Blepharitis Flashcards
1
Q
This is classified into two types:
A
Anterior blepharitis—staphylococcal
Postenor blepharitis—
- seborrhoeic and
- rosacea (more common)
2
Q
Treatment
A
Eyelid hygiene is the basis of therapy for both types—
- clean with a cotton bud dipped in 1:10 dilution of baby shampoo or sodium bicarbonate solution or clean warm water, once or twice daily.
- Another strategy is to apply a warm water or saline soak with gauze for 20 mins
Artificial tears (e.g. hypromellose 1%) for dry eyes; avoid make-up and contact lenses
Control scalp seborrhoea with medicated shampoos (e.g. ketaconazole)
If persistent: short-term use of hydrocortisone 0.5% ointment
If facial rosacea: doxycycline 100 mg (o) bd for 4–8 wks
If infected (S. aureus): tetracycline 1%, framycetin 0.5% or chloramphenicol 1% ointment to lid margins 3–6 hrly for several months
If not controlled or lid abscesses: di(flu)cloxacillin or doxycycline
