Blepharitis

Blepharitis is a significant cause of discomfort, causing foreign body sensation, burning, itching, and crusting around eyelashes.

Typical findings include lid erythema, collarettes around eyelashes, and capped meibomian glands.

In severe disease, corneal changes, including neovascularisation, scarring, ulceration, and perforation, can lead to visual impairment.

Treatment is directed at maintaining eyelid hygiene and may require use of topical corticosteroids and topical or oral antibiotics.

Treatment of associated or underlying medical conditions is essential for successful management of blepharitis.

Blepharitis refers to a group of disorders characterised by inflammation of the eyelids and associated adnexal structures including skin, lashes, and meibomian glands. It typically occurs bilaterally. Disease is usually chronic with intermittent exacerbations.