Understanding Blepharitis: Causes, Symptoms, and Treatment

Blepharitis is a common eye condition that causes inflammation of the eyelids. It can be uncomfortable, but it’s usually manageable with proper care. Let’s break down what blepharitis is, its symptoms, causes, and how you can treat it.

Blepharitis occurs when the tiny oil glands near the base of the eyelashes become clogged. This leads to irritated and red eyelids. It’s a chronic condition, meaning it can come and go over time.

Common symptoms of blepharitis include:

  • Red, swollen eyelids
  • Itchy eyelids
  • A gritty or burning feeling in the eyes
  • Flaking of the skin around the eyes
  • Crusty eyelashes, especially upon waking
  • Sensitivity to light
  • Watery eyes

Several factors can contribute to blepharitis, including:

  • Bacterial infections: Commonly caused by Staphylococcus bacteria.
  • Seborrheic dermatitis: A skin condition that causes flaky, itchy, and red skin.
  • Rosacea: A skin condition that affects the face and can cause eye problems.
  • Allergies: Reactions to eye drops, contact lens solutions, or cosmetics.
  • Mites or lice: Tiny parasites that live in or near the hair follicles.

Managing blepharitis involves good eyelid hygiene and sometimes medication. Here are some steps to help control symptoms:

  1. Warm Compresses: Apply a warm, damp cloth to your eyelids for a few minutes. This helps loosen crusts and dilates the oil glands.
  2. Eyelid Scrubs: Gently scrub your eyelids using a clean cloth or cotton swab with diluted baby shampoo or a special eyelid cleanser. This helps remove debris and excess oils.
  3. Medications: In some cases, doctors may prescribe antibiotic ointments or drops to treat infections, or steroids to reduce inflammation.
  4. Artificial Tears: These can help relieve dryness and irritation.
  5. Manage Underlying Conditions: Addressing issues like rosacea or seborrheic dermatitis can help reduce blepharitis flare-ups.

While home care is often effective, see a doctor if:

  • Your symptoms persist despite treatment
  • You experience severe pain or vision changes
  • There is a lot of swelling or redness in the eye itself

Sharon Enemuoh

Dr. Sharon Ekene Enemuoh, O.D, MBA, Member WCO Org Owner/CEO, Chief Optometrist – Vision Plus Specialist Eye Clinic Ltd. She is a doctor and leading practitioner in Optometry. A qualified administrator, executive and leader in Optometry, Eye care, Clinical services and Public Health, possessing extensive experience in various areas of the eye medical field, its adjacencies, the value chain and its management. Highly experienced and versatile with 10+ years management experience at various levels, actual business ownership and leadership pedigree. 18+ years as a practicing doctor and professional. ● O.D … Doctor of Optometry ● MBA ● Member – World Council of Optometry (WCO) ● Member – Nigeria Optometry Association (NOA) ● Committee member (NOA) – Training: Graduate Optometrists (Lagos state). ● Vice Chairman Guild of Optometrist Directors of Nigeria (GOODON), Lagos State Chapter ● NOA Representative – HEFEMMA Lagos Optometry Standards and Certification team
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