| Blepharitis is the inflammation
of the eyelids that affects the oil glands of both the lids and eyelashes. There
are two forms of this health problem 1) non- ulcerative and 2) ulcerative. In
the nonulcerative type, it causes symptoms that may include: burning, itching,
swelling, watering, and redness, accompanied by the formation of crusts of dried
mucus on the eye lids. This health condition was once known as “granulated
eyelids.” Nonulcerative blepharitis is a cousin of dandruff
and eczema, and may be a complication of psoriasis.
It is often linked to seborrhea of the scalp, the eyebrows, and the skin around
the eyes. In ulcerative blepharitis, a Staphylococcus infection at the roots of
the eyelashes causes sticky crusts to form on the lid margins, followed by small
sores, or ulcers. The eyes become reddened and abnormally sensitive to light.
Both forms of blepharitis may be contagious. Severe blepharitis can lead to
corneal problems with the eyes. This health condition is serious and should not
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|Signs and symptoms which are related with chronic inflammation
* Redness of the eyelids
* Flaking of skin on the lids
* Crusting at the lid margins (worse on waking)
* Cysts at the lid margin (hordeolum)
* Red eye
* Debris in the tear film, seen under magnification
* Gritty sensation of the eye
* Reduced vision
Common signs and symptoms of blepharitis also include itching, irritation and
burning as well as a foreign body sensation. Some people experience eye dryness
that may cause pain or discomfort.
People who wear contact lenses usually have more trouble in coping with their
symptoms because although they need contact-lenses, they cannot wear them. Many
such patients complain of being unable to wear their lenses for long periods of
time or that the lenses are causing them even more irritation of the eye.
The eyelids may become red and may have ulcerative, non healing areas that
may bleed. Blepharitis does not normally cause problems with the person's
vision, but due to a poor tear film, they might have blurred vision.
Eye redness and swelling tend to appear in more advanced cases, and they are
rarely primary symptoms. The symptoms can slightly vary based on the exact cause
of the condition. Blepharitis due to an allergy can cause dark lids, symptom
which is called allergic shiner which is more frequent in children than
adults. Infectious blepharitis is accompanied by a yellow or green colored pus
discharge that is normally more abundant in the morning and which causes stuck
eyelids. Blepharitis may also cause eyelid matting or gluing of the lashes. And dandruff
may occur on the scalp or on the eyebrows.
Other blepharitis symptoms include:
- sensitivity to light
- eyelashes that grow abnormally
- loss of eyelashes
The tears might appear bubbly in nature and mild scarring might occur to the
eyelids. The symptoms and signs of blepharitis are often erroneously ascribed by
the person as being due to recurrent conjunctivitis.
Blepharitis that localizes in the skin of the eyelids may cause styes or
chalazia, that appear like red bumps, sometimes with a yellow spot if infection
is present. Even though pain is not common among blepharitis symptoms, if the
condition persists or becomes painful, the individual is recommended to seek
medical attention for the problem. Chronic blepharitis can result in damage of
different severity which may have a bad effect upon vision and thus upon the
person's eyeglass prescription lens.
Infectious blepharitis can cause hard crusts around the eyelashes which leave
small ulcers that may bleed or ooze after cleaning. As a general rule,
blepharitis symptoms which do not improve, despite good hygiene consisting of
proper cleaning and care of the eye area, should be referred to a doctor.
Doctor's Comments about Drugs
"The person who takes medicine must recover twice, once
from the disease and once from the medicine." William Osler, M.D.
"The cause of most disease is in the poisonous drugs
physicians superstitiously give in order to effect a cure." Charles E.
"If all the medicine in the world were thrown into the sea,
it would be bad for the fish and good for humanity."
O.W. Holmes, (Prof. of Medicine Harvard University)
"Every drug increases and complicates the patients
condition." Robert Henderson, M.D.
"In sickness the body is already loaded with impurities. By
taking drug - medicines more impurities are added, thereby the case is further
embarrassed and harder to cure." Elmer Lee, M.D.
"The necessity of teaching mankind not to take drugs and
medicines, is a duty incumbent upon all who know their uncertainty and injurious
effects; and the time is not far distant when the drug system will be
abandoned." Charles Armbruster, M.D.
See the website www.drugs.com
to look up possible side effects
of any prescription drugs or medications that you are using.
Your Body Heal Itself
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Journal of the American Medical Association 6/12/2002 Vol 287
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||Dr. Mark Crapo
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