Blepharitis, How To Treat?

Blepharitis includes many acute and chronic lesions. This is a common disease, causing many discomfort to patients, the treatment may be very persistent because identifying difficult causes or inflammation due to multiple causes combined.
Staphylococcal blepharitis: This is the most common type of blepharitis, staphylococcus aureus infection in the eyelids causing inflammation of the eyelids, conjunctiva and cornea. Meet in women (80%) and young people. Patients feel hot, itchy and burning skin, especially in the morning, the eyelids stick together

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Inflammation in the anterior portion of the eyelid, angular blepharitis with red, wet, cracked and scaly on outer, inner, or both corners of the eye (gills) often accompanied by papillary conjunctivitis , sometimes with mucus secretion and sticky secretions. There are ulcers and bleed bleed.
Typical chronic inflammation: hard, brittle scales at the base of the eyelashes, sometimes with white scales only to the naked eye Examination of eyelashes by microscopic examination showed hard scales surrounding each eyelash.




When these scales surround the eyelashes, they look like a collar or an umbrella (scales like a round disk, eyelashes piercing like an umbrella). Thick dry eyelashes, red, eyelashes may form together into bundles.
Eyelashes are usually silver, short, broken, shedding, and growing in the wrong direction. There may be gnawing or loss of eyelashes due to hair follicle damage. Silver individual eyelashes due to hairy root damage by staphylococcus.
The disease often has a vicious cycle: blepharitis, Meibomius gland inactivity, dry eyes. The main causes of the disease include: strains of Staphylococcus bacteria, tubercle bacilli, syphilis, Chlamydia, viruses, fungi, parasites, etc , lipid destabilizing tear film easily destroyed.




Rosacea: Bacterial gland inflammation, which produces enzymes that break down fat, destabilizes the tear film.
Chisel: appendage is an abscess of the Zeiss gland in front of the lashes with swelling, redness, pain; Internal infection is an infection in the Meibomius gland in the posterior part of the eyelid, causing pain, which may rupture into the skin or into the conjunctiva.
Dry eye is seen in 50% of patients with staphylococcal conjunctivitis. Chronic papillary reactions can be seen of the lower cartilage conjunctiva, erosive conjunctiva and eye conjunctiva.
Many types of keratitis occur with conjunctivitis: exfoliative squamous epithelium; infiltrates in the periphery; conjunctivitis conjunctivitis. Many times due to rubbing the eyes as much as sloughing the skin, multiple infections with pus.
Treatment eliminates staphylococcus aureus and conjunctiva. Clean the lashes, clean the lashes, apply antibiotic ointments such as bacitracin, erythromycin.



Persistent cases must use systemic antibiotics such as tetracycline, doxycyclin, erythromycin ...
Blepharitis (seborrheic blepharitis). Can be alone or in combination with blepharitis caused by staphylococcus cause sometimes clogged glands. Staph is very popular where there are hair follicles, many sebum so easy to cause inflammation, can become furunculosis deep follicles.
Inflammation is mainly in the anterior lashline with symptoms: burning, burning, itching, photophobia, severe eyelashes, sometimes with a foreign body sensation.
In 15% of patients with conjunctivitis or conjunctivitis.



Keratitis is characterized by dotted epithelial excretion in 1/3 of the cornea, about 30% of patients have dry eyes. This is a chronic disease, very difficult to treat, but mild can be cured by hygienic mi.
Meibomius gland dysfunction: Meibomius glands secrete sebum. The primary changes in Meibomius gland dysfunction are the keratinization of the tubular epithelium and the glandular opening leading to a blockage. The gland is dilated, changing the lipid composition of secretions.
The patient has pain, burning sensation, foreign body sensation, redness of the eyelids and conjunctiva, blurred vision and recurrent palpitations. Inflammation is mainly limited to the posterior margin, conjunctiva and cornea.
The back of the eyelashes are often uneven and shaped like a 'brush mark' as blood vessels rise and travel from the back to the front of the eyelids.



The Meibomius gland may dilate or be dysplasia with a white horn protein node that spreads through the gland. Sometimes there are bubbles in the sickle along the lower lashes.
Treat hot lashes and wash out lashes. Take tetracycline or doxycycline antibiotics for 4 weeks. Administer corticosteroid for few days in cases of moderate to severe inflammation..

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