Thursday, July 29, 2010

My sister has blepharitis.... is there any cure or help or advice that would be useful for her?

she is 12 years old and finds this condition very difficult to deal with..My sister has blepharitis.... is there any cure or help or advice that would be useful for her?
The single most important treatment principle is a daily routine of lid margin hygiene as described below. Such a routine needs to be convenient enough to be continued lifelong to avoid relapses as blepharitis is a lifelong condition.





A typical lid margin hygiene routine consists of 3 steps:





1. Softening of lid margin debris and oils: Apply a warm wet compress to the lids - such as a washcloth with hot water - for about 2 minutes.


2. Mechanical removal of lid margin debris: At end of shower routine, wash your face with a wash cloth. Use facial soap or non-burning baby shampoo (make sure to dilute the soap solution 1/10 with water first). Gently and repeatedly rub along the lid margins while eyes are closed.


3. Antibiotic reduction of lid margin bacteria (at the discretion of your physician): After lid margin cleaning, spread small amount of prescription antibiotic ophthalmic ointment with finger tip along lid fissure while eyes closed. Use prior to bed time as opposed to in the morning to avoid blurry vision.





The following guide is very common but is more challenging to perform by visually disabled or frail patients as it requires good motor skills and a mirror. Compared to above it does not bear any advantages:





1. Apply hot compresses to both eyes for 5 minutes once to twice per day.


2. After hot compresses, in front of a mirror, use a moist Q-tip soaked in a cup of water with a drop of baby shampoo. Rub along the lid margins while tilting the lid outward with the other hand.


3. In front of mirror, place small drop of antibiotic ophthalmic ointment (e.g. erythromycin) in lower conjunctival sack while pulling lid away from eye with other hand.My sister has blepharitis.... is there any cure or help or advice that would be useful for her?
Self-care


If you have blepharitis, follow this self-care remedy once or twice a day:





Apply a warm compress over your closed eye for 10 minutes.


Immediately afterward, use a washcloth moistened with warm water and a few drops of baby shampoo to wash away any oily debris or scales at the base of your eyelashes.


Rinse your eyelid with warm water and gently pat it dry with a clean, dry towel.


You may need to deliberately clean your eyelid at the base of the eyelashes. To best accomplish this, gently pull the eyelid away from your eye to avoid accidental injury to the cornea from the washcloth. Ask your doctor if it's wise to also use a topical antibacterial solution after cleaning your eyelid in this manner.





Continue this treatment until your signs and symptoms disappear. Although you may be able to decrease the frequency of eyelid soaking and washing, you should maintain an eyelid care routine to keep the condition under control. If you experience a flare-up, resume once or twice daily self-care treatment.





If you have dandruff, using a dandruff shampoo may help alleviate your symptoms.
Blepharitis is a chronic condition, meaning that once it develops, you will probably experience repeated episodes. There is no cure.





However, there are a range of treatments that have proved successful in controlling the symptoms, a topical antibiotic and steroid drops or ointments can be prescribed to provide instant relief.





Maintaining a daily eye hygiene routine is the best way of preventing episodes of blepharitis.





You should also seek treatment for any related skin condition because these can often be controlled by using the right treatment.





The most important one is to establish a daily eye-cleaning routine. Such a routine needs to be convenient enough to be continued lifelong to avoid relapses as blepharitis is a lifelong condition.





1) Apply a warm wet compress to the lids - such as a washcloth with hot water - for about 2 minutes. or





2) At end of shower routine, wash face with a wash cloth. Use facial soap or non-burning baby shampoo (make sure to dilute the soap solution 1/10 with water first). Gently and repeatedly rub along the lid margins while eyes are closed.

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