When the symptoms have eased continue this routine once a day, every day, to prevent further flare-ups. You should do the above routine: warm compresses, massage, clean, at least twice a day until symptoms settle which may take 2 – 4 weeks. Follow the instructions for use on the packaging. Medicated wipes/solutions- you can buy various medicated wipes or cleaning solutions for blepharitis from some opticians or chemists. If this causes irritation to the lids then leave out the baby shampoo or consider using medicated wipes (see below). you may be advised to add a few drops of baby shampoo to the cool boiled water.pull the eyelid away from the eye and using a cotton bud that has been dipped in cool boiled water, wipe along the edge of the eyelid and remove any crusts, particularly at the base of the eyelashes.Repeat this massage action 5 to 10 times over 30 seconds.Īfter warmth and massage, clean the eyelid margins by any of the following ways. Massage along the length of the upper and lower eyelids towards the eye. With the eyes closed sweep a finger downwards along the upper eyelid and upwards when moving along the lower eyelid. Massaging helps to express the oily secretions from the blocked meibomian glands. Massage the eyelids immediately after applying the warmth. The eye masks are warmed in a microwave then placed over your eyes for about five minutes If the flannel cools keep re-warming it in the warm waterĮye Mask-there are a number of such eye masks available which you can buy from some opticians or online. Hot flannel-press on the eyelids gently for 5-10 minutes with a flannel that has been rinsed in very warm water and wrung out. It can be done with a hot flannel or a heated eye mask. This helps soften the oil in the meibomian glands. Remove any contact lenses before following the routine. The aim is to unplug any blocked meibomian glands, clear out any stagnant oily secretions from these gland and clean and remove debris from eyelid margins and lashes. This is a daily routine that consists of three parts – warmth, massage and cleansing. This is the most important part of treatment and prevention of blepharitis. Other treatments that may be needed include artificial tear drops and in some cases antibiotics. The main treatment is regular eyelid hygiene (see below). If you do not keep up with treatment the inflammation and symptoms tend to recur. With regular treatment symptoms can be eased and then kept to a minimum. The aim of treatment is to control or manage blepharitis, not to cure it. Symptoms often come and go and can typically flare up from time to time, but you may have long periods without any symptoms. One or more of the meibomian glands of the eyelids may block and fill with an oily fluid.Crusts may develop at the base of eye lashes.Gritty, itchy or burning eyes that are worse in the morning.Without the oily layer the tear film breaks up easily and results in dry eye symptoms. As you get older and if you have dandruff, rosacea or dry skin, these glands can block or malfunction. The glands open onto the eyelid margins close to where the eyelashes grow. The eyelids have tiny glands (meibomian glands) which make an oily substance that helps form the tear film. It is not usually serious but may become an uncomfortable, irritating problem. Blepharitis is a chronic inflammation of the eyelid edges.
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