Blepharitis can also be found in conjunction with
other skin disorders, such as acne rosacea and seborrheic
dermatitis (scalp dandruff).
The primary treatment for blepharitis is a good eyelid
hygiene regimen. Over-the-counter eyelid scrubs (Ocusoft
lid scrubs) can be used in the morning to remove crust and debris
from the eyelashes. These pre-moistened towellettes contain a
soap solution that will not irritate the eye. With your eyes closed,
gently wash along the eyelashes for 15 seconds. Then wash your
face as you normally would. Baby shampoo and a clean finger can
be used in place of the lid scrubs, if desired.
Warm compresses 2-3 times per day can also
help the blocked glands to drain more effectively. Wet a clean
washcloth with warm water and place over the closed eyelids for
5-10 minutes. Re-warming the washcloth with hot water may be required
during this time.
Extra lubrication in the form of artificial tears
4-5 times daily can help with foreign body sensation. Many brands
are available over-the-counter (Refresh, Systane, Genteal, Theratears,
etc.) including many generics.
Occasionally, a mild antibiotic or antibiotic/steroid
combination will be prescribed for short-term use in
severe cases.
Blepharitis tends to recur over time. Good
eyelid hygiene habits are the cornerstone of successful long-term
treatment.
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