What is Blepharitis? (How to Treat Blepharitis at Home)


So do your eyes burn or feel irritated?
Well maybe you have blepharitis, and in this video I’m gonna be explaining
exactly what blepharitis is and how you can treat it at home so let’s take a
look. This video is brought to you by Ocusoft, the number one doctor
recommended brand of eyelid cleansers. hey everyone this is dr. Joe Allen here
from doctor eye health. The channel helps with the eyes, vision and finding the
best vision products and on this channel you’ll find us doing a lot of different
product reviews as well as educational videos just like this one so if you new
here consider subscribing so you don’t miss any of my future videos. Also
remember that any point throughout the video you can check out the show notes
and links below for further information about everything that I go over
otherwise let’s talk about blepharitis. So blepharitis is a general term
describing the inflammation of the eyelids themselves now most commonly we
describe this as marginal blepharitis because the inflammation is right on the
eyelid margin the part right by where the eyelids are opening and this is
extremely common in fact most people either have blepharitis right now this
exact second or they’ve already had it when they were younger or they’re gonna
get it again when they’re older. Yes, it’s actually that common. The symptoms
of blepharitis are usually inflamed irritated eyelids they’re chronically
red itchy and kind of have a burning sensation now there’s actually different
types or classifications of blepharitis in the clinic we either call it anterior
blepharitis or posterior blepharitis based on where it’s located and what’s
causing it. Now anterior blepharitis is where you actually have inflammation of
to the eyelashes and hair follicles and this usually kind of looks like kind of
like a dandruff or an oil buildup on the surface of the eyelid and kind of
imagine it kind of like scalp dandruff but on the eyelashes themselves now
sometimes it’s tough to see this unless you have high-powered magnification like
we have in the eye clinic but again it’s very very common but it’s not just dead
skin cells and oil that are building up on the lashes the actually bacteria live
in these oils and those bacteria actually produced toxins that interact
with the oils and that causes instability of your tear film
and eventual dry eye disease now again there’s anterior blepharitis and then
there’s posterior blepharitis and posterior blepharitis involves
inflammation of the backside of the eyelid which involves the Meibomian
glands now if you’ve never heard of the meibomian glands before they’re actually
these rows of little glands that run on the bottom portion of your eyelid and on
the top portion of the eyelid and they function that every time you blink they
squeeze these glands just a little bit and a little bit of this oil comes out
and floats on your tear film and prevents the tears from evaporating and
if these oil glands aren’t functioning properly either that they’re not
producing enough or the quality is very low then your tears start to evaporate
almost instantly and so it’s actually the number one leading cause for all of
dry eye disease in fact if you are somebody who has either really bad dry
eye do you want to learn more about dry eye treatment I have a whole other
playlist on that and hooked that up here in the YouTube card above as well as in
the description below if you want to check that out now I get this
inflammation and dysfunction of these meibomian glands are part of posterior
blepharitis but they’re almost always present with anterior blepharitis to some
degree but this dysfunction of the meibomian glands it actually has many
different causes including aging hormones genetics and even contact lens
wear. okay so How do you treat blepharitis at home? well what’s great is
that blepharitis is easily treatable and a lot of times it’s preventable just
with good eyelid hygiene and so I have this discussion with a lot of my
patients who are like teenagers getting contact lenses for the first time and
I’ll look at their eyelids and they don’t look that clean so I’ll discuss
with them the importance of cleaning away all this extra debris on the eyelid
and this is a matter of washing your face basically every day I don’t like
getting soap in my eyes or anything either and I think most of us kind of
neglect really cleaning away on the eyelids but you want to find a soap
that’s not really irritating to the eyes and there are some really excellent ones
out there and we’re going to go over some of those now you may have seen
either lid wipes or foaming eyelid cleansers like these either at your
doctor’s office or at the store and both work excellent for treating blepharitis
because they have surfactants that actually help remove oil and debris away
from the eyelid and has some effect against some types of bacteria
with these type of eyelid pads you know again you can buy these at the store or
online and I’ll hook you up with some links in the description below but
really you just open it up you take out the pre-moistened pad then you unfold it
and you can see it’s a little bit soapy but then you basically just close your
eyes and then you clean the eyelid so you could just close the eyes here you
can rub along the eyelid margin you clean of all of the eyelashes including
the brow as well and then you go ahead and you just clean right along that
eyelid margin really get it those lashes okay
of course you do it on the one side then you do it on the other same thing then
rinse once you’re done drying off your eyelids
then it’s really just a matter of repeating this at least twice a day for
about two weeks in really bad cases otherwise you want to just regularly
maintain good eyelet hygiene now again these are convenient kind of
pre-moistened pads they’re excellent because you can put them in your purse
or wallet or you can take it with you somewhere but I otherwise like to use
the foaming island cleansers because it’s just a little bit more gentle on my
skin now beyond just using the lid scrubs and those really severe outbreaks
in cases doctors are now recommending maintenance eyelet hygiene with
hypochlorous acid and you’ve never heard of hypochlorous acid before this is the
aqua soft hypo chlorin it’s a very safe non-toxic spray that goes on the eyelids
and it fights many many different bacteria and so that’s why many doctors
are recommending it now I do have a whole other video on hypochlorous acid
if you want to know more about that and I’ll hook that up here in the YouTube
card above as well as in the description below if you want to check that out but
what I liked is that Ocusoft is actually packaging a cleaning spray kit
now so it actually includes 20 of the lid scrubs and a full bottle of the
hypochlorous acid so you don’t have to actually buy like a full set of the lid
scrubs by themselves and then the hypochlorous acid by the zones you can
do that if you want but it does come in a full kit now and I’ll hook that up for
you in a link in the description below now I personally don’t just clean my
eyelids every day with something like hypochlorous acid that helps again fight
the bacteria and the oils from building up on the surface of the eyelids but I
have issues with the oil glands on the back surface of my oil glands so I do
have some posterior blepharitis issues and really what I do to help with that
is something called a warm compress I love doing these things it’s actually
something I look forward to but a warm compress there’s different ways to do
that but I personally prefer the ones that are like microwavable heat packs
ones that you can put in the microwave I just find them more convenient they get
to a hotter degree and last longer again using those heat packs every day is
gonna help melt those oils the thickened oils stuck in the meibomian glands so
that they actually run smoother and it allows them to kind of run more freely
so that way it doesn’t get clogged up and then those meibomian glands continue
to live on and I find the combination of those two doing both the eyelid
cleansing and the heat compresses kind of work synergistically together because
then you’re treating both the anterior blepharitis and the posterior
blepharitis together so I have a question of the day have you ever tried
any of these products do you like the lid scrubs better or do you like the
hypochlorous acid spray better go ahead and comment in the section below I’d
love to hear what you think. alright guys thanks so much for watching if you like
the video give me a big thumbs up subscribe if you’re new and if you’d
like to catch other cool videos in my whole series about eyelid hygiene and
eyelid health go ahead and click or tap the screen to stop we’re here to decide
or if you’d like to catch another cool video from dr. IL just click there to
have the screen down over here otherwise again this is Dr. Allen here from dr eye health
the channel helps with the eyes vision and finding the best vision products
keep an eye on it we’ll talk to you soon

45 comments

  1. 🔴Eye Health QOTD: Lid scrubs or hypochlorous acid better? Have you tried any of theses products?

  2. I've been using Johnson's Baby Shampoo to clean out my lashes due to blepharitis,it hurts to be honest but these products are really helpful thanks Doc!🤗🤗

  3. sir my oct result i can't understand Please help me my age is 28 years old me both eye vision slowly slowly gone what i do please

  4. I use both the acid and the lid scrubs. I even use the mask 25 seconds and 5 minute wear over the eyes seems to work for myself. It got so bad at one point I elected to undergo a Lipiflow treatment to reestablish some kind of baseline treatment and care. Yes it is a nightly routine now andmany times in the morning

  5. I wonder do the eye masks with USB lead work the same as the microwaved ones ? Could you answer please?

  6. What is Blepex? Is it a procedure that is a last resort? I’m asking for a friend and she says that her Medicare wouldn’t cover it.

  7. I'm using antibiotic drops since 6 months doctor for dry eyes but still I feel blurry vision on my left eye and I use artificial tears

  8. I used sensitivity drops n medicament that causes me : irritated / red and sensitive eyelids /
    Every time i'm using a soap or a cleanser my eyes get irritated. Please i want somthing that can make my eyes feel better
    Thanks .

  9. I have been using a mud mask on my eyes to draw out the clogged glands you talked about. I also use black tea bags for hot compresses. I clean my eye lids with baby tear free natural soap. Will all this effort help? My optometrist was saying that hot compresses dont usually work well for bad clogged oil glands???

  10. Dr. J. I should start doing that since I am being treated for this infection by my Ophthalmologist. I wonder though if you wear contacts if they will block the oil from your eyes. I know some are supposedly porous so the tears can penetrate but will the oil? Does that even matter as long as the oil is on the lids?

  11. Do you use colloidal silver in your practise as was used extensively by optimologists pre 1938 as an antibiotic. I know it works! Have a great day!

  12. Thanks, U so much for explaining why I do the warm compresses on my eyes…
    I was told to do that by my doctor but she never explained why & I didn't ask.i assumed it was because of blepharitis.
    I wish she had explained about why I was doing it in particular meaning to keep the oil glands functional!
    I have the spray & will use it now along with the warm compresses.
    The pre-made ones R too expensive to use every day.
    Love you intense, clear & direct U r.
    Your eyes R something else also.
    Very animated human being u R…

  13. I was really worried about this when my optician told me I had signs of it. But thanks to you I feel calm and know I can handle it safely. Thank you sir you have helped me a a lot

  14. my yellow roots have little yellow inflammation. They don't go with cleaning. Not with drugs. What can I do ?

    With this reason I have dryness in my eyes

  15. THANK YOU! I went to my eye doctor and she didn’t explain a fraction of what you did ! Eye scrubs? They have those?! Shessh.. the only useful information she gave me was “use a hot compress at least 20-45 minutes a day” and the email I got post treatment stating “You have: Blepharitis.” Good to know!

  16. this diasese is a living hell , needs a cure. been suffering for years now and only in my early fucking twenties.

  17. If using the wipes and spray clears up the condition before 2 weeks should you still continue procedure for entire 2 weeks?

  18. Hope you are doing brother i was diagnosed with blepharitis and was told to use Steroid eye drops for a month and warm compresses+eyelid cleaning with selsun blue but on the 24th say one of my vision became double and distorted which is much better but still weak. And i had my eye Iop little high too. I have stopped using medications. My question is would my eyesight and iop get back to normal ?

  19. The single use whiles are great they have helped me with dry skin and keeping my kids clean I need to try the other kid cleaner. My eyes seem to be so red and puffy lately I can’t even wear makeup anymore it just sets my eyes off in to a reaction and red puffiness. But the whites and the microwaveable compress helps so much great video so informative. 😊

  20. Hey there my name is Sidra, I have been dealing with inflammation on both upper eyelids for over a year now.. visited my physician and 2 other optomologist which couldnt figure out what was causing it. then visited another optomologist who said i have mild blepharitis though only told me to do warm compresses which i did but didnt help..Also, I dont get the crusties in my lashes when waking up but my lids are swollen and sometimes i wake up congested… please respond, I am honestly feeling super frustrated and just need the right guidence to cure this problem I have been facing.. hope to hear soon.

  21. I've been getting chronic blepharitis for the past three years on and off. It's all about having a hygiene routine to keep your eyelids clean. I use the ocusoft cleansers morning and night, and use the heat pad occasionally. I also use thera tears for my dry eyes once a day as well.

  22. Hi Doctor, can I get your email address. I want to show you a picture of white tiny pimple appearing under eye lashes skin which later gets bigger and get swelling around it causing severe pain and then bursting after 6-7 days with yellowish puss and blood coming out of it. Then it get normal but this tiny white pimple appear again after a week on same eye lashe some time on same place and some time near to the previous place. I visited Eye consultant several times and on Eye Consultant prescription used Vigamox (moxifloxacine) eye drops for 10 days 3-4 times daily and applying Tobramycin Sterilie Ophthalmic Ointment daily one time for one month on the skin under eyelashes where the hairs start but never cured. The same doctor advise me to wash my eye lashes with Baby Shampoo and apply Heat compress which i am doing also but this problem is re appearing frequently. Can you help me please in this regard. I never had any such problem before on my eye. I am 40 now. This problem started with a stye first time in January 2018. Its now almost 1 and half years with the problem recurring. You can email me your contact details or whatsapp number at [email protected] Regards.

  23. Tea Tree Oil!!! "All patients receiving TTO improved in symptoms, signs, and tear film stability, and the improvement was statistically significant at P < 0.001. Only five patients in massage group showed improvement. The changes in massage group were not statistically significant at P < 0.001. TTO is very effective in relieving symptoms and improving tear film stability and lid signs." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848340/

  24. how many times would you recommend doing the eyelid massage for dry eye how long do you have to do this my eyes are very watery

  25. I saw my eye doctor last saturday and i told her how my right eyelid has been swelling since May. Then my left eyelid become puffy too last August 10. Both are itchy and burns. When i saw her, my right eyelid was red when i woke up. My eyelids are more puffy in the morning then kind of more relaxed in the night. She suggested to hot compress my eyes twice a day and buy "Tobramycin Dexamethasone 3mg/1mg per g Sterile Ophthalmic Ointment" to be put on both my eyelids, up and down 1x a day. She just didn't explain to me clearly what does it do as she was rushing to see another patient of hers.

  26. Hey there my name is Sidra, I have been dealing with inflammation on both upper eyelids for over a year now.. visited my physician and 2 other optomologist which couldnt figure out what was causing it. then visited another optomologist who said i have mild blepharitis though only told me to do warm compresses which i did but didnt help..Also, I dont get the crusties in my lashes when waking up but my lids are swollen and sometimes i wake up congested… please respond, I am honestly feeling super frustrated and just need the right guidence to cure this problem I have been facing.. PLEASE RESPONDDDD!

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