Eyelid care

Patient information

How do eye lids work?

The eye lids protect the eye and they also spread the tears over the eye’s surface to give clear vision. Within the eye lids small glands called meibomian glands release a waxy substance to reduce tear evaporation.

What is Blepharitis?

Blepharitis is a common condition of the eye lids, it particularly occurs in older people and can be very irritating. There are two main types; Anterior blepharitis, effecting the base of the eye lashes with a dandruff like condition and posterior blepharitis (meibomian gland disease – MGD) where glands become blocked, inflamed and develop a low grade infection.

Anterior-Blepharitis

Anterior-Blepharitis

Meibomian-Gland-disease

Meibomian-Gland-disease

What are the symptoms of blepharitis?

Typical symptoms are redness and soreness around the eye-lids, and grittiness in the eyes. There may be crusting around the eye lashes and some will get a morning discharge. Occasionally the eyes get so sore that a reflex watering may occur.

In some patients the glands become blocked and a lid swelling or a chalazion can occur.

A chalazion

A chalazion

 How do I use the Blepharitis pack?

The treatment involves regular lid hygiene – and drops to supplement the tears. The lid hygiene needs to be carried out 3-4 times per week to prevent the symptoms returning.

Massage-the-Lids

Massage-the-Lids

Cleaning-the-Lids

Cleaning-the-Lids

  1. Heating the lids: this is needed to melt the waxy debris in the eye-lids. It takes around 10-15 minutes to do time and can be done with a facial sauna, or by using the Eye Bag.
  2. Massage the Lids: Wash your hands. Then take the special cotton bud – use to pointed end to press firmly on the base of the eyelashes. This unblocks the meibomian glands and to encourages them to release their fatty / infected deposits.
  3. Cleaning the Lids: Take the small plastic cup and fill with a several drops of simple eye make up remover, then add 10 drops of tea-tree oil shampoo. Dip the wide end of the cotton bud into the make up remover and wipe it firmly along the base of the lashes 10 times.
  4. Ointments for the lids: Take the Chloramphenicol ointment and apply a dose to your right forefinger, close the eye and rub the ointment into the base of the lashes
  5. Omega -3 oils. There is evidence that taking omega -3 oils can help patients symptoms – take one cod liver tablet each day.
  6. Regular use the Hylocare drops when the eyes feel sore or irritable.

In severe cases eyelid massage and cleansing does not control the symptoms and further treatment may be necessary. Ask your optician to recommend drops and antibiotics that your GP can prescribe.