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Blepharitis

Blepharitis means inflamed eyelids. The most common type involves the eyelid margins and tends to be fairly mild but longstanding. It’s thought not to be due to infection as such but sensitivity to the normal bugs that live on our skin (so called friendly bacteria). They don’t cause harm as such but some people develop sensitivity to the normal by-products of these bugs. As a result the eyelid margins become inflamed. Recurrent chalazions (see chalazions) can be a problem in these cases

BlepharitisThe usual symptoms are sore, irritable, gritty eyes. There are often associated changes in the quality of the tears and the eyes can feel dry as well.

In some children the inflamed lid margins can affect the front surface of the eye resulting in the eye becoming red and even the cornea being involved in the inflammation. This situation (called blepharo kerato conjunctivitis or BKC) is more serious and requires an eye doctor to be involved

The treatment in mild cases consists of simple cleaning of the lid margins with warm water to reduce the amount of by products on the eyelids. Using omega 3 supplements (capsules or syrup) has been shown to be helpful as well.

In more severe cases steroid drops are needed to settle the eye down. Following this a long course of mild antibiotics may be needed (doxycyclin in older children or erythromycin in those under 8 years old). These antibiotics are not meant to kill the eyelid bacteria; they reduce their production of the irritant by products. Also, unlike normal antibiotics, they need to be taken for several months at a time.

Useful link for general eye problems: www.eyehelp.co.uk/

 

Childrens eye problems

Blepharitis
/
Chalazion
/
Conjunctivitis
/
Lazy Eye
/
Refractive Errors
/
Squint
/
Sticky Eye

 

Derby Eye Surgery

Appointments. Tel. 0300 790 6190
NHS enquiries. Tel. 01332 787512
Secretary. Tel. 01332 510784
Email. rhoeyes@googlemail.com

 
 
 
 Roger Holden Eye Surgeon
 
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