Blepharitis

Inflammation of Eyelids

Blepharitis is an inflammation of the eyelids, particularly the area where the eyelashes grow. It typically affects both eyes along the edges of the eyelids.

Blepharitis commonly occurs when tiny oil glands near the base of the eyelashes become clogged, causing irritation and redness. Several diseases and conditions can cause blepharitis.

It is a chronic condition however it is not contagious and does not damage your eyesight. 

Causes:

  • Bacterial infection: The most common cause is a bacterial infection, often by Staphylococcus species.
  • Seborrheic dermatitis: A skin condition that causes flaking and greasiness, contributing to blepharitis.
  • Rosacea: A skin condition that affects the face and can also lead to eyelid inflammation.
  • Meibomian gland dysfunction (MGD): Blocked or malfunctioning oil glands in the eyelids can cause or worsen blepharitis.
  • Allergies: Reactions to allergens like makeup, contact lenses, or other environmental factors can lead to inflammation.

Symptoms:

  • Red, swollen eyelids
  • Itchy or burning eyes
  • Crusty or flaky skin on the eyelids, particularly upon waking
  • Gritty feeling in the eyes, similar to having sand in them
  • Sensitivity to light
  • Watery eyes
  • Dry eyes

Diagnosis:

Diagnosis is typically made by an eye doctor based on symptoms and an examination of the eyelids. Sometimes, a sample of eyelid debris is tested to identify any bacteria or fungi.

Treatment:

  • Good eyelid hygiene: Regular cleaning of the eyelids with a warm compress and gentle scrubbing with diluted baby shampoo or special eyelid cleansers can help reduce symptoms.
  • Antibiotics: Topical antibiotics (eye drops or ointments) are often prescribed. In some cases, oral antibiotics may be necessary.
  • Steroid eye drops: These may be used to reduce inflammation.
  • Artificial tears: To relieve dryness associated with blepharitis.
  • Managing underlying conditions: Treating conditions like seborrheic dermatitis or rosacea can help control blepharitis.

Complications:

  • Chronic discomfort: Blepharitis is often a chronic condition, meaning it can cause ongoing discomfort.
  • Stye or chalazion: Blocked glands in the eyelids can lead to these painful lumps.
  • Dry eye syndrome: The inflammation can affect tear production or the tear film, leading to dry eyes.
  • Corneal issues: In severe cases, blepharitis can lead to inflammation or scarring of the cornea, which can affect vision.

Managing blepharitis usually involves a combination of treatments and ongoing eyelid hygiene to keep symptoms under control. Contact Hesla Optometry today if you or a loved one is experiencing this condition