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Marginal Blepharitis & Blepharo-Conjunctivitis

 

              

Eyelash mattering with blepharitis

 

 

 

Blepharoconjunctivitis                                                            

 

 

Now that you have been diagnosed with marginal blepharitis or blepharo-conjunctivitis, you probably have several questions about this enigmatic condition.

The name is somewhat intimidating, but simply means an inflammatory infection of the edge of the lids (blepharo-) or an inflammation of the moist inner lining of the lids (the conjunctive). The vast majority of the time, the bacteria involved are staphylococcus or streptococcus ('staph' or 'strep').

What ordinarily occurs is that the bacteria have found their way into the space between the skin and the shaft of the eyelashes. In this minute space the bacteria find a warm moist environment (an ideal place to grow and multiply). They get there from any one of a number of environmental sources. Rubbing your eyes with dirty hands, dust blowing into your eyes, and sleeping on contaminated bedding are just a few of the sources.

The bacteria set up a relationship with the body and, after a fashion, tell the body, "If you don't bother me too much, I won't bother you too much."

This relationship continues, most of the time, with no or minimal symptoms. When symptoms occur, there may be redness of the edge of the lids, crusting or mattering of the lid edge, itching of the lids, redness of the white part of the eye, burning of the eyes, a scratchy feeling or foreign body sensation.

Most often, people do not even know that they have the condition, as they have grown used to the symptoms, or the body has rid itself of some of the bacteria via its own defenses. However, it is difficult for the immune system to get rid of something outside the body. Essentially the bacteria are on the outside of the skin, and deep in the space around the lashes. When the immune system is stressed by another infection or when resistance to infection is reduced, there may be an overgrowth of the bacteria and the symptoms may get worse.

Treatment to get rid of the condition is difficult, and some ophthalmologists tend to ignore it. Frequently, treatment seems to do nothing but reduce the symptoms.

We have found that the best treatment combines good lid hygiene with antibiotics and anti-inflammatory or anti-allergic medications. These have been prescribed for you along with an instruction sheet on how to use the medications. The most important part of the treatment is the course of hot-soaks. In fact, the hot-soaks are more crucial than the medications.

We are frequently asked if the condition is contagious. The answer is minimally, and extreme caution is not necessary. Normal routine hygiene is enough.

We hope this brief explanation clarifies your concerns.

Click here for more information about blepharitis

Click here for more information about conjunctivitis

Dangerous Symptoms |  Refractive Surgery |  Site Map | Meet Our Doctors  |  Map 

 Home | Patient Education | Patient Instructions | Laser FAQ | Cataract FAQ| About Our Doctors
Pfoff Laser and Eye, 6881 South Yosemite Street | Centennial, Colorado 80112 | 303-588-7900| info@pfofflaserandeye.com