BLEPHARITIS

By Gary M. White, MD

Blepharitis "Dandruff" of the eyelashes is seen.


Blepharitis is inflammation of the eyelids. Redness, scaling, and flaking are common.

Clinical

The eyelids and especially the eyelid margins are red and inflamed. There may be significant scale. Itching or a gritty feeling may be present.

Treatment

The underlying cause should be addressed. For example, rosacea benefits from an oral antibiotic, e.g., doxycycline 100 BID. Seborrheic dermatitis is often treated with lathering the eyelids daily with a shampoo and application of a topical steroid. Often, baby shampoo is recommended, mainly because if it gets in the eyes, it causes less irritation. However, a medicated shampoo may be more effective.

For application of a topical steroid on the eyelid margin, use of a steroid appropriate for the eye is useful, e.g., in the US, FML (fluorometholone 0.1% ophthalmic ointment).

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