Monday, September 2, 2013

Recurring Blepharitis/Meibomian Gland Dysfunction and Chronic Dry Eyes.


Blepharitis typically is described as inflammation of the eye lids, this could be due to eye infections, sticky crusty build up on your eye lid resulting in puffy red eye lids.

Meibomian Gland Dysfunction which is abnormal or inability to secrete lubricants that are used to thicken tears.  These meibomian glands are located on the inner side of the eye lids.

Therefore, when one gets eye lid inflammation, and since the meibomian glands are also located on the eye lids, the inflammation shuts down the meibomian glands as well creating this duo malfunction.

Blepharitis/Meibomian Gland Dysfunction in chronic dry eye syndrome.  It is one of the most difficult dry eye conditions to treat.

Common symptoms of this condition include dry, red, and crusty build up (Blepharitis) on your eye lids.  You use eye drops, hot compress,  eye lid cleanser, and your eyes are still red, dry, crusty, and irritable.

Why Blepharitis and Meibomian Gland Dysfunction concur?


Blepharitis is a recurring condition caused by inflammation of your eye lids.  Meibomian glands produce tear thickening agents so it does not evaporate quickly.   Meibomian gland clogging can cause eye  inflammation which exacerbates the dry eye symptoms.

Common causes of Blepharitis include:
  • Allergy
  • Age
  • Immune system problems -e.g. Sjogrens
  • Hormone changes
  • Bacteria- eye infections resulting in inflammation, this condition is often treated with anti-biotics.
  • Dermatitis (especially rosacea, dandruff,) sometimes allergies.  Using dandruff shampoo helps a lot.
Typical Treatments  for Blepharitis and Meibomian Gland Dysfunction are:
1. Eye lid cleaning
2. Wet hot compress (twice daily, 10 minutes each time) to melt away meibomian gland clogging,  followed by gentle massage of both upper and lower eye lids.
3. Prescription antibiotic eye drop.
4. Steroid eye drops- when inflammation is out of control.

How is Blepharitis and Meibomian Gland Dusfunction related to Dry Eye?
Symptoms of Blepharitis are very similar to chronic dry eye syndrome.  The symptoms are  blurry vision, red, dry, watery, tired, light sensitivity and often wake up with a crusty build up on your eyelashes.  Night time dry eye is common.

The most common cause of Blepharitis is Meibomian Gland Dysfuncton (MGD)- is where the meibomian gland has an abnormal or absent lipid composition. The abnormality destabilizes the tear film and leadingad to evaporative dry eye –which is the root cause of Chronic Dry Eye Syndrome.

What doesHow doe you know if you have MGD?
During and exam, the eye specialist usually looks a the patient’s eyes through a slit lamp, to view the eye in more detail. In people with Meibomian Gland Dysfunction( MGD), the doctor will see plugged glands and thickened secretions. The doctor also will see very rapid tear film breakup (Tear Breakup Test of 5 seconds or less), a sign of MGD.

The eye doctor  will often try to press on the eyelid to “express” the secretions to see if the glands are producing lipids, and see what it looks like. The doctor notes how easily the secretion comes out, and if the secretion is cloudy, with debris, and is thick, like toothpaste, in advanced cases.

Blepharitis tends to recur, treating this condition can be very frustrating.  diligence in ocular hygiene is a must to keep the condition under control. 

How can TheraLife Eye Help?
TheraLife Eye targets to reduce inflammation and stimulates tear flow. High percentage of people with chronic dry eyes also have Blepharitis/MGD. Treating chronic dry eyes reduces the inflammation, and also helps to reduce the recurrence of blepharitis. It is highly recommended that those who have Blepharitis stay on TheraLife Eye long term to increase the rate of success.

To learn more about
Blepharitis click here: 
Meibomian gland dysfunction click here
Chronic Dry Eye Syndrome: click here.
Learn more about how TheraLife Eye works : web link

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1 comment:

  1. Recurring Blepharitis and Meibomian Gland Dysfunction is one of the most difficult dry eye conditions to relief. Learn how TheraLife can help.

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