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Eyelid Disorders

Blepharitis is a chronic condition that is characterized by stasis and inflammation of the eyelid oil glands. Symptoms include redness, crusting, burning, and stinging of the eyelids. Untreated, it may lead to more significant condition such as styes, dry eye, or corneal infection. Treatment for blepharitis may consist of eyelid hygiene (see below) and possibly a combination of topical and/or oral antibiotics. The most important aspect to remember in blepharitis is that it’s a chronic condition which often takes months to fully control.
Instructions for warm compresses:
  1. Wash Hands
  2. Wet a clean washcloth with warm water.
  3. Close eyes and place the warm washcloth over your eyes and gently massage lids.
  4. Once washcloth cools, place under warm water and then resume for a total of 5 minutes.
  5. Repeat 2-3 times per day.

Instructions for eyelid scrubs:
  1. Wash Hands
  2. Mix ½ part gentle baby shampoo with ½ part clean warm water.
  3. Moisten clean wash cloth and rub over edge of eyelid back and forth. Do not touch your actual eyeball.
  4. Rinse area with cool clean water.
  5. Repeat 2 times per day.
Styes are formed when the oil glands of the eyelid become occluded and inflammatory components accumulate within the eyelid. Initial symptoms include eyelid swelling and redness, foreign body sensation, and blurry vision. The single most effective treatment is starting warm compresses at the onset of symptoms. This allows for the inflammatory components to be expressed from the oil glands thus removing the inciting material. Topical and/or oral antibiotics may be needed in some cases.

Once a stye has moved beyond the early phase it becomes what is defined as a chalazion. This is a firm consolidation of material within the lid. Initial treatment for a chalazion is the same as for styes, however, chalazia are often resistant to medical treatment and may require a surgical procedure. The chalazion procedure is done in clinic and is preformed with local anesthesia.

Dermatochalasis is the medical term for “extra skin” above the eyelid. Due to the normal aging process, redundant skin often develops around our eyelids. If this skin is obstructing your visual field, you may be a candidate for an eyelid “lift”. This is a surgical procedure that is done in the operating room with local anesthesia and requires a small suture line that is hidden within your normal eyelid crease.