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Blepharitis

Blepharitis is a common but often chronic condition involving inflammation of the eyelids. It typically affects the part of the eyelid where the eyelashes grow and can cause discomfort, irritation, and, in some cases, infection. Although blepharitis is not usually serious, it can be persistent and difficult to manage without proper treatment.

What is Blepharitis?

Blepharitis occurs when the oil glands near the base of the eyelashes become clogged or inflamed, leading to irritation and redness. The condition is often associated with skin conditions like dandruff, rosacea, or dry eyes, but bacterial infections can also cause it. There are two types of blepharitis:

  1. Anterior: affects the outer edge of the eyelid where the eyelashes attach
  2. Posterior: involves the inner edge of the eyelid where the oil glands are located

Both types can cause similar symptoms, but treatment may vary depending on the underlying cause.

The Symptoms

The symptoms of blepharitis can range from mild to severe and may include:

  • Red, swollen, or itchy eyelids
  • A burning sensation in the eyes
  • Excessive tearing

Some people may notice a gritty feeling in their eyes as if something is stuck in them. Crusty flakes, similar to dandruff, can often be seen at the base of the eyelashes, especially upon waking. Blepharitis often worsens in the morning, as the inflammation and debris can build up overnight.

What Causes Blepharitis?

The exact cause of blepharitis isn’t always clear, but several factors can contribute to its development. Bacterial infections, particularly from staphylococcus bacteria, are a common cause. These bacteria naturally live on the skin, but when they multiply too quickly, they can cause inflammation of the eyelids.

Another leading cause is malfunctioning oil glands in the eyelids, which can lead to the buildup of oils and debris. Skin conditions like seborrheic dermatitis (dandruff), rosacea, and allergies can also make a person more prone to developing blepharitis.

Diagnosing Blepharitis

Diagnosing blepharitis involves thoroughly examining the eyelids and eyes by an eye care professional. During the exam, the doctor may use a slit-lamp microscope to inspect the eyelids, eyelashes, and tear film closely. They will look for signs of inflammation, debris, and clogged oil glands.

Sometimes, a sample of the crust or oil on the eyelid may be taken to test for bacteria or fungi. While blepharitis can be frustrating to manage, an accurate diagnosis is the first step toward finding the right treatment and relief from symptoms.

Treatment for Blepharitis

There is no cure for blepharitis but maintaining good eyelid hygiene is one of the most important aspects of treating it. This involves cleaning the eyelids regularly with warm compresses to soften the oil and debris, followed by gentle lid scrubs using a clean cloth or cotton pad. In more severe cases, your doctor may prescribe antibiotic ointments or drops to reduce bacterial infection and inflammation.

Schedule Your Appointment

If you’re experiencing symptoms of blepharitis, it’s important to seek treatment to prevent complications such as styes or long-term eye irritation. At Total Eye Care, our experienced team is here to help diagnose and manage blepharitis so you can maintain healthy, comfortable eyes. Contact us today to schedule your appointment and start a treatment plan tailored to your needs.

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