Blepharitis is  chronic inflammation of the eyelid.  Onset can be acute ( red, puffy, painful eyes) or resolving without treatment within 2–4 weeks (most like this is due to lid cropped-Header-design1-Rev-1-4-2011hygiene).  Most of the time, blepharitis is a long standing chronic inflammation varying in severity.  The causative agents could be staphylococcal, parasites, defined as posterior rosacea or meiobomitis ( involving meibomian gland dysfunction.
Signs and symptoms that are associated with the chronic inflammation can be:

Signs and symptoms

  • Redness of the eyelids.
  • Flaking of skin on the lids.
  • Crusting at the lid margins,  worse in the morning upon waking.
  • Cysts at the lid margin.
  • Red eye.
  • Debris in the tear film, seen under microscope
  • Gritty sensation of the eye or foreign-body sensation- dry eyes
  • Reduced vision.
  • Eye itching

Eye lid redness and swelling are common and they tend to appear in more severe cases. The symptoms can slightly vary based on the exact cause of the condition. Blepharitis due to allergy can cause dark lids, symptom which is known as “allergic shiner” and which tends to be more frequent in children rather than adults. Infectious blepharitis is accompanied by a yellow- or green-colored discharge which is more abundant in the morning and which leads to stucky lids. Blepharitis may also cause eyelid matting or “gluing” of the lashes.

Other blepharitis symptoms include sensitivity to light, eyelashes that grow abnormally or even loss of eyelashes described as being falling out.  Blepharitis that localizes in the skin of the eyelids may cause styes or chalazia, which appear as red bumps, sometimes with a yellow spot if infection is present. Although pain is not common among blepharitis symptoms, if the condition persists or becomes painful, the condition is chronic and severe.  TheraLife can help.

Infectious blepharitis can cause hard crusts around the eyelashes which leave small ulcers that may bleed or ooze after cleaning.

As a general rule, blepharitis symptoms which do not improve, despite good hygiene consisting of proper cleaning and care of the eye area, give TheraLife a call.

People who usually wear contact lenses may have more trouble in coping with their symptoms, because the lenses cause further irritation to the eye.

It is common for people with infectious blepharitis to be on systemic anti-biotics to prevent eye infections.

Reprinted from the Theralife blog