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Blepharitis Blepharitis


You may have blepharitis if you are experiencing itching, crusting, discomfort or inflammation around the edges of your eyes

Should you have any concerns about blepharitis that need to be cleared up and you would like to  know about the treatment options available, please get in touch with us.

Definition Of Blepharitis

This is a serious and common infection that causes inflamation around the edges of the eyelids; it may be a long-term condition. Blepharitis is one of the prevalent optical disorders that affects the young and old in the UK.

There are various forms blepharitis can take depending on the position of the bacteria on the eyelids. Patients usually have a reddish eyelid as a result of continuous touching of the eyelid to ease the discomfort.

Anterior blepharitis is another form this disorder can take. It is brought about by the collection of skin oil and flakes along the margin of the eyelid which serves as a hotbed for the growth of bacteria. Consequently, the bacteria gives off irritants that moves into the tears, causing inflammation and dry eye. There is also posterior blepharitis which is linked to common skin problems like rosacea.

The Signs And Symptoms Of Blepharitis

Since blepharitis is a severe eye condition, this implies that the symptoms listed here may show up recurrently. The eyelid inflammation may not affect your sight so much, but you need to see a doctor for proper treatment to keep any pain at bay when symptoms do recur.

The following can occur together as signs of blepharitis:

  • Redness and inflammation of the eyelids
  • Itching and discomfort
  • Dry eye sensation
  • Hazy or foggy eyesight
  • Burning sensation
  • Formation of crusts around the eyelids
  • Gritty sensation like you have something foreign your eye

Don't delay when you are having issues with your eyes, especially when it is affecting your sight. Should you be suffering with an inflamed eyelid or experiencing any discomfort, please book an appointment with us to discuss possible treatment options for blepharitis.

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The Causes Of Blepharitis

This eye disorder can be grouped into either anterior and posterior blepharitis.

Various factors can contribute to this eye condition; however, the most common reason behind this problem is the meibomian gland malfunction which occurs during posterior blepharitis.

Below is an explanation of how this works to cause eyelid inflammation.

  • Within the eyelid, there are 50 to 60 meibomian glands
  • It is these glands that produce lipids (oils) that are found floating on the film of tears on the eye surface and prevents them from rapid evaporation
  • In a case where the glands do not produce enough oils, the tears evaporate very quickly (a condition known as evaporative dry eye) which leads to tears being concentrated, and the surface of the eye gets inflamed.

Simply put, the inability of the meibomian glands to produce sufficient oils to hold back the evaporation of tears causes the concentration of tears on the eye and consequently, inflammation.

Regular eye check will help you identify when your eyes are in danger, and immediate action will be taken to prevent further problems.

Treatment Options For Blepharitis

Symptoms may be mild or severe, and the kind of treatment you get will depend on how serious your symptoms get.

At your initial consultation, your doctor may recommend a BlephEx treatment for your condition. This solution is known to be very effective at taking out bacteria and dirt, which can accumulate on the eyelashes and lead to blepharitis-induced inflammation. In application, this treatment can be used solely or combined with other treatments. It works better than using only eyelid scrubs.

Practising good eyelid hygiene can assist a more effective treatment after 4 to 6 weeks.

Practical Steps On How To Keep Your Eyelids In Good Condition

Good eyelid care will remove any blockage in the oil glands that causes inflammation. This means oil will flow well around the eyelids. It will also help you keep the affected area warm and clean - a solution to blepharitis.

Do not expect to get instant results immediately you start eyelid hygiene practice. This is because it will take some time before you begin to achieve results. So, you have to make daily efforts to clean your eyelids and keep them hygienic at all time. Perseverance is very crucial here.

That said, here is how it is done:


Close your eyelids and hold a clean cloth moist from water that isn't too hot against them for 5 minutes. Doing so will dissolve oils held up in the glands and make the skin and crusts adhered to the eyelids soft. When the cloth gets cool, warm it up again in hot water. For ease of this procedure, get hot-compresses that can be microwaved.


Gently massage your eyelids with your finger by carefully moving it across the lids from the nose to the temple. This procedure should be repeated on your lower and upper eyelids. By doing this, the oils will be forced out of the tiny eyelid glands. Please do not touch the inner part of the eyelid during the massage.


Get fresh cotton buds and use them to clean crusts that are found on the eyelids, especially around the root of the eyelashes. Depending on what's comfortable for you, there are eyelid wipes and cleaning foam that can do an excellent job of cleaning your eyelids.

Repeat the procedure

Do endeavour to keep up this practice once daily. Also, the inside of your eyelid should not be cleaned or rubbed. This can worsen the inflammation. You should stop the use of facial make-up if your eyelids are inflamed because make-up consists of applying powders and other products to your eyes and face. Since you will be cleansing, massaging, and cleaning off every particle around your eyelids, makeup will add more particles and as such should be avoided in the interim until you feel better.

Other treatments options that may work

There may be other forms of treatment that could come in handy to fix the issue of blepharitis. They include the following:

Antibiotic ointment

To treat blepharitis, you may get doctor-prescribed antibiotic ointment.

When you have cleaned your lashes following the instructions given above, rub some antibiotic ointment on the tip of your finger (ensuring it's clean), or a fresh cotton bud and apply it to the upper and lower roots of your eyelashes before sleeping at night.

Do this every night for two weeks, then two times a week for a period of 10 weeks.

Steroid eye drops

Though not all the time, a course of steroid eye drops can be used to treat blepharitis.

Flaxseed or omega 3 oil capsules

The symptoms of eyelid inflammation can be treated with omega oils as this helps to improve the oil quality from the glands. In turn, this keeps tears from evaporating. You can get these medications over the counter without any prescription. Just take one capsule each with breakfast and dinner.

Oral antibiotic tablets

Your doctor may prescribe a course of oral antibiotic tablets for some months to treat some form of blepharitis. You will be instructed on the dosage by your doctor. It may be advised that you take one Doxycycline 100mg tablet two times a day for the first two weeks, and after that, you will have to take it once a day. Donot take these medications on an empty stomach.

The doctor may ask you to take one tablet every two days after three months of the usual dose.

Artificial tears

Blepharitis can bring about dry eyes, and this can be corrected using artificial tears.

Consult your doctor to know which kind of treatment will be suitable for your condition.

Remember that you can always discuss treatment options for blepharitis should you be experiencing any kind of pain or inflammation of the eyelid.

Why Is Our Eyelid Inflammation Treatment  Most Sought After?

So many eye clinics offer great treatments, but ours is unique because:

We offer customised eye care

Our patients' needs come first! We have your best interest at heart and as such, provide specific quality treatment according to your condition. This means you will get the right solution for your visual problem after in-depth and thorough diagnostic testing and bespoke examination.

We have professional eye doctors at our practice

Our carefully selected surgeons are the finest in the country and famous in the world for their incredible skill and expertise. We have recorded thousands of successfully completed surgeries and still counting. Plus, our treatment is safe and precise, which is why the doctors and anaesthetists we've treated recommend us to their family and friends. At Optimal Vision, we have maintained an unparalleled level of excellence in eye care, and it has not been compromised.

We've invested in highly advanced technology

Treating eye problems is not an easy task; expertise and experience are required for significant results. This is why we have spent a lot of time and money to get all the essential and high-end modern technology in the industry. We are not restricted to one manufacturer or company - we pick the best eyecare products from any one of them to satisfy our patients' individual visual needs.

We are trustworthy and reliable

Eyecare requires that patients are comfortable with services offered to them and can depend on their team of caregivers. This is precisely what we provide! Our methods are straightforward, and we work closely with patients giving useful advice and ensuring their needs are met with tried-and-tested treatment options. In our practice we are very friendly and our staff are ready to provide you with all the support you need throughout your treatment.

In Conclusion

Professional eye care is vital in achieving the best results. Feel free to ask us any questions regarding blepharitis and how it can be treated. Our surgeons are very compassionate and understanding. They will give you all the answers for better comprehension plus useful advice and tips on how to care for your eyes.

Anytime you think of eye care services, think of Optimal Vision. We are always happy to help you on your journey to having better vision.

Book A Consultation
With Ophthalmic Consultant
Book a consultation today

or call: 020 7183 3725

Dr Amir Mani - Specialist refractive surgeon

One of the most experienced refractive surgeons in London

Dr Mani has performed more than 20,000 ophthalmic procedures, including LASIK, LASEK, PRK, Femto Cataract, RLE, Lens ICL and Phakic IOL Surgery

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