye care professional may recommend include Lid Margin Debridement.

What to do if you think you have Blepharitis?

A Dry Eye Specialist optometrist or ophthalmologist will look at your overall ocular surface health and the type of Blepharitis you have to give you individual advice to help you manange your symptoms.