Blepharitis question

Discussion in 'Optometry Archives' started by Dave S, Jul 12, 2004.

  1. Dave S

    Dave S Guest

    Hi All,

    I've developed Blepharitis in one eye after having eye surgery
    (interesting, because I've had Seborrheic Dermatitis appear on my
    scalp and face after surgeries as well). My eye constantly flakes and
    itches. That in itself is really not so bad, except for the potential
    for causing eye infections: I've already had another eye surgery since
    the appearance of the Blepharitis.

    So my question: how can I clean the damn lid? I was told to use a
    combination of baby shampoo with water, and just clean the eye lid.
    I'm doing that, but it makes my eye really hurt and ooze puss the
    following two days. This always happens (and as I said, didn't prevent
    my eye from getting infected). In fact, the last time I've done a
    thorough cleaning of my eye lid, it got very swollen afterwards..
    which is another reason I've had to do surgery. So now I don't dare
    clean anymore.

    If I don't clean my eyes, they get infected and swell... if I do clean
    my eyes, they swell and get infected. what do I do..?? Am I doing
    something wrong with my cleaning routine?

    Any advice will be greatly appreciated!!!

    Dave S, Jul 12, 2004
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  2. Oozy eyelids are usually bacterial blepharitis. You may also have seborrheic
    blepharitis based on your skin problem, which may lead to bacterial

    Seborrheic blepharitis is treated with lid scrubs and steroid ointments.

    Bacterial is best treated in the early stages just with hot compresses. I
    usually won't use shampoo for that. Antibiotics in addition to the hot soaks
    only if needed. Hot soaks with a wet towel is done for about 5-10 minutes,
    keeping it hot, about twice a day for 2-4 weeks.

    The bacteria come from the skin, and will therefore keep reinfecting
    susceptible oil glands.

    David Robins, MD
    Board certified Ophthalmologist
    Pediatric and strabismus subspecialty
    Member of AAPOS
    (American Academy of Pediatric Ophthalmology and Strabismus)
    David Robins, MD, Jul 13, 2004
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  3. Dave S

    Dave S Guest

    Many thanks for the detailed reply :)
    I'm not sure though, how will the hot soaks help remove the coating of
    dirt that is on my eyelids? To remove it I have to scrub quite hard,
    which at times make my eye really hurt and swell (and as I said, last
    time I needed surgery).
    As far as I can tell, the coating IS Blepharitis, really, no? Is there
    an easy solution? Using diluted baby shampoo seems not to be well with
    my eye, and I haven't tried anything else..

    Many thanks,
    Dave S, Jul 14, 2004
  4. Dave S

    Francine Guest

    Dave, I am not a vision professional, but I do know that hot soaks are
    a folk remedy for infections of all kinds, and often suggested by the
    medical professionals as well. Why might it help if you soak an
    infected finger or apply hot compresses to eyes with blepharitis?
    Probably it increases circulation to the point that your immune system
    can better fight off the attacking microorganisms.

    I doubt that your eyelids are that dirty. People who develop
    blepharitis, or any kind of infection, are experiencing a failure of
    their immune system. Anything that can stimulate proper immune
    function is going to help.

    Anyway, as you indicated, scrubbing too much irritates your lids, and
    your skin in general. As a person who has had seborrhea most of my
    life, I know how you feel.

    I don't know if this information, but I've always found that swimming
    in the sea helped my skin problems tremendously. In recent years, I've
    found Traditional Chinese Medicine does wonders for my immune system.

    Francine, Jul 15, 2004
  5. Hot soaks, mainly reduce the meibomian abnormal secretions by reducing
    bacterial load and softening clogged oil glands. That is the blepharitis.

    The external crusting is the result of the blepharitis. Hot soaks help to
    soften these deposits, so then may just wash off, or so the subsequent lid
    scrubs (with or without shampoo) can remove them more easily. Just scrubbing
    does little, in my opinion and experience. Removing it is important,
    however, as these deposits continue to harbor bacteria.

    Some company makes a shampoo substitute for cleaning the lids, but I don't
    recall the name. Haven't seen it in a long time.

    The swelling was a stye, a clogged oil gland that resulted from the
    David Robins, MD, Jul 15, 2004
  6. Dave S

    Dave S Guest

    Thanks for all the advice - I really really appreciate your help!!!

    One last question (I promise): pretty much every time I clean my
    eyelids, even when extremely gentle, and after warm compresses, my eye
    lid really hurts and oozes (and sometimes swells) for around 2 days.
    Is this normal for treatment for Blepharitis?? I haven't been able to
    find anything about this online (every place just states I should
    clean the eye lid, no mentions of pain and problem afterwards). Since
    I need to do this multiple times a day, I am very concerned.. if I
    react this way after one time, then what will happen if I clean 2-4
    times a day? I just need to know whether this is worth the risk, as I
    really don't want to have surgery again if I can prevent it..

    Thanks so much,
    Dave S, Jul 15, 2004
  7. David Halpern, Aug 22, 2004
  8. Dave I have had Blepharitis for 14 years and it is Hell.
    It also alters where I can live at Gonzaga.

    David Halpern, Aug 22, 2004
  9. Dr. Jay Stockman, Aug 22, 2004
  10. I believe I have our current stock of Bactrician warns against getting it in
    the eyes.

    Have use tetracycline ointments.

    Thanks for the advice.


    David Halpern, Aug 26, 2004
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