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Blepharitis is a common
inflammatory condition that affects the eyelids. It usually causes
burning, itching and irritation of the lids. In severe cases, it may also
cause styes, irritation and inflammation of the cornea (keratitis) and
conjunctiva (conjunctivitis). Some patients have no symptoms at
all.
Blepharitis is usually a
chronic problem that can be controlled with extra attention to lid
hygiene. However, it is sometimes caused by an infection and may require
medication.
Signs and Symptoms
- Sandy, itchy eyes
- Red and/or swollen eyelids
- Crusty, flaky skin on the eyelids
- Dandruff
Detection and Diagnosis
Blepharitis is detected
during a routine examination of the eyelids and lashes using a slit lamp
microscope.
Treatment
The key to controlling
blepharitis is to keep the eyelids and eyelashes clean. Begin by soaking
a clean washcloth in hot tap water. Hold the washcloth to your cheek to
test for temperature before placing it on the eyes. Place the compress on
closed eyelids for five minutes, and then repeat. Next, gently scrub the
eyelids with a washcloth or cotton swab soaked in a mixture of equal parts of
baby shampoo and water. Afterward, rinse the lids thoroughly with warm
water.
This treatment should be repeated two to three times daily
for two weeks, and then reduced to once daily. Consult your eye care
practitioner regarding the correct medical treatment. In some cases,
anti-inflammatory and antibiotic drops or ointments are necessary for flare-ups
or more severe cases.
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