What can we do for blepharitis and dry eyes?
I can help you as an ophthalmologist by confirming the diagnosis blepharitis and dry eyes. I can look at your eyes and tell you if they are affected by blepharitis and then I can advise you how to manage the condition at home and what we can do to help you with what you are doing at home, here in the clinic.
Once I have confirmed that you have blepharitis, meibomian gland dysfunction and dry eyes, I start to discuss this with you and find out what you know about it already.
Many of our patients already read lots of blogs and are almost as up to date as we are, but several of them have not heard what the interaction between blepharitis, meibomian gland disease and dry eyes is as not everybody gets all three. The worst, of course, is to get all three because then you have red-rimmed eyelids, heavy sore eyelids, tiredness on the front of the eye and dryness of the tear film.
At home, if you got blepharitis and meibomian gland dysfunction, you can do some very simple measures to help keep the disease under control lock, stock and barrel. You can do eyelid heating at home to reduce the temperature at which the oil becomes liquid. The oily glands, called the meibomian glands, often become sluggish as people do not use their eyelids as much, they are lacking in blinking, they are not massaging and cleaning them. However, I can reinvigorate them to resume or start eyelid cleaning and hygiene at home using a simple micelle makeup solution which can be purchased for many of the big companies.
I recommend that about six minutes a day is spent on looking after your eyelids. In the same way that if you brush your teeth two or three times a day which is going to eat up 6 to 10 minutes a day, and during that time that you are brushing your teeth, you are meditating, you are thinking, and you are relaxed. The same goes with the eyelids; during that time take a few minutes out to use a hot flannel to soak the eyelids, think about lovely things that give you pleasure and the oily glands will likely work better.
Also, think about changing your diet. Look very carefully at your diet and cut back on the trans-fats, the saturated fats, the sugars, the processed foods, anything that comes out of the packet that has had a label on it. Try and use fresh foods that have been recently purchased either at a supermarket or Sunday farmers’ market.
Here at Clinica London, we can help patients with blepharitis and meibomian gland dysfunction even after we have become accustomed to just talking to them about their condition. We can offer BlephEx or lid margin curettage to help remove Biofilm from the lid margins. We can do MiBo ThermoFlo to heat the oil in the eyelids and then the expression of the glands at the slit lamp under topical anaesthesia. The BlephEx is usually done once every three to six months, and MiBo ThermoFlo can be done as often as a week or as far apart as three or four weeks. A course of MiBo ThermoFlo is advised because then the patient has a greater chance of success and it reinforces what they are doing at home to look after their blepharitis.