One of the major cause is sticky crusty build up on the eye lid that attracts dirt and bacteria, causing eye infections, and irritations. Eye lid hygiene is a key factor for recovery.
Baby shampoo has often recommended in cleaning eyelids due to its gentle surfactant nature and affordability. However, for people with eye lid disease, baby shampoo may not be sufficiently to reduce the microbial load.
There are a number of commercial products available as a foam or pre-moistened wipes. Despite the significant overlap in their formulations, they all have a few key ingredients that are different from baby shampoo. When you have blepharitis, frothy tears, small marginal infiltrates, etc., try one of these products listed below:
1. SteriLid contains linalool, which is thought to condition the skin and maintain oils that have antimicrobial properties. Tea tree oil and sodium perborate, a preservative, both may, further reduce the bacterial load.
2.OCuSOFT Lid Scrub products are marketed as Original for mild to moderate disease or Plus for moderate to severe disease. These products contain 1,2-hexanediol and 1,2-octanediol, which can penetrate bacterial cell membranes, induce cellular leakage, and thus provide antibacterial properties.
3. Systane Lid Wipes contain benzyl alcohol, which is traditionally used as a preservative, though it may function to reduce bacterial counts when applied to the lid.
Since surfactant cleansers are capable of drying the skin, oil-based cleansers may be a reasonable alternative for some patients. Mineral oil is well tolerated and an excellent skin moisturizer that is capable of removing make-up and lash debris. (Personal testimonial: I have been using a mineral oil-based emollient to remove eye make-up for 15 years!) The antimicrobial effects of coconut oil have been well documented, and its extracts are found in each of the lid scrubs discussed above. Dilute tea tree oil shampoo can also be used, but take caution as it may cause irritation and is not recommended for children or pregnant women. So, help your blepharitis patients in reducing bacterial overgrowth of the eyelids; abandon the baby shampoo and recommend one of these more effective products.
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