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.