Blepharitis (meibomian gland disease) Department of Ophthalmology Information for Patients i
Blepharitis meibomian gland disease Blepharitis is a common inflammation of the eyelid margin (where the eyelashes grow out from the eyelids). It is a long-lasting, recurrent disease that usually affects the upper and lower lids of both eyes. However, it is not a sight threatening condition. Blepharitis can affect people of all ages. What causes blepharitis? There are several types of blepharitis, most of which are related to skin type but may be made worse by exposure to dusty, dry and smoky environments. Blepharitis is caused by a blockage of the oil glands within the eyelids (known as the Meibomian glands), leading to irritation and swelling of the eyelid margins. People with certain skin conditions (eg acne rosacea) can be more susceptible and may need treatment for many years. 2
What are the signs and symptoms of blepharitis Crusting around the eyelashes Red rimmed uncomfortable eyes Burning, itching, dry sensations Watering of the eyes Tendency for eyelids to stick together after sleep You may not have all of these symptoms at the same time and the severity of the condition will fluctuate. How is blepharitis treated what can I do? You can minimise the symptoms by soothing the eyelids and unblocking the glands to clear out any stagnant oily secretions. This is a daily routine that consists of three parts. Warm compresses Massage Cleansing 3
Blepharitis what can I do? Important information: Contact lens wearers should only use water that has been previously boiled and make sure lenses are removed before beginning the cleaning routine. Tap water should never be used with contact lenses. Warm compresses A warm compress is used to soften the skin, loosen any crusts attached to the lids and make the thickened oil more runny. Specially designed heat bags, cotton wool pads or a hot flannel should be placed on your closed eyelids for about five minutes. Take care that the temperature of the compresses is not so hot that it burns the delicate eyelid skin. Massage Massage the eyelids using your fingers or a warm cloth or cotton wool pad wrapped around your finger immediately after applying the compress. Use a repeated smooth motion vertically over the eyelid and the lashes. This will help to push the oily fluids from the glands. Massaging should be firm but not uncomfortable. Always massage with your eyes shut. Cleansing Simply use a clean flannel, cotton wool pad or a muslin cloth moistened with warm water and wrapped around your finger to gently wipe away excess oil and remove any crusts, bacteria, dust or grime that might have built up amongst the lashes. You should repeat this procedure twice a day until symptoms start to settle, then repeat once daily indefinitely. A daily eyelid cleaning routine can help control the symptoms and prevent permanent scarring of the eyelid margins. 4
Flax seed oil or omega 3 vitamins and a healthy diet including oily fish can help to maintain the health of your eyes and eyelids. Some patients also benefit from artificial tear drops which can be purchased over the counter from your local pharmacy or opticians. Your questions If you have any further questions you can consult your GP or optician for any urgent concerns please contact eye emergency department on 0116 2586273 5
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