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Why does blepharitis recur?

Inflammation causes blepharitis. The source of inflammation comes from dry eyes and meibomian gland dysfunction (MGD). Treating blepharitis at the same time with dry eyes and MGD will stop its recurrence. Treating all three (3) condition is the approach TheraLife takes, and we have been very successful. To learn more, click here

What is blepharitis?

Blepharitis is a common condition that causes inflammation of the eyelids. The situation can be challenging to manage because it tends to recur.


What are other eye conditions associated with blepharitis?

Complications from blepharitis include:

Stye: A red bump on the eyelid. Bacterial infection of the oil glands of the eyelid causes the stye. The reason for a stye is due to clogged oil glands, MGD.

Chalazion: This condition is often confused with the stye. A stye is infectious, and chalazion is not. It is a usually painless firm lump caused by inflammation of the oil glands of the eyelid. A chalazion can be painful and red and will often go away by itself.  

Tear Film Abnormality: Abnormal or decreased oil secretions (MGD) that are part of the tear film can result in excess tearing ( Watery Dry Eyes ) or dry eye. Because tears are necessary to keep the cornea healthy, tear film problems can make people more at risk for corneal damage or infections (Conjunctivitis).


What causes blepharitis?

Blepharitis occurs in two forms:


Anterior blepharitis affects the outside front of the eyelid, where the eyelashes are attached. The two most common causes of anterior blepharitis are bacteria (Staphylococcus), scalp dandruff, and mites (Demodex)

Posterior blepharitis affects the inner eyelid (the moist part that makes contact with the eye). The oil (meibomian) glands in this part of the eyelid are the problem. Two skin disorders can cause this form of blepharitis: acne rosacea, which leads to red and inflamed skin, and scalp dandruff (seborrheic dermatitis).


What are the symptoms of blepharitis?

Symptoms of blepharitis include a foreign body or burning sensation; excessive tearing; itching, sensitivity to light (photophobia); red and swollen eyelids; redness of the eye; blurred vision; frothy tears; dry eye; or crusting of the eyelashes on awakening (eyeballs stuck to the eyelids).

These symptoms are similar to chronic dry eyes except in blepharitis; the eyelid has sticky crusty build up.


How is blepharitis treated?

Treatment for both forms of blepharitis involves keeping the lids clean and free of crusts. Apply warm compresses to the eyelid to loosen the crusts, followed by a light scrubbing of the eyelid with a cotton swab and eyelid cleanser. We highly recommend Avenova. Because blepharitis rarely goes away completely, most people must maintain an eyelid hygiene routine for life. If the blepharitis is severe, an eye doctor may also prescribe antibiotics or steroid eyedrops.

When scalp dandruff is present, use a dandruff shampoo for the hair. In addition to the warm compresses, patients with posterior blepharitis will need to massage their eyelids to clean the glands’ oil. Patients who also have acne rosacea should have that condition treated at the same time.


Here is a video on how to massage eyelids after a hot compressClick here

It is time to maintain your eye health, relieve dry eyes, and keep blepharitis at bay.


Courtesy: National Eye Institute, National Institutes of Health (NEI/NIH)

The National Eye Institute (NEI) is part of the National Institutes of Health (NIH) and is the Federal government’s lead agency for vision research that leads to sight-saving treatments and plays a key role in reducing visual impairment and blindness.


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