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Blepharitis

Blepharitis is an eruption producing inflammation of eyelids and eyelashes. It is characterized by white flaky skin near the eyelashes. Blepharitis usually causes redness of the eyes and itching and irritation of the eyelids. more...

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There are two types. One, anterior blepharitis affects the front of the eyelids near the eyelashes. The causes are seborrheic dermatitis (similar to dandruff) and occasional infection by Staphylococcus bacteria. Two, posterior blepharitis affects the back of the eyelids, the part that makes contact with the eyes. This is caused by the oil glands present in this region

Staphylococcal blepharitis

Staphlycoccal blepharitis is a type of external eye inflammation. As with dandruff, it is usually asymptomatic until the disease progresses. As it progresses, the sufferer begins to notice a foreign body sensation, *mattering of the lashes, and burning. Usually, the primary care physician will prescribe topical antibiotics for staphylococcal blepharitis.

Seborrheic blepharitis

Seborrheic blepharitis, the inherited most common type of blepharitis, is usually one part of the spectrum of seborrheic dermatitis seborrhea which involves the scalp, lashes, eyebrows, nasolabial folds and ears. Treatment is best accomplished by a dermatologist.

Treatment and management

There is generally no cure for blepharitis, but it can be controlled by maintaining regular eyelid hygiene. Application of a damp warm cloth on the eyes helps unblock the Meibomian glands and this should be followed by firm massage of the eyelids with diluted baby shampoo, which acts as a mild cleaning agent. Antibiotic drops or ointments are prescribed in severe cases.

Dermatologists treat blepharitis similarly to seborrheic dermatitis by using safe topical anti-inflammatory medication like sulfacetamide or brief courses of a mild topical steroid.

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Reader remedies for blepharitis - Medical Mailbox
From Saturday Evening Post, 1/1/03

Dear Dr. SerVaas:

First, let me confess that I had always thought you were a man until I read your delightful article about having dinner with President Reagan in the Sept./Oct. Post!

I am writing about Robyn Hope's problem with blepharitis. An allergic reaction to glaucoma drops caused me to develop a severe case of blepharitis. The treatment prescribed by my doctor was similar to that described by Dr. Valluri. The doctor changed my medicine and, after several months of the treatment regimen, the blepharitis disappeared.

Dear Dr. SerVaas:

Here is my home remedy for crusty eyes. When I was 14 years old, I read in a magazine that applying castor oil to one's eyelashes daily would promote growth of the lashes. Thinking it would be nice to have long lashes, I started the practice. Needless to say, it didn't make my eyelashes grow any longer. But to my amazement, it took away the scales and the itching of my eyes.

I put the oil on at night after showering, just prior to bedtime. If my eyes are a bit dry during the day, I put on a smaller amount, as it burns a bit. Hope this helps someone with this problem.

Dear Dr. SerVaas:

I have had blepharitis for several years. Whenever I go to the doctor for an eye exam, I get a prescription for Tobradex. I use one drop in the morning and one drop in the evening for seven to eight days. It stops the symptoms of blepharitis for six to eight weeks.

Dear Dr. SerVaas:

The treatment my doctor prescribed for blepharitis closely follows the one in your column. He recommends using tear-less baby shampoo that is now on the market.

Dear Dr. SerVaas:

I suffer with blepharitis. My ophthalmologist was treating me with eye scrubs and drops. One day I asked my family doctor if handling a cat could cause this problem. He said yes.

I stopped holding my neighbor's cat and within a month my eyes started to improve. I no longer have this problem. I had been seeing my eye specialist every three months for two years.

Dear Dr. SerVaas:

I had blepharitis and tried medications, eye washes, and eye drops without success.

Then I read in the newspaper about flaxseed oil for the condition. It worked for me. I take 1,000 milligrams of organic fiaxseed oil each morning and evening.

We have received many more letters from women with blepharitis than from men who suffer from the condition. We asked Indianapolis ophthalmologist Dr. Thierry Wilbrandt about his experience with treating the chronic condition.

"In my practice, I treat many more women than men for this problem," he said. "It is believed that hormonal changes in women may make them subject to the eye condition. The problem comes with age. Women may begin getting `dry eyes' in their 40s and frequently require use of artificial tears in their 70s."

Dr. Wilbrandt explained that blepharitis tends to recur. He was very optimistic, however, that the symptoms can be cured.

Readers may send their letters to 1100 Waterway Blvd., Indianapolis, IN 46202 or via e-mail: medicalmailbox@satevepost.org. Please include mailing address.

COPYRIGHT 2003 Saturday Evening Post Society
COPYRIGHT 2003 Gale Group

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