Blepharitis is an inflammation of the eyelid. It develops at the place where the mucous membrane on the underside of the lid joins the skin on the top of the lid. It occurs in both children and adults. The condition can be chronic and recur.
The margin of the lid becomes inflamed along the eyelash line. Redness, scaling, and sometimes an infection can develop in the skin between the eyelashes.
The condition can be brought on by seborrhea. This is a dandruff-like condition that can appear wherever there is hair on the body. It can occur at the root of the eyelashes. Blepharitis can also be aggravated by a bacterial infection. Staphylococcus is the most common cause.
Symptoms of the condition include:
A healthcare professional will form a diagnosis by examining the lid and eyelash area with a special instrument called a slit-lamp microscope.
Keeping the eyelids clean is important. This helps prevent infection. A person who is prone to the condition might also try putting a warm compress on the area daily.
Blepharitis tends to occur repeatedly. The condition can lead to patchy loss of eyelashes. Eyelashes can grow in backwards. This can cause them to scratch the eyeball. Blepharitis can also create a tendency to develop infections in the glands of the eyelids. Styes, which are inflammations of the glands of the eyelid, and chalazions, which are enlargements of the oil glands of the eyelid, are common. If not controlled, the condition may lead to secondary conjunctivitis or even keratitis, which is an inflammation of the cornea.
Bacterial infections may develop in the eye. General cleanliness is important. An infected person should wash his or her hands before preparing meals and or having contact with others. It is also important that the individual not let others use his or her towel, washcloth, or pillowcase.
Treatments include:
When cleaning the eyelashes, the person needs to be careful not to touch the eye itself. If corticosteroids are used, checkups with an eye doctor are needed to rule out increased intraocular pressure, which is the pressure inside the eyeball.
This tends to be a chronic condition that is difficult to eliminate. Therefore, treatment must be started at the first sign of new symptoms or continued long-term.
This condition is easily monitored by watching for symptoms. Often, cleaning the eyelids is all that is necessary to keep the condition under control. Antibiotics and corticosteroids may be needed for sudden flare-ups.
Author:William Stevens, MD
Date Written:
Editor:Cafiero, Celeste, MA
Edit Date:05/16/00
Reviewer:William M. Boggs, MD
Date Reviewed:03/13/01