FAQ - Blepharitis
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What anti-biotic is used in the treatment of blepharitis and how long do you have to take it for?

This is a great web site for all medical questions
'http://www.webmd.com/content/article/81/96832.htm  (+ info)

How do you permanently cure Staph Blepharitis?

Treatment of blepharitis
Unfortunately, blepharitis is a chronic disease for which there is no cure, and what is most important it requires a long-term treatment to keep it under control.
Treatment consists of 2 phases:
• Acute phase – which involves intensive therapy to rapidly bring the disease under control.
• Maintenance phase - whose goal is to indefinitely continue the minimum amount of therapy that is necessary to keep the disease quiet

Blepharitis rarely disappears completely. Even with the successful treatment, relapses are common. While over-the-counter treatments for blepharitis are available, it is advisable to seek professional help the first time you experience the condition.

Warm Compresses
Warm compresses have shown very good and effective in treatment of all kinds of blepharitis and eye infections as well. How do they work? These compresses heat the debris and crust on the lid margin to the melting point of their individual components so that they are easily removed with the lid scrubs. Warm compresses may be combined with eyelid massage. This is especially important in patients who have Meibomian gland dysfunction (MGD). Massaging the eyelid while the compress is on may be very useful.
Lid Scrubs
Lid scrubbing is a very effective treatment method and there are several ways of performing it. There is only one rule - the scrubbing should only be directed at the base of the eyelashes on the eyelid margin. –Soaps used in the process should not have excessive perfume or lotion content. They should be applied with fingertips on the eyelid margin and eyelash bases for up to 1 minute. This is followed by a facial rinse. The soap solution can alternatively be diluted in a container and scrubbing performed using a washcloth wrapped around a finger.
Antibiotic treatment
The use of an ointment on the eyelid margin immediately after lid scrubbing may help to increase patient’s comfort. Two antibiotics are being used: Erythromycin eye ointment or Tobradex (steroid) eye ointment. These antibiotics also help to further reduce the bacterial load on the eyelids. Oral tetracyclines can be used in recalcitrant Meibomian Gland Dysfunction cases for about 3 months. Oral antibiotics may be prescribed in the presence of a lid abscess or associated rosacea.
Anti-Inflammatory treatment
Castor oil has been used traditionally for many years as an anti-inflammatory remedy for treatment of blepharitis. Why is this oil so effective? The main ingredient in it is ricinoleic acid. Patients must know that the eyelid inflammation may increase initially after starting this treatment but with repeated use over the week, the blepharitis inflammation will be reduced.
Antioxidant treatment
What types of food are rich in antioxidants? The answer is fruits, especially grapes! Eating more grapes may help blepharitis patients. The formation of oxidants like nitric oxide in the involved eyelid margin have been speculated to play a role in blepharitis. A substance known as resveratrol is an anti-oxidant that is very effective against these nitrite types of oxidants. Grapes are particularly good sources of resveratrol. Resveratrol is found in the skin (not flesh) of grapes. Oral N-acetylcysteine treatment for blepharitis needs further evaluation. N-acetylcysteine is a supplement and therefore is available over the counter or in health food stores without prescription.
Surgical Care
Surgical care for blepharitis is needed only for complications such as:
• chalazion formation,
• trichiasis,
• ectropion,
• entropion, or
• corneal disease  (+ info)

How do you treat blepharitis?

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.  (+ info)

can i treat blepharitis without going to the doctor?

I dont have health insurance, and i cant afford a huge medical bill? what else can I do to treat this? Anything will help! I hear warm salt water will help, but doesnt salt just take even more moisture out of an area? please help.. im miserable and am going on vacation in one week!!

yep. i was diagnosed by my opthomologist 15 years ago with it. Baby shampoo and warm washcloth compresses are a HUGE relief to me as advised by him. I know that your eyes are prob all red, visine might help, but the itchiness and weepiness will decrease w/the above mentioned remidies. no need to go to dr. unless of course you think it could actually be pinkeye (the reason I kept getting so flustered and finally went several times over 3 months to see an opthamologist.) if your eyes are crusted over in the morning and you have lots of discharge in your eyes then it could be pinkeye..... there isn't anything that makes blepharitis go away since it is not a virus or bacteria. just relieving the symptoms is enough.....hope this helps.  (+ info)

I have blepharitis, will it itch forever?

I have blepharitis, which is like an infection of the eyelids which makes them itch. I've heard that it is a chronic condition, and I've had it for about 3 weeks now, and I went to the drs. They gave me a steroid cream which brought down the HUGE amount of swelling but my eyes still itch a lot and sometimes get swollen(when I rub them alot). Is it going to be like this forever or have I not cured it yet?

First try not to rub it. When you rub your eyes you are adding to the swelling. Blepharitis will never completely go away. Everyone has a certain amount of a low grade staph infection at the base of the their lashes. Some times, in some people it gets a little out of control and gets flaky, itchy and makes your eyes dry. It sounds like you're getting it under control. You can begin to move to maintenance. Did the doctor suggest or give you a sample of lid scrubs?. They're made by several companies. The easiest to use and least bother some (atleast per my pts) is a foam called Sterilid- made by Theratears. Use it every night before bed. You'll want to start by using a warm compress or in the shower - either way you want to get your eyelids warm and moist. Apply the foam to your eye lashes top and bottom - doing a good job to scrub along the lash line and wash off. Follow with unpreserved artificial tears to moisturize your eyes. This will keep decrease and then maintain it.  (+ info)

Does anyone have Blepharitis besides me?

It seems like I am the only one in the world that has this disease.

Blepharitis is not a rare condition. Do you know what organism is causing it? Usually staph if its bacterial, if its viral its usually HSV. You are not the only person that has this.  (+ info)

Can Blepharitis make you blind?

If it does; is it permanent to your eyesight?

How can I treat it if it does?
Most importantly I am on the computer for serveral hours as it part of my job; could this affect the recovery time or could this make the eye worser?
I am currently affecting the lack of eyesight on my left eye.

No, eyesight is very seldom affected. Blepharitis simply means inflammation of the eyelids- there are three different types; Staphylococcal blepharitis which is caused by a bacterium; Seborrhoeic blepharitis, this is where the skin becomes scaly and is thought to be caused by a yeast germ and the other type is known as meibomian gland dysfunction, which can lead to inflammation and dry eye.

Rarely complications can occur but it's unlikely.

If your eye sight is all of a sudden affected then this may not have anything to do with Blepharitis. You need to see an Ophthalmologist who will have a look at your eye and the back of your eye. They will also do some tests.  (+ info)

how long does blepharitis last?

i have blepharitis and was given some med about 2-3 months ago and when i think it seems to have worked, my eyelids some sore and tender all over again, which in result makes me pull at my eyelashes to ease the pain! My question is how long does it usually take to clear up?

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Any tips on Blepharitis hygiene please?

I think the original diagnostic from the junior Doctor was slightly iffy. Not bacterial conjunctivitis after all ?

This link seems authentic (not full of incorrect info by medical wannabes). It also has a place to ask questions. I hope you find it useful. I have Thyroid eye disease (TED) and always shop my doctor options. After 20 surgeries on the eyelids and eyeballs, I am careful about what goes into my eyes, and the diagnosis I am willing to accept. I am not going to be a guinea pig. Ask questions. If the doctor is defensive, find someone you can work with. If I can try to answer any of your questions, you may email me.  (+ info)

I have blepharitis and eyelid swelling and I know I need to cleanse the lids each night with baby shampoo..but?

the baby shampoo irritates my eyes and my eyes are so red all day. Even hot compresses with the soap residue on the washcloth irritates my eyes. I don't know if they are super-sensitive or what. Anyway...I won't be able to reduce the swelling without cleansing my eyes 1 to 2 x daily. Any suggestions besides using johnson&johnson baby shampoo? I guess I need something more gentle...

Do you have to use shampoo? Could you just soak a qtip in saline solution and rub it gently on the area? Or a tissue, or whatever you use to rub there? I have dryness and irritation on my eyelids and it is such a pain. I hope you can get some relief.  (+ info)

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