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Blepharitis is a common and often chronic eye condition that affects the eyelids. It's characterised by inflammation of the eyelid margins and blockage of the meibomian glands, usually at the base of the eyelashes. While it's typically not a serious condition, blepharitis can be uncomfortable and bothersome for those who experience it.

BLEPHARITIS

Symptoms of Blepharitis
  1. Redness and Irritation: The eyelids may appear red and swollen, and there may be a sensation of itching or burning.

  2. Crusty Eyelids: People with blepharitis often wake up with crusty or sticky eyelids due to the accumulation of oils and debris.

  3. Watery or Gritty Eyes: Some individuals with blepharitis experience excessive tearing, while others may feel as if there's a foreign body, like sand or grit, in their eyes.

  4. Flaking Skin: The skin around the eyes may become flaky, and dandruff-like scales may form on the eyelashes.

  5. Lumps of the eyelid that form as a result of the blockage of oil glands (styes and chalazia)

Causes of Blepharitis:

Blepharitis can have various causes, but it's often linked to the following factors:

 

  1. Bacterial Overgrowth: The eyelids have tiny oil glands, and when bacteria overgrow in these glands, it can lead to inflammation and the symptoms of blepharitis.

  2. Skin Conditions: Conditions like seborrheic dermatitis or rosacea can contribute to blepharitis.

  3. Meibomian Gland Dysfunction: Dysfunction of the meibomian glands, which produce the oily part of tears, is a common underlying factor in blepharitis.

 

Management and Treatment:

While blepharitis is typically a chronic condition, it can be managed effectively. Treatment approaches may include:

 

  1. Eyelid Hygiene: Regular and gentle cleaning of the eyelids with warm water can help remove excess oils and debris.

  2. Warm Compresses: Applying warm compresses to the eyelids can help open up blocked meibomian glands and reduce inflammation. This should be followed by massage of the eyelids and then further cleansing of the lid margin.

  3. Antimicrobial Eye Drops or Ointments: In some cases antibiotic eye drops or ointments can address bacterial overgrowth.

  4. Anti-Inflammatory Medications: For severe cases, anti-inflammatory medications may be recommended to reduce inflammation and manage symptoms.

  5. Oral medication - oral antibiotics or mineral supplements like flaxseed or omega oils, can be beneficial 

  6. Management of Underlying Conditions: Treating any underlying skin conditions, such as seborrheic dermatitis or rosacea, can also help control blepharitis.

It is essential for individuals experiencing symptoms of blepharitis to seek guidance from a professional. While blepharitis is not usually a vision-threatening condition, appropriate management can help alleviate discomfort and maintain eye health. Regular eyelid hygiene, a healthy diet and ongoing care are often necessary to manage the condition successfully.

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