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Blepharitis Treatment

Blepharitis is a common, long-term, chronic condition characterised by inflammation around the edges of the eyelids. The eye condition is one of the most common eye disorders in the UK, affecting people of all ages.

Symptoms of blepharitis

Blepharitis is a chronic condition, meaning that the symptoms below can recur over time. So, while the inflammation is not sight threatening, it is important to follow your doctor’s instructions on treatment to avoid discomfort when any of the symptoms return.

Can be a combination of any of the following: 

  • Red and inflamed eyelids
  • Crusting around the eyelids
  • Itching and discomfort
  • Gritty sensation, as if a small foreign object is in the eye
  • Burning sensation
  • Blurred vision

What causes blepharitis?

Blepharitis can be classified into:

  • Anterior blepharitis
  • Posterior blepharitis.

Whilst there are many causes at play, the most common cause is a subset of posterior blepharitis, known as meibomian gland dysfunction (there are 40-50 meibomian glands situated within the eyelids). These meibomian glands are responsible for producing lipids (oils) that cover the tears on the surface of the eyes and stop them evaporating.

Blepharitis Treatment Options

Treatment for blepharitis will depend on the severity of your symptoms. Mr Allon Barsam can advise on the best treatment for your particular case. Unfortunately, there is no cure for this chronic eye condition, but by following good eyelid hygiene practices, the treatment can be effective after 4-6 weeks.

A step-by-step process for eyelid hygiene

This process works by unblocking the oil glands that contribute to inflammation, treating blepharitis through daily warming and cleaning of the affected area.

It will take weeks to start seeing results, so it is important to persevere with a daily eyelid hygiene routine.

  • Step 1 – First, hold a clean flannel soaked in comfortably hot water against the (closed) eyelids for 5 minutes. This melts oils in the blocked glands and softens the skin and any crusts attached to the eyelids. If the flannel cools, keep rewarming in hot water. To make this easier, you can buy microwavable hot-compresses for this purpose.
  • Step 2 – Massage the eyelids by gently and carefully rolling your first finger across the eyelids from the nose to the temple. Do this on both the upper and then lower eyelids. This helps to push out the melted oils from the tiny eyelid glands. Be careful not to touch the inside of the eyelid when doing this.
  • Step 3 – Clean away any crusts that are present, particularly around the roots of the lashes, using fresh cotton buds. If you like, you can use a cleaning foam and eyelid wipes.
  • Finally – Don’t forget to carry out this routine once a day without fail. Do NOT clean inside the eyelids or rub your eyelids, as this could make the inflammation worse. It may also be a good idea to stop wearing makeup when your eyelids are inflamed as this can make it more difficult to practice good eyelid hygiene and keeps your eyelids clear of debris.

Antibiotic ointment

Your doctor may prescribe antibiotic ointment to help treat blepharitis.

After cleaning your lashes as above, apply some antibiotic ointment to the tip of a fresh cotton bud or a clean finger and rub it into the roots of your eyelashes, top and bottom, just before bedtime.

Perform this nightly for 2 weeks, then twice a week for 10 weeks.

Oral antibiotic tablets

Some forms of blepharitis require a course of oral antibiotic tablets, usually for several months. Your doctor will explain how to take them. You will probably be advised to take one Doxycycline 100mg tablet twice a day for the first 2 weeks and once a day thereafter. These should be taken with food.

After three months, the dosage may be reduced to one tablet every two days.

Steroid eye drops

Occasionally, blepharitis is treated with a course of steroid eye drops.

Artificial tears

Sometimes the condition can cause dry eyes, which can be treated with artificial tears.

Flaxseed or Omega 3 oil capsules

Omega oils can treat the symptoms of blepharitis by improving the quality of oil from the glands, which will help to prevent tear evaporation. These supplements are available over the counter without a prescription. Simply take one capsule with breakfast and one more with your evening meal.

Book a consultation with Allon Barsam

Mr Allon Barsam can advise on the best treatment for your particular case.

Book a consultation with Mr Barsam by contacting us on 0808 133 2020 or by filling in our online booking form.