Definition

This is a chronic inflammatory condition of the lid margin. It is often bacterial in origin.

Presentation

Styes/chalazion Recurrent red eyes Secondary dry eyes Chronic ocular irritation

Complications

Corneal infections Misdirected lashes Cicatricial entropion: scarring of the lid margin with resultant inward rotation

Treatment

Daily lid scrub Topical antibiotic ointment

Method Of Lid Scrub :

Apply a hot compress over the lid for 5 minutes. Scrub the lid margin using either a Q-tip or a soft towel dipped in a mild shampoo (eg. Johnson's Baby shampoo). Repeat the hot compress.

In severe cases of blepharitis, it may be necessary to scrub the lids 3 times daily. In all patients, lid hygiene has to be maintained on a long-term basis. In acute stages, topical antibiotic ointment, such as teytracycline can also be applied to the lid margin. This is done simply by squeezing a small amount of the ointment onto the tip of a cotton bud and rubbing it onto the lid margin. Any excess ointment may then be wiped off.

If there are cornea complications, such as sterile infiltrates, mild topical steroids may be used, on short term basis. Ocular lubricants may also be prescribed for the dry eyes.

* This is a general guide. If in doubt, please consult your doctor.