What is Blepharitis?

Blepharitis is a common condition, affecting about 30-50% of the population, where the eyelids become inflamed. This can cause redness, swelling, crusty eyelashes, and itchy or sore eyes. Severe cases may lead to eyelash loss, small ulcers, or styes. It typically affects both eyes and is a chronic condition, meaning it can recur even after treatment.

Types of Blepharitis:

• Anterior Blepharitis: Affects the outer edge of the eyelids near the eyelashes, often caused by a bacterial infection.
• Posterior Blepharitis (Meibomian Gland Dysfunction – MGD): Involves the inner eyelid glands behind the eyelashes, where gland blockages can thicken the fluid that forms the tear film.
• Mixed Blepharitis: Combines both anterior and posterior types.

Who is Affected?

Blepharitis can develop at any age but is more common in people over 50. As you age, the glands in your eyelids can become more easily blocked, leading to dry, gritty eyes.

Symptoms:

• Itchy, sore and red eyelids
• Crusty or greasy eyelashes
• Irritated or burning eyes
• Puffy eyelids
• Discomfort with contact lenses
• Eyelash loss
• Small ulcers and styes in severe cases

Treatment

While blepharitis cannot be fully cured, symptoms can be managed to make your eyes more comfortable:

• Warm Compresses: Use warm compresses to unblock glands and loosen crusts. Heat a reusable warming pack, apply to closed eyelids for 10 minutes, massage eye lids gently.
• Lid Cleaning: Clean your eyelids after using a warm compress. Your optometrist can recommend suitable cleaning methods.
• Lubricants: Available from your opticians or pharmacy to help with dry, gritty eyes.
• Antibiotics: If compresses and cleaning are ineffective, antibiotics may be prescribed by your doctor or optometrist, possibly for several weeks or months.

To prevent irritation, avoid smoky environments and eye makeup, especially eyeliner and mascara.

Professional Advise

Book a MECS exam if you have concerns about blepharitis or other eye health issues. Regular eye exams are essential for maintaining eye health.