Contact lens associated eyelid inflammation

 
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Eyelid Inflammation

Blepharitis is a very common disorder caused by the inflammation of the eyelid and is associated with some skin condition and dandruff. In this condition, the skin of the eyelids, and in most cases, the part of the eyelid where the eyelashes grow, called the lid margins, are affected.

Almost everyone at sometime or the other in life has to endure at least one bout of blepharitis. Some people have to deal with this problem repeatedly and continuously. In such cases it becomes a chronic problem causing a great deal of discomfort and becomes difficult to treat or permanently resolve. Fortunately the disease never causes any permanent damage to the eye.

Symptoms of blepharitis

The symptoms found in blepharitis are:

  • Irritation on the eyelid skin, especially at the lid margin
  • Redness at the lid margin
  • Dry, flaky or oily eyelid skin
  • Presence of dandruff at the base of the eyelashes

Since the symptoms resemble to some extent those found in seborrhea, acne and dandruff, many believe blepharirtis to be all three disorders at the same time on the eyelid.

Types of blepharitis and their causes

Blepharitis is of several types. But the most common ones are called seborrheic and staphylococcal blepharitis.

Seborrheic blepharitis is a condition that is caused by a malfunctioning called seborrhea. In seborrhea there is a mechanical disruption of the process, which allows the eye to be properly lubricated and kept suitably moist. The malfunctioning occurs in tiny oil glands, located near the base of the eyelashes. These eye glands get clogged resulting in bacterial growth, which can lead to irritation and itching of the eyelids.

Staphylococcal blepharitis: Sometimes blepharitis may result from a systemic immune system reaction. With the onset of blepharitis the thin skin of the eyelid breaks down and becomes flaky. The resulting debris of these flakes enters the eye, mixes with the tears, becomes sticky and adheres to the lid margin or the eyelashes causing irritation and an inflammatory reaction. This inflammatory reaction further disrupts the lubricating action of the oil glands to start the repetition of another cycle of eyelid skin breakdown, flaking and inflammation. This cycle continues until there is a medical intervention.

Staphylococcal blepharitis results when sometimes this repeated occurrence of irritation and inflammation brings about conditions, which are favorable for the staphylococcal bacteria to enter and thrive. What follows now is a genuine infection in addition to the already deteriorated eyelid condition. Very rarely is an initial bacterial invasion the root cause of blepharitis.

Blepharitis can also result from contact allergy to eye make-up, insect bite or unclean fingers touching the eyelid.

There are also some forms, which are triggered by allergens such as dust, dirt, pollen, smoke, hair spray, cat fur or cosmetics in the same way as in common allergy.

Treatment

Blepharitis often cures by itself without any medication. The body’s natural recuperative powers resolve the condition within a day or two without any medical intervention. In other cases it is difficult to make any prognosis of the disease. It may recur and resolve periodically or become chronic and long lasting.

Since blepharitis is often a mechanical problem the treatment, when required, consists mainly of looking after eye hygiene. This means physically cleaning the eyelid several times a day to remove the flakes and scale from the eyelids and the eyelashes with a cleanser. Baby shampoo on washcloth or cotton swabb is most commonly used as cleansers. Applying warm compresses is likely to help the healing process by unclogging the oil glands. Application of drops, ointment or lotion would help maintain the lubrication and pliability of the skin.

In case it is seborrheic blepharitis constant monitoring of the condition of the scalp may be required. Treatment should not end till all symptoms are cleared and remains clear for at least a week.

In case of bacterial infection it is best to apply antibiotic ointment, preferably, before going to sleep at night.

If there is a recurrence of blepharitis treatment should be started immediately. The sooner the problem is addressed faster will be resolution.

People with blepharitis can wear cosmetic contact lens but these should be removed when the condition becomes severe.

Management of the blepharitis condition requires constant attention to personal hygiene in particular to eye cleanliness. It is also necessary to remain in constant touch with the doctor during treatment.