Blepharitis | definition of blepharitis by Medical dictionary Blepharitis | definition of blepharitis by Medical dictionary blepharitis [blef″ah-ri´tis] inflammation of the glands and lash follicles along the margin of the eyelids ; symptoms include itching, burning, photophobia, mucous discharge, crusted eyelids, and loss of eyelashes. Warm saline compresses may be used to soften secretions, and the eyelids are cleansed thoroughly. Exudate and scales should be removed by stroking downward and sideways. Antibiotic salve or eyedrops are administered as prescribed; in some cases systemic antibiotic therapy is indicated. angular blepharitis inflammation involving the outer angle of the eyelids. nonulcerative blepharitis (squamous blepharitis) that in which the edge of the eyelid is covered with small white or gray scales. ulcerative blepharitis that marked by small ulcerated areas along the eyelid margin, multiple suppurative lesions, and loss of lashes.

bleph·a·ri·tis /bleph·a·ri·tis/ (blef″ah-ri´tis) inflammation of the eyelids. blepharitis angula´ris inflammation involving the angles of the eyelids. blepharitis cilia´ris , marginal blepharitis a chronic inflammation of the hair follicles and sebaceous gland openings of the margins of the eyelids. nonulcerative blepharitis , seborrheic blepharitis blepharitis with seborrhea of the scalp, brows, and skin behind the ears, marked by greasy scaling, hyperemia, and thickening. ulcerative blepharitis that marked by small ulcerated areas along the eyelid margin, multiple suppurative lesions, and loss of lashes. blepharitis [blef′ərī′tis] Etymology: Gk, blepharon + itis an inflammatory condition of the lash follicles and meibomian glands of the eyelids, characterized by swelling, redness, and crusts of dried mucus on the lids. Ulcerative blepharitis is caused by bacterial infection.

Nonulcerative blepharitis may be caused by psoriasis, seborrhea, or an allergic response. observations Individuals report a foreign-body sensation of the eye. There are red eyelid margins, flaking and scaling around lashes, an itching and burning sensation, and loss of lashes. Light sensitivity, conjunctivitis, and possible corneal inflammation may also occur. In ulcerative blepharitis there are crusts on the eyelids, which bleed when removed. Small pustules develop in lash follicles, and eyelids become "glued" together by dried drainage during sleep. Lid margins thicken over time with misdirected growth and/or loss of eyelashes. Corneal pannus, ulcerative keratitis, and lid ectropion can occur in severe cases. Diagnosis is made by clinical examination, and lab tests may be run to isolate the causative agent. Individuals with chronic diseases, such as diabetes, gout, anemia, and rosacea, or a history of sties, chalazia, or chronic infections of the mouth and/or throat are at greater risk. intervention Blepharitis is stubborn to treat and is often resistant to various therapies.

Topical antiinfective ointments and drops are used, but the mainstay of treatment is the use of eyelid scrubs. Resistant cases may require oral antibiotic treatment. nursing considerations Nurses need to provide individuals with detailed instructions in scrubbing and washing techniques. Eyelid hygiene consists of scrubbing the lid margins and lashes on closed eyelids daily and massaging lid margins to stimulate flow of secretions then cleansing with a cotton swab dipped in a diluted solution of baby shampoo. Careful instructions are needed for the application of antibiotic ointments to lid margins and drops to ocular surfaces. Individuals should also be instructed to use seborrheic dermatitis medicated shampoos and to apply hot compresses for 5 to 10 minutes to closed eyelids to loosen lid debris. Blepharitis Definition of Blepharitis Our Blepharitis Main Article provides a comprehensive look at the who, what, when and how of Blepharitis Definition of Blepharitis Eyes and Eye Conditions Quiz Blepharitis: Inflammation of the eyelids. Blepharitis occurs in two forms, anterior and posterior.

Anterior blepharitis affects the outside front of the eyelid, where the eyelashes are attached. The two most common causes of anterior blepharitis are bacteria (Staphylococcus) and scalp dandruff . Posterior blepharitis affects the inner eyelid (the moist part that makes contact with the eye) and is caused by problems with the oil (meibomian) glands in this part of the eyelid. Two skin disorders can cause this form of blepharitis: rosacea and seborrheic dermatitis . Last Editorial Review: 5/13/2016 Blepharitis: Causes, Symptoms and Treatment - Medical News Today Blepharitis: Causes, Symptoms and Treatment 4 18 Blepharitis is an eye condition affecting the eyelids and can cause clumping and stickiness around the eyelashes. This condition may be diagnosed by an optometrist after a person with blepharitis has these signs pointed out to them by a family member, friend or colleague. Contents of this article: Treatment and prevention of blepharitis What is blepharitis?

Blepharitis is a common eye condition that is not specific to any one group of people.1 As such, it can affect:1 Blepharitis is a condition of the eyelids around the base of the eyelashes. Children and adults People of all ethnicities People of any gender. A high proportion of patients seeking help with ocular conditions from health care professionals specializing in eye care are diagnosed with blepharitis.

In a 2009 survey, carried out in the US, 37% of patients seen by an ophthalmologist, and almost half (47%) of patients seen by an optometrist had signs of blepharitis.1,2 The total number of cases at any one time in the US is not known, but estimates may be drawn from data from 1982, when there were nearly 600,000 patient consultations about blepharitis.1 Blepharitis is classified as either acute or chronic, with chronic adult blepharitis the most common form of the eye condition.1 Blepharitis is further defined by the exact location of the problem, whether at the front or the back of the eyelid.1 For most purposes, blepharitis is taken to mean the chronic form of eyelid inflammation, which will be the focus of this information page. The following YouTube video, from the American Academy of Ophthalmology, gives a very short and straightforward visual description of blepharitis. Fast facts on blepharitis Here are some key points about blepharitis. More detail and supporting information is in the body of this article.

Blepharitis is an inflammatory condition affecting the area around the base of the eyelashes. The acute form of blepharitis is sometimes described as an eyelid infection (bacterial or viral), whereas chronic forms of the inflammatory condition are diagnosed as blepharitis. If the condition affects the top, outer side of the front of the eyelids, it is called anterior blepharitis: a condition with a disease process similar to that of seborrheic dermatitis of the face and scalp. If the condition affects the underside of the front of the eyelids (the moist side in contact with the eye near the eyelashes), it is called posterior blepharitis. This shows a similar disease process to the anterior version, but also specifically affects the little glands that secrete an oily substance onto the eye. While the disease process is well described, the underlying causes of chronic blepharitis are not well understood. Bacteria can be associated with the condition, with Staphylococcus infection more common in women than men. Blepharitis is not caused by poor hygiene.

The most obvious signs of blepharitis are redness and stickiness of the eyelid, with clumping of scaly skin around the base of the eyelashes. Treatment aims at relieving symptoms, but is generally not curative, even when prescription drugs or ointments are used. Treatment is typically effective at managing symptoms. Blepharitis treatment is usually lifelong and involves a ten minute cleansing process performed twice daily. The patient applies warm compresses to loosen the crusty skin and then uses a gentle scrub to clear away this dead skin. Blepharitis that affects the glands near the base of the eyelids may also be relieved by massaging the glands to express the (often thicker) contents and clear blockages. What causes blepharitis? The cause of blepharitis differs by type, whether acute or chronic, and for the latter cases, by whether it affects the outside or the underside of the eyelids.

The underlying reason for the inflammatory condition is not understood, with the "cause" relating instead to observations of the disease processes.3-5 Acute blepharitis can be ulcerative or non-ulcerative:5 Ulcerative acute blepharitis is usually caused by an infection - usually bacterial and usually staphylococcal. A viral cause is also possible, such as infection with Herpes simplex and Varicella zoster. Non-ulcerative acute blepharitis is usually an allergic reaction. Examples of this include atopic blepharo-dermatitis, seasonal allergic blepharo-conjunctivitis, and dermato-blepharo-conjunctivitis. The diagnosis of blepharitis is usually concerned with the chronic forms - the focus of this article. Although academic descriptions classify up to six specific forms of chronic blepharitis,4 for practical purposes it is enough to look at two broad types according to the part of the eyelids affected:1,3-6 In anterior blepharitis affecting the outer part of the front of the eyelids, a bacterial (usually staphylococcal) or seborrheic disease process is involved.

Seborrhea is poorly understood; it manifests as dandruff when it affects the scalp.7 Patients with anterior blepharitis often also have seborrheic dermatitis of the face and scalp, or another skin condition called acne rosacea . In posterior blepharitis affecting the underside of the front of the eyelids, there is a problem with the glands near the base of the eyelashes (the condition is also known as Meibomian gland dysfunction, MGD). The glands over-secrete their oily substance or become blocked. The reason for this is not well understood, although hormonal causes are suspected and the condition is often associated with acne rosacea. Posterior blepharitis can also be associated with seborrheic dermatitis. Signs and symptoms of blepharitis The main features of blepharitis are the following problems with the eyelids:1 Itchiness Flaking Crusting.

The crusting may be more prominent on waking in the morning - all of the symptoms generally tend to be worse at this time.1,3,4,6 Complaints also include:1,3,4 Sensations of burning, itching, irritation or that there is a foreign body or a grittiness in the eyes Excessive eye watering, tears ( epiphora ) Conversely, dry eyes (especially with posterior blepharitis) Stickiness of the eyes Oversensitivity to light (photophobia) Intolerance to wearing contact lenses. Blepharitis is not a sight-threatening problem, but it can result in decreased vision, which can come and go.1,4 The condition usually affects both eyes3,4 - it is bilateral - and if it is present in only one eye, this can lead a physician to suspect an alternative diagnosis.4 The symptoms of chronic blepharitis tend to come and go, with periods of remission (a pause in symptoms) followed by exacerbations (a flare up).3 The next section will discuss signs of blepharitis - that is, the problems visible to a doctor that help them to diagnose the condition.

Diagnosis and tests for blepharitis Broadly, there are three types of blepharitis: acute blepharitis (which may be diagnosed as lid infection instead); and two chronic forms (which are also known as lid inflammation ).3 Chronic blepharitis is usually either anterior blepharitis or posterior blepharitis (also known as Meibomian gland dysfunction, or MGD):3,6 Anterior blepharitis affects the outer side of the front of the eyelids Posterior blepharitis affects the underside of the front of the eyelids (the moist side in contact with the eye). In a case that shows both anterior and posterior blepharitis, the diagnosis is termed marginal blepharitis.3 Doctors will first determine a diagnosis of blepharitis by asking about symptoms (taking a history). After confirmation of symptoms listed above , the doctor will then examine the patient's eyelids and eyes.

Slit-lamp examination to find signs of blepharitis When carrying out an eye examination, the doctor will look for signs that help them determine the specific type of blepharitis, and the appearance of various features that can help to further sub-diagnose the problem.3 A suspected case of blepharitis is best examined under a slit-lamp. Initial consultations may involve examinations without any special equipment until a more specialized examination is possible using a slit lamp. A slit lamp is a specially developed, low-power microscope with an intense thin-beam light source. This lamp allows the doctor to look at the outside of the eyes and the eyelids while the patient's head is held steady by resting the chin and forehead against supports.8 Anyone who has recently had a vision test at their optometrist's office will likely be familiar with this piece of equipment.

Use of a slit lamp usually reveals the following signs of anterior blepharitis:3 Redness (erythema) and swelling ( edema ) of the eyelid margin, and telangiectasia (appearance of small blood vessels because they are widened) on the outside of the eyelid Brittle scales in the eyelashes, forming "collarettes" around the lashes, from the base up as they grow Eyelashes pointing toward the eye (trichiasis) in severe and chronic cases Depigmentation (loss of color) of the eyelashes (poliosis) Loss of eyelashes (madarosis) Ulceration and scarring of the eyelid, and scarring of the cornea. Posterior blepharitis tends to show the following signs:3 Meibomian glands may be capped with oil, dilated, or obstructed The glands' secretions may be thicker Telangiectasia(s) and lid scarring may also be present in the area around the glands. Examination of the moisture over the eyes can reveal a sign common to all diagnoses of chronic blepharitis - instability in the tear film.

This instability in the moisture of the eyes may be a result of rapid evaporation caused by abnormal lipid composition in the secretions from the Meibomian glands.5 Treatment and prevention of blepharitis Self-care and home treatment of blepharitis Eyelid hygiene is the mainstay of treatment for both types of blepharitis and is something that should be maintained even when symptoms are in remission.3 Self-care is the most important element of treatment, augmented by help from a doctor or eye care specialist. Blepharitis cannot be cured, but treatment is successful at managing symptoms.3,4 Symptoms of blepharitis will recur if self-care is not maintained, even after symptoms clear up; believing that the problem has been cured is a false hope.

In addition to home treatment, people with the eyelid inflammation should avoid using cosmetics such as eyeliner, mascara and other make-up around the eyes.4,11 Management of both anterior and posterior forms of blepharitis involves a two-part process of lid hygiene, with a third element added for posterior blepharitis management:3,4,6,9,10 Warm compresses - to loosen crusts Lid cleansing - to remove crusts Massage - to express the small oil glands of the eyelids. A warm compress helps to soften and loosen oily plugs and crusts, by diluting sebum and dilating the ducts of the glands secreting this oil.4,5 Using a warm compress simply means placing a warm cloth over closed eyelids, reheating the compress with warm water when it cools and reapplying for up to 10 minutes.4,5 To ensure safety when using warm compresses and blepharitis treatments, be sure to follow physician advice and to heed the warnings of doctors who have shared patients' experiences in a medical journal:11 Dip the cloth in warm water - some patients have suffered facial burns by using a microwave to heat up the wet cloth.

Use a soft cloth only - one patient resorted to using a toothbrush and scrubbing vigorously, causing damage to his skin and eye. After a warm compress has been applied for up to ten minutes, the patient should then cleanse their eyelids. This is done by gently rubbing the margin of the eyelid (at the base of the eyelashes, and where the glands are located) with a cotton swab soaked in a dilute solution of baby shampoo (2-3 drops in about half a cup of warm water).4,5 This lid hygiene needs to be maintained as a self-care regime twice a day every day. Although this is a considerable lifelong commitment, without this hygiene regimen the troublesome symptoms of blepharitis will recur.3,4,6 This hygiene is necessary for both types of blepharitis, and the third element - massage - is necessary for posterior blepharitis (Meibomian gland dysfunction). Massage helps to express the oily contents of the glands after first loosening the sebum with the warm compress.

To do this effectively, use a finger or a cotton-tipped applicator/swab to massage the margin of the eyelid (where the eyelashes and glands are) using small circular motions.3,4,6,9,10 Some patients prefer using warming eye masks to achieve the same effects as the warm cloth compresses. These masks may be more convenient, especially given the need for a twice-daily lifelong regime. Eye scrubs are also available and offer an alternative to the use of dilute baby shampoo.4 Replacement tear drops or "artificial tears" available without a prescription will help to counter the dryness of the eyes caused by blepharitis during the day.

Similarly, bland ointments available from the pharmacy may help to retain moistness in the eyes overnight.5 Antibiotics and other prescribed medicines for blepharitis The American Academy of Ophthalmology (AAO) published their Preferred Practice Pattern guidelines in October 2013, including advice on the assessment, diagnosis and management of blepharitis.13 In brief, the AAO guidelines recommend that physicians:13 Attempt to treat moderate to severe blepharitis with eyelid hygiene and topical antibiotics prior to intraocular surgery Avoid the use of costly new technologies (including devices using thermal pulsation) as these are not currently supported by sufficient evidence May prescribe topical antibiotic ointments with or without corticosteroids or oral antibiotics (azithromycin should be used with caution in patients with cardiovascular problems as it may adversely affect heart rhythm) Consider the possibility of carcinoma as a differential diagnosis in patients with chronic blepharitis that does not respond to therapy, particularly if the patient is experiencing a loss of eyelashes).

There is a need for further clinical trials to establish the safety and benefits of drug treatments for blepharitis in addition to current self-care recommendations.12 Recent trials have, however, shown that antibiotics and topical corticosteroids can produce significant improvements.12 Doctors will typically recommend these only when hygiene alone has not worked, although antibiotic ointments are always indicated in acute cases of blepharitis that have a bacterial cause; oral antiviral drugs are prescribed for acute viral cases.5 Combination drug ointments are prescribed by doctors to address both the infectious and inflammatory elements of blepharitis.12 Eyelid Inflammation (Blepharitis) Glossary of Terms with Medical Definitions See the entire definition of Acute Allergen: A substance that can cause an allergic reaction. Common allergens include ragwee... See the entire definition of Allergen Allergy: A misguided reaction to foreign substances by the immune system, the body system ... See the entire definition of Allergy Antibiotic: A drug used to treat bacterial infections. Antibiotics have no effect on viral... See the entire definition of Antibiotic Antidepressants: Anything, and especially a drug, used to prevent or treat depression.

Bacteria: Single-celled microorganisms that can exist either as independent (free-living) ... See the entire definition of Bacteria Blepharitis: Inflammation of the eyelids. Blepharitis occurs in two forms, anterior and po... See the entire definition of Blepharitis Chalazion: A cyst of the little glands in the eyelids that make a lubricant which they di... See the entire definition of Chalazion Chronic: In medicine, lasting a long time. A chronic condition is one that lasts 3 months ... See the entire definition of Chronic Compress: Cloth or another material applied under pressure to an area of the skin and held... See the entire definition of Compress Contagious: capable of being transmitted from one human to another human via direct or ind... See the entire definition of Contagious Cortisone: A naturally occurring adrenocorticoid hormone that is produced in minute amount... See the entire definition of Cortisone Dandruff: A scalp condition that produces white flakes that may be shed and fall from the ... See the entire definition of Dandruff Discharge: 1.The flow of fluid from part of the body, such as from the nose or vag...

See the entire definition of Discharge Dry eye: A deficiency of tears. The main symptom is usually a scratchy or sandy feeling as... See the entire definition of Glaucoma Hygiene: The science of preventive medicine and the preservation of health. Also commonly ... See the entire definition of Hygiene Incision: A cut through skin or other tissue performed by a health care professional. Infection: The invasion and multiplication of microorganisms such as bacteria, viruses, an... See the entire definition of Infection Inflammation: A localized reaction that produces redness, warmth, swelling, and pain as a ... See the entire definition of Inflammation Itching: An uncomfortable sensation in the skin that feels as if something is crawling on ... See the entire definition of Itching Laboratory: A place for doing tests and research procedures, and for preparing chemicals a... See the entire definition of Laboratory Microscope: An optical instrument that augments the power of the eye to see small objects.... See the entire definition of Microscope Ocular: Having to do with the eye. Omega-3 fatty acids: A class of essential fatty acids found in fish oils, especially from ...

See the entire definition of Pain Prescription: A physician's order for the preparation and administration of a drug or dev... See the entire definition of Prescription Recurrence: The return of a sign, symptom, or disease after a remission. The reappearance ... See the entire definition of Recurrence Scrubs: A protective garment designed to be worn by the doctor, nurse, and others in the o... See the entire definition of Scrubs Sensation: In medicine and physiology, sensation refers to the registration of an incoming... See the entire definition of Sensation Sore: 1. (adjective) A popular term for painful, such as a sore throat. 2. (... See the entire definition of Sore Surgery: The branch of medicine that employs operations in the treatment of disease or inj... See the entire definition of Surgery Systemic: Affecting the entire body. A systemic disease such as diabetes can affect the wh... See the entire definition of Systemic Tear: A drop of the salty secretion of the lacrimal glands which serves to moisten the con... See the entire definition of Tear Tear film: The liquid layer bathing the cornea and conjunctiva. It creates a perfectly smo...

Blepharitis - Mayo Clinic Blepharitis Blepharitis Blepharitis (blef-uh-RYE-tis) is inflammation of the eyelids. Blepharitis usually involves the part of the eyelid where the eyelashes grow and affects both eyelids. Blepharitis commonly occurs when tiny oil glands located near the base of the eyelashes become clogged. This leads to irritated and red eyes. Several diseases and conditions can cause blepharitis. Blepharitis is often a chronic condition that is difficult to treat. Blepharitis can be uncomfortable and may be unsightly. But it usually doesn't cause permanent damage to your eyesight, and it's not contagious. Preferred Practice Pattern Guidelines. Blepharitis — 2013. San Francisco, Calif.: American Academy of Ophthalmology. Accessed Feb. 6, 2015. Shtein RM. Blepharitis. Accessed Feb. 6, 2015. Facts about blepharitis. National Eye Institute. Accessed Feb. 6, 2015. Blepharitis. American Optometric Association. Accessed Feb.

6, 2015. AskMayoExpert. Blepharitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. Lindsley K, et al. Interventions for chronic blepharitis. Cochrane Database of Systematic Reviews. Accessed Feb. 6, 2015. Barbara Woodward Lips Patient Education Center. Inflamed eyelid (blepharitis). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. Ferri FF. Blepharitis. In: Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. Accessed Feb. 6, 2015. Pflugfelder SC, et al. Treatment of blepharitis: Recent clinical trials. Ocular Surface. 2014;12:273. Sadarangani SP, et al. Non-anti-infective effects of antimicrobials and their clinical applications: A review. Mayo Clinic Proceedings.

2015;90:109. Yanoff M, ed., et al. Blepharitis. In: Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier; 2014. Accessed Feb. 6, 2015. Alpha-linolenic acid. Natural Medicines Comprehensive Database. Accessed Feb. 9, 2015. Robertson DM (expert opinion). Mayo Clinic, Rochester, Minn., Feb. 20, 2015. Products and Services Blepharitis: Causes, Treatment of Eyelid Inflammation By Brian Chou, OD Like This Page? Please Share! Blepharitis is a common eyelid inflammation that sometimes is associated with a bacterial eye infection, symptoms of dry eyes or certain types of skin conditions such as acne rosacea . Blepharitis has two basic forms: Anterior blepharitis, affecting the outside front of the eyelid where eyelashes are attached. Posterior blepharitis, linked to dysfunction of meibomian glands within the eyelids that secrete oils to help lubricate the eye.

It's common to have a mixture of both anterior and posterior forms of blepharitis at the same time, but in different degrees of severity. Although eye doctors commonly diagnose blepharitis, it can be difficult to find permanent relief of the symptoms that can include burning, flaking, crusting, tearing, irritation, itching, redness in eyelid margins and a foreign body sensation . Blepharitis can cause inflamed eyelids, eye burning and dryness. Treatment For Blepharitis If you are diagnosed with chronic blepharitis, your eye doctor will likely recommend an ongoing regimen of eyelid hygiene ( see below ) that can include commercially developed, over-the-counter lid scrubs or other recommended cleansing agents. Eyelid hygiene is the cornerstone of treatment for most cases of blepharitis. Besides a program of eyelid hygiene, the severity of the blepharitis and related symptoms may require supplemental treatment with topical and oral medicine. In some cases of posterior blepharitis, eye doctors recommend nutritional supplementation with omega-3 fatty acids , such as flaxseed oil , to aid healthy function of meibomian glands that provide essential lubrication for eye and eyelid comfort.

Recommended For You Anterior Blepharitis Symptoms of bacteria-caused staphylococcal blepharitis often are more severe and can even lead to loss of eyelashes. Besides eyelid cleansing and hygiene, an antibiotic ointment for eyelids might be prescribed. Pink eye due to bacteria  a common type of eye infection  may occur simultaneously with blepharitis. Viruses and other types of bacteria besides staphylococcus also can cause anterior blepharitis. Without treatment, blepharitis caused by bacteria can cause long-term effects such as ectropion , thickened lid margins, dilated and visible capillaries, trichiasis and entropion . In cases of trichiasis and entropion, the cornea may exhibit significant erosion from eyelashes rubbing against the eye. Seborrheic blepharitis is caused by seborrheic dermatitis, a skin condition that creates flaking and scaling  including on the eyelids. Regular cleansing with eyelid scrubs and gentle, non-detergent shampoos can provide significant relief and improve the appearance of eyelids.

The American Academy of Dermatology notes that the causes of these skin conditions are not well understood. But seborrheic dermatitis sometimes appears in a person with a weakened immune system. Fungi or certain types of yeast that feed on oils ( lipids ) in the skin also may lead to seborrheic dermatitis, with accompanying blepharitis. What is more important than your vision? Find local eye doctor to get an eye exam With demodex blepharitis, microscopic mites (demodex folliculorum) and their waste materials could cause clogging of follicles at roots of eyelashes, and in some cases might be associated with development of skin conditions such as rosacea and blepharitis. A commercial eyelid scrub combined with tea tree oil may be effective for treating this type of blepharitis.* Other reported treatments of demodex blepharitis include sulfur oil and steroids. An anti-parasitic gel (metronidazole) also has shown effectiveness as a treatment. Another version of these mites (demodex brevis) can be found more generally in oil glands of the skin and eyelids, which also may contribute to blepharitis symptoms.

While presence of these tiny mites is common in everyone, researchers speculate that some people develop demodex blepharitis due to unusual allergic or immune system reactions leading to inflammation. Posterior Blepharitis Posterior blepharitis involves dysfunction of oil-secreting meibomian glands within the eyelids. The openings of these glands are at the inner edge of the eyelids, and oils secreted by the meibomian glands help prevent tear evaporation. Also called meibomian blepharitis, meibomitis or meibomian gland dysfunction (MGD) , posterior blepharitis reduces meibomian gland output or produces abnormal oily secretions. Symptoms of posterior blepharitis include inflamed and thickened eyelid margins, eyelid crusting and other symptoms that are often difficult to manage. With this type of blepharitis, tears can even look foamy. Meibomian blepharitis sometimes is described as dry eye syndrome caused by meibomian gland dysfunction. Rosacea blepharitis often is a component of ocular rosacea , which can cause eyelid inflammation linked to dysfunction of the skin's oil (sebaceous) glands.

Acne rosacea is a common skin inflammation characterized by pimple-like bumps and facial redness  especially around the cheeks, nose, forehead and chin. As with certain forms of blepharitis, underlying causes of rosacea aren't well understood. However, rosacea does appear to be linked to certain genetic tendencies and environmental factors, such as excessive sun exposure. Clogged meibomian glands from posterior blepharitis also can cause a stye or chalazion to form. A stye, which is often uncomfortable, grows from an infected oil gland in the eyelid. A chalazion is a non-infected, usually painless nodule caused by inflammation of a blocked meibomian gland. SEE ALSO: How to Get Rid of a Stye > Good Eyelid Hygiene Relieves Blepharitis Symptoms Blepharitis can be difficult to manage because it is often chronic, meaning that it never goes away completely. Your eye doctor may recommend one or more of these steps involving good eyelid hygiene and massage: Top: Use a cotton-tipped swab to apply cleaning solution recommended by your eye doctor.

Rub gently around the edges of your upper and lower eyelids, but do not get cleaning solution in your eye. Bottom: The goal of blepharitis treatment is to return your eyelids to a normal, healthy state. Apply a warm compress such as a washcloth to the outer eyelids. Cleanse the eyelids with a commercial lid scrub or other recommended product. Gently massage the outer eyelids. A warm compress loosens the crust on your eyelids and eyelashes before you clean them. The warmth also can loosen any blocked residue in the oil-secreting meibomian glands in your eyelids. To use a warm compress: Wash your hands, then dampen a clean washcloth with warm water. Place the washcloth over your closed eyes for several minutes. Open your eyes, and then use fingers to rub gently around the outer eyelids in a circular motion. Don't press too hard on the eyeball. Follow your doctor's recommendations on how often to use a compress and how long it should be kept in place. When you first begin treatment, your eye doctor may suggest that you do this several times daily, for about five minutes each time. Later on, you might apply the compress once daily for a few minutes.

Cleaning the eyelids is essential to blepharitis treatment. Your doctor will recommend what cleansing agent to use, such as warm water only, baby shampoo diluted with warm water or a special over-the-counter product made specifically for cleansing the lids. To clean eyelids: Wash your hands, then dip a clean washcloth, cotton swab or gauze pad into your cleaning solution. Make sure you squeeze out any excess moisture. Gently wipe across your lashes and lid margin. Rinse with cool water. Repeat the process for your other eye, but use a different washcloth, swab or pad. Your eye doctor may have you clean your lids several times daily to start, and then once daily thereafter. Is There A Cure For Blepharitis? A complete blepharitis cure may not exist. But as explained above, good eyelid hygiene and prescription medicine are often effective in managing blepharitis, while warm compresses and lid massages can help unclog obstructed meibomian glands. If you wear soft contact lenses , your eye doctor may prescribe RGP contacts instead or may recommend more frequent replacement of your soft contacts to reduce lens deposits that may be associated with your blepharitis.

Depending on the severity of your symptoms, you may need to discontinue contact lens wear altogether for a while. It's a good idea to minimize use of eye makeup, which can interfere with eyelid hygiene. If your doctor recommends an anti-dandruff shampoo for your scalp and eyebrows, make sure you keep the shampoo out of your eyes to avoid irritation. Also, as mentioned above, certain eye doctors recommend nutritional supplementation with omega-3 fatty acids to improve function of the eyelid's oil glands. Because blepharitis and dry eyes commonly occur together, your eye doctor may advise you to use over-the-counter or prescription eye drops to help relieve symptoms. In severe cases of dry eye, especially without significant blepharitis, you may benefit from the insertion of punctal plugs in tear drainage channels in your eyelids to help increase the amount of lubricating tears on the surface of your eye. More moisture on the eye's surface can make your eyes feel better and healthier. Home » Conditions » Blepharitis | En Español References & Notes >> The role of omega-3 dietary supplementation in blepharitis and meibomian gland dysfunction (an AOS thesis). Transactions of the American Ophthalmological Society. December 2008.

Blepharitis. Ophthalmology, 3rd ed. 2008. *Corneal manifestations of ocular demodex infestation. American Journal of Ophthalmology. May 2007. Marilyn Haddrill , Gina White and Gary Heiting, OD also contributed to this article. [Page updated December 23, 2016] Like This Page? Please Share! Recommended For You Blepharitis: Symptoms, Treatment, and Prevention Crusty eyelashes How Is Blepharitis Treated? There is no cure. But it can be treated and controlled. Just take care of your eyelids. If you don’t treat blepharitis , it could scar or injure your eye . If you have blepharitis, take the steps listed below to help cleanse your eye: Wet a clean washcloth in warm (not hot) water. Wring it out and place it over your closed eyelids for 5 minutes. Rewet as necessary to keep it warm. This will help soften crusts and loosen oily debris. If your doctor advises: Make a solution of half baby shampoo or mild soap, half water.

Place the cloth over your index finger, dip it in the mix, and use it to clean your eyelid. Wash one lid at a time. Close the eye you’re cleaning. Rub the washcloth over your eyelashes and the edge of your lids for about 30 seconds to loosen clogged oils. Apply light pressure to squeeze out clogged oils from the glands behind your lashes. Rinse thoroughly with a clean, warm, wet washcloth. Pat dry. If the blepharitis results from a problem with your oil glands, the doctor may suggest a testosterone cream to put on your eyelids. He may also suggest LipiFlow, a 12-minute procedure that gently heats clogged glands and applies mild pressure to “milk out” the oils. Can I Prevent Blepharitis? Blepharitis - Pictures, Symptoms, Causes, Treatment, Contagious Blepharitis Blepharitis Pictures What is Blepharitis? Blepharitis is inflammation or swelling of your eyelids and can be a very painful and uncomfortable condition. It is also a very common eye disease and can affect all age groups. This condition will usually occur where your eyelash hair follicles are found.

There are two different types of Blepharitis which are: Anterior Blepharitis This type affects the outside edges of your eyelid and the attached eyelashes. Posterior Blepharitis This type affects the inner edges of your eyelid that comes in contact with your eyeball. It is common to have a combination of both types of Blepharitis but the degrees of severity are usually different. Symptoms Many times a person will feel like they have dust or sand in their eyes when they blink.

You may have a sensitivity to light The skin around your eyes may flake Your eyelids may appear to be greasy You may have watery or dry eyes Anterior Blepharitis Your eyelid margins will thicken Your eyelids may stick together You may have itching and tearing of your eyelids Swelling and redness of the lining of your eyelids and eyes Posterior Blepharitis Tear production that is excessive Severe Symptoms These symptoms can affect either type of Blepharitis and include: Vision that is blurry Having eyelashes that are missing or growing abnormally Having inflammation of any other eye tissue, especially the cornea Decreased or abnormal oil secretions Causes Some general causes of Blepharitis include: Conjunctivitis – this is also known as pinkeye and is the inflammation of the inner surface of your eyelid and outer part of the eye Trichiasis – this is the medical term for eyelashes that grow back toward your eye touch the cornea of the eye.

Chalazion – this is a cyst in your eyelid that is called by an oil gland that is blocked Keratitis – this is when the part front of the eye referred to as the cornea is inflamed Styes Anterior Blepharitis The type of Blepharitis is mainly caused by: Bacteria referred to as staphylococcal Blepharitis that can cause infection of the base of your eyelashes Dandruff of your eyebrows or scalp referred to as seborrheic Blepharitis and is a skin disorder It can also be caused by: A combination of factor Allergies to certain medications, animals, or chemical irritants Infestation of your eyelashes by head lice or tiny mites known as demodex Blepharitis. Psoriasis which is a skin disease Posterior Blepharitis The main cause of this type of Blepharitis is the irregular oil production by the glands in your eyelids which in turn creates an environment for the growth of bacteria. This can cause inflammation or blockage in the meibomian glands in your eyelids.

Other causes include: If these glands produce the wrong type of oil, too little, or too much, it can cause your eyelids to become itchy, irritated, and inflamed. It is thought that acne rosacea may be the cause of having Blepharitis. Acne rosacea is an illness of your oil glands on the eyelid If the oil glands malfunction it can cause scaling on your eyelids and dry eyes. Treatment Because there can be many different causes of Blepharitis you should visit your ophthalmologist to make sure that you have the right diagnosis in order to get the proper treatment. One of the main things that you need to do is make sure that you are executing the proper eyelid hygiene which is making sure that you wash your hands before and after touching your eyes. There are some dermatologists who treat this condition do it in the same way that they treat seborrhoeic dermatitis and that is: Mild steroids to help reduce inflammation Anti-inflammatory medication An ongoing regimen of good hygiene for eyelid care Alternative Methods To help lessen the pain and itching you can apply moist warm compresses on your eyes three times a day.

Clean your eyelids with a mixture of baby shampoo and water to help get rid of the scales and crusting on your eyelids. You can use a cotton swab to apply this mixture. Rinse your eyes with clean cool or warm water. If you have Blepharitis and it is being treated make sure that you avoid wearing makeup and do not use your contact lenses during the treatment period. To help give your eyes some relief you can use artificial tears. Nutritional supplements such as flaxseed oil or omega-3 fatty acids. Is Blepharitis Contagious? Blepharitis is not a contagious disease/condition but it is can be very irritable with the dryness and itchiness. There is no cure for this disease but you can control it with good hygiene on your eyelids. Treatment will control the disease though. Blepharitis or Eyelid Inflammation: Causes and Treatment Blepharitis or Eyelid Inflammation: Causes and Treatment Authored by Michael Garin O.D.

Blepharitis (blef-are-eye-tis) is a usually non-contagious and common eye disorder that affects all ages and both sexes, and may be associated with bacterial infection or skin disorders such as rosacea or seborrhea. It inflames the eyelash follicles along the edge of the eyelid, forming dandruff-like scales on the eyelashes. Oil glands (meibomian glands) run along the edges of the eyelids, and when these glands become irritated or inflamed, the oil secretions thicken and do not flow properly. The meibomian secretions are an important part of a healthy tear film, and their absence can cause the tear layer to become unstable or evaporate quickly. Although most experts treat it as a serious condition, blepharitis alone is not known to cause any permanent damage to eyesight. If blepharitis is severe, then related problems affecting the cornea can threaten vision. Eye care professionals usually become aware of the condition in the course of comprehensive eye examinations. What Are The Symptoms of Blepharitis? There are many symptoms that may signal the presence of blepharitis or eyelid inflammation.

Some of these symptoms are more severe than others, and sometimes a person will not experience any of these symptoms at all. The most common symptoms include: Crusty discharge on the lashes or lids, especially when first awakening Fluctuating vision due to secondary dryness and an unstable tear film How Many Types of Blepharitis Are There? Blepharitis can be divided into two sub-types based on whether it predominantly affects the anterior (front) eyelid structures or the posterior (back) eyelid structures. Some people have predominantly anterior or posterior blepharitis, and some people have both. Anterior Blepharitis: This type affects the outside front edge of the eyelid, where the eyelashes grow, and is usually caused by bacteria (staphylococcal blepharitis) or dandruff of the scalp and eyebrows (seborrheic blepharitis). In rare cases, it is caused by allergies or an infestation of the eyelashes by mites or lice. Posterior Blepharitis: This type of blepharitis affects the meibomian glands, which are located just within the eyelid margin.

There are twenty to thirty meibomian gland openings on each eyelid margin. The inflammation causes thickening of the oil secretions so that the oil does not flow as well, causing secondary dry eye and chronic inflammation, redness, thickening, and notching of the eyelid margin. This condition may also be referred to as rosacea-associated blepharitis, because it is often seen in people with rosacea. What Causes Blepharitis To Develop? Blepharitis can develop for a number of reasons. In many cases it’s either by bacteria or by the skin condition called seborrhea, which is similar to dandruff. Other times it’s due to severe allergies or plugged oil glands and rosacea. Although it is not as common, blepharitis is sometimes due to an infestation of the eyelashes by mites or lice. Risk factors may include: Age Exposure to chemical or environmental irritants like smoke or smog Hands that remain dirty for most of the day, such as during a work shift, or poor hygiene What Are My Treatment Options for Blepharitis? Depending on which type of blepharitis you have, there are a variety of ways to treat this condition.

With any type of blepharitis, the cornerstone of treatment is keeping the eyes clean and free of debris with hot compresses and gentle lid hygiene. Warm compresses are a mainstay of all treatments for blepharitis. The heat and moisture can soften flakes and debris on the eyelashes, making them easier to clean. The heat also helps to encourage the flow of oil from the meibomian glands. Blepharitis is a chronic condition, and it is helpful to make warm compresses a part of your daily routine, and to apply them more often when symptoms flare. After a warm compress, gently massage the eyelid margins to prompt the flow of oil from the meibomian glands. Gently wash the eyelids and eyelashes with baby shampoo diluted with water, or a commercial eyelid cleanser such as those made by Ocusoft. Wrap a washcloth around your index finger or use cotton swabs to clean. Avoid rubbing too hard, and rinse with warm water when finished.

Additional treatments include: Short courses of topical steroid drops for flares (only under a doctor’s supervision) Oral antibiotics, especially for posterior blepharitis Using anti-dandruff shampoo/conditioner on the scalp (for patients with seborrheic dermatitis) Reducing time spent wearing eye make-up; always take make-up off before bed Discontinuing use of contact lenses until symptoms improve. When a contact lens wearer experiences redness, pain, and/or blurred vision, he or she should always remove the contact lenses and contact his or her eye care provider for advice, as this may signal a more serious issue. Avoiding environmental irritants (e.g., dust) Take omega-3 fatty acid supplements, because omega-3 helps with the proper function and regulation of the eyelid glands and has an anti-inflammatory effect. Always tell your primary care doctor about any supplements you are taking. They may interact with other medications you take. Blepharitis is a chronic and incurable condition, but the symptoms can be controlled with the right treatment regimen. If your blepharitis is severe, it may require a variety of different treatments or a more complex plan.

Some people take a short course of topical antibiotics when blepharitis symptoms flare up (occasionally in conjunction with steroids, but only under a doctor’s supervision). Most patients are able to control their blepharitis symptoms, and the overall prognosis is good. Also keep in mind that if an underlying condition is the cause of your blepharitis, treating that condition is important to your treatment plan. Call your eye care provider for an appointment if symptoms worsen or do not improve after careful cleansing of the eyelids for several days. What’s the Prognosis for Blepharitis? In most cases, symptoms improve with treatment. For most people the condition is chronic, and symptoms come and go. Symptoms recur once treatment stops. Although symptoms have the potential to be severe, it’s rarely considered serious. In the Future, How Can I Prevent Blepharitis? It is extremely important that you see your eye doctor at least once a year. Even if you do not have any symptoms, an eye exam is a great opportunity for you and your doctor to find out if anything is wrong, or if you have a condition such as blepharitis.

Additional preventive measures you can take include: Keeping the area around your eyes clean with daily warm compresses and gentle lid hygiene Keeping your scalp clean and free of dandruff Treating skin disorders such as rosacea Avoiding dusty or smoky environments whenever possible Avoiding touching or rubbing your eyes, even after washing your hands Blepharitis Complications You Should Be Aware Of Never ignore symptoms of blepharitis. In severe cases, or when left untreated, blepharitis can cause complications such as:

Question: Blepharitis is the medical term for the inflamation of which part of the body?
Answer: Eyelid