Blepharitis is an inflammation of the eyelids. It is a very common condition that can be associated with a low grade bacterial infection (staphylococcal blepharitis) or a generalized skin condition (seborrheic blepharitis).

Blepharitis is seen most commonly in adults. Factors believed to contribute to blepharitis include abnormalities in oil gland function and an alteration in bacterial colonies that normally live on the skin. Blepharitis is not contagious.

People with blepharitis will have red eyelid margins and persistent ocular irritation, however there are other ocular problems that will have similar symptoms.  An eye care physician can help definitively diagnose this condition by careful examination of the eyelid margins. In some instances, dry eye symptoms and underlying skin conditions can be associated with blepharitis.

The inflammation around the eyelids can be improved by increased lid hygiene. Gently scrubbing the eyelid margins with baby shampoo diluted with water can decrease the amount of flaking skin and oil in the area. A cotton tipped applicator or a washcloth wrapped around the index finger can be used to apply the shampoo. Warm compresses applied to the lids for several minutes a day can also be helpful. In some select cases, your ophthalmologist may also choose to prescribe an antibiotic ointment or drop.

Blepharitis is a chronic condition that often requires long-term treatment in order to prevent exacerbations.

Unless blepharitis is fully under control, refractive surgery or enhancement surgery is not wise.  If blepharitis was exacerbated by refractive surgery, treatment is the same, however dry eye symptoms related to corneal desensitivity due to Lasik will often make the situation more uncomfortable for the patient.

Because blepharitis is an inflammation that is related to bacterial infection, low dosage of anti-bacterial medication may be indicated.  Restasis is a medication that may be appropriate for blepharitis.  This should be discussed with your doctor.

If you have blepharitis that is problematic and would like further evaluation and possible resolution treatment from a Second Response Team doctor who is experienced in treating blepharitis, please feel free to request a doctor referral.

Revised: May 25, 2005