Blepharitis is known to be an inflammation of the your eyelids and one of the most common causes of dry eyes. Blepharitis mostly involves the area of the eyelid where the eyelashes grow. Blepharitis often occurs when small sebaceous glands in the dermis of the eyelashes are blocked. This leads to irritated and red eyes.
Several diseases and conditions can cause blepharitis. Blepharitis is often a chronic disease that is difficult to treat. So, if the question of whether blepharitis is painful or not, it can be very painful and debilitating for some, while others do not notice any problems at all. Blepharitis can be uncomfortable and unsightly. But it not contagious and usually doesn't cause permanent damage to your eyesight. If left untreated though, it can lead to blurry, fluctuating vision.
SYMPTOMS OF BLEPHARITIS
There are several symptoms of blepharitis, but the most common are:
Crunchy residue at the bottom of the eyelashes
Irritated and watery eyes
Grittiness or a strange body sensation.
Depending on the severity of blepharitis, any of these symptoms may occur intermittently or constantly. Other symptoms of blepharitis are:
Eyelashes encrusted upon awakening
More frequent blinking
Photosensitivity (light sensitivity)
Loss of eyelashes
Dandruff around the eyes.
In some cases, blepharitis, as listed above, can result in the loss of eyelashes, which is called madarosis. For those who wear contact lenses, blepharitis can be uncomfortable when used.
CAUSES OF BLEPHARITIS
The main cause of blepharitis has not yet been discovered. However, it can be associated with one or more factors, including:
A bacterial infection
Sebaceous glands or eyelid dysfunction
Seborrheic dermatitis - dandruff of the scalp and eyebrows
Rosacea - a condition of the skin characterized by redness of the skin, specifically the face
Mites or lice on the eyelashes
Allergies, including allergic reactions to eye medicines, contact lens solutions or eye makeup.
Blepharitis is mainly associated with the excessive growth of bacteria that live along the eyelids and at the base of the eyelashes. Over time, these bacteria multiply and form a biofilm, which can cause symptoms to develop. In addition, there is also blepharitis associated with skin diseases such as eczema, dandruff, rosacea, and psoriasis.
TREATMENT OF BLEPHARITIS
The treatment of blepharitis should begin with a visit to the doctor to determine the cause of the inflammation of the eyelids.
In general, the treatment of blepharitis includes the following:
1. Eyelid Cleansers and Scrubs for Effective at Home Blepharitis Treatments
Rub your eyelids gently with an eyelid cleanser to eliminate the accumulation of biofilm and excess bacteria around the eyelids. Normally, your eye care practitioner recommends a daily program of warm compresses and scrubs to clean the eyelids and reduce the amount of bacteria and mites that live on your eyelids.
Cleaning products may include over-the-counter hypochlorous acid eyelid cleanser (Heyedrate Lid and Lash Cleanser), prescription eyelid cleansers (Avenova), or over-the-counter eyelid pads (Ocusoft, Systane).
We use Heyedrate Lid and Lash Cleanser twice a day in our office, and always recommend using a hypochlorous acid cleanser like Heyedrate or prescription Avenova.
2. In-Office Procedures like BlephEx, Lipiflow, and IPL
Although eyelid cleansers are useful in the home, ophthalmic procedures are often recommended in the office for more effective treatment of blepharitis. Possible methods include:
Electromechanical debridement of the lid margin (e.g., BlephEx treatment) to effective at removing bacteria, biofilms, and mites from your eyelids and opening blocked Meibomian glands.
Heat pulsation treatment (e.g., Lipiflow) to melt and express the material that obstructs the Meibomian glands.
Intensive pulsed light therapy (IPL) to open congested eyelid glands and continue the normal flow of oils to the tear film.
3. Eye drops and/or medical ointments
Your doctor may also prescribe topical medications to destroy excess bacteria that cause blepharitis or other microbes on the eyelids, especially if there is a risk of eye infection or conjunctivitis, eye infections, and blepharitis.
SO IS BLEPHARITIS PAINFUL?
Yes, blepharitis can definitely be painful depending on the severity. Although some patients can have it and not have any problems or symptoms at all.