How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DocHarrison Your Own Question
Category: Eye
Satisfied Customers: 301
Type Your Eye Question Here...
DocHarrison is online now
A new question is answered every 9 seconds

Treatment for blephoritis

Customer Question

Treatment for blephoritis?
I have been told that dandruff causes it. I have doubts. I notice that moving air aggravates it, and I need to keep eyes closed more or tend to rub eyes unconsciously due to discomfort.
Submitted: 6 years ago.
Category: Eye
Expert:  DocHarrison replied 6 years ago.


Unfortunately blepharitis is a chronic condition that often can't be "cured". However, with good eyelid hygiene, antibiotics, and occasionally steroids can help keep the condition asymptomatic. You may need to try a different antibiotic if the tetracycline only helped temporarily. It is also possible that a short course of steroids could minimize the irritation you are currently experiencing. I strongly urge you to get evaluation by an opthomologist, as blepharitis can occasionally be misdiagnosed and the true problem is pathology within the glands themselves. I have pasted some "eye hygiene" information below. I hope this helps.


TREATMENT - The most important initial component of blepharitis treatment is patient education and counseling. Blepharitis is a chronic condition without definitive cure, and a satisfactory result therefore requires a long-term commitment to treatment and appropriate expectations. Goals of treatment are to alleviate acute symptoms of an exacerbation and to develop a maintenance regimen to prevent or minimize future exacerbations.

Good lid hygiene is the mainstay of treatment for all forms of blepharitis and should be emphasized in both the acute and maintenance phases of treatment. Recommendations about self-care hygiene and other interventions are based on clinical experience, as randomized trials have not been reported on specific components of self-care.

Warm compresses - Application of heat to the lids and meibomian glands can liquefy the abnormal solidified meibomian secretions by heating them above their melting point. Heat may also promote increased circulation in the meibomian glands and thereby increase the quantity of secretions.

Patients are advised to soak a wash cloth in warm (not scalding) water and place it over the eyes. As the wash cloth cools, it should be re-warmed and replaced for a total of five to ten minutes of soaking time. This is recommended two to four times a day during the acute phase, and at a decreased frequency in the maintenance phase of treatment.

Lid massage - Lid massage may help empty the meibomian glands and improve secretion, especially in patients with posterior blepharitis and meibomian gland inspissation. Lid massage should be performed immediately following application of a warm compress. Either the wash cloth that was used for the compress or a clean fingertip should be used to gently massage the edge of the eyelid towards the eye with a gentle circular motion.

Lid washing - Patients with significant accumulation of debris on the eyelashes may benefit from gentle washing of the eyelid margins following use of the warm compress. Either warm water or very dilute baby shampoo can be placed on a clean wash cloth, gauze pad or cotton swab. The patient is then advised to gently clean along the lashes and lid margin to remove the accumulated material on the lashes with care to avoid contacting the ocular surface. Vigorous washing should be avoided, as this may incite more irritation of the sensitive eyelid skin.

Commercially available eyelid scrub solutions are safe and effective [24] and may be preferred for their convenience and ease of use [25]. If any soap is used, thorough rinsing is recommended.

Antibiotics - Since bacterial overgrowth and the lipase activity of colonizing bacteria are known to play a role in the pathophysiology of blepharitis, there is a role for antibiotics in treatment.

Topical antibiotics - Topical antibiotic ointments may be helpful in reducing the bacterial load of the lashes and conjunctiva. The ointment is placed directly onto the lid margin up to four times a day. Many prefer to use the antibiotic once daily at bedtime only, since the ointment can cause significant blurring of vision.

Erythromycin or bacitracin ointments are most frequently prescribed as they have broad spectrum antimicrobial activity and tend to be well tolerated [26].

Topical azithromycin ophthalmic solution 1% has been shown to improve meibomian gland secretions and to decrease eyelid redness, compared to use of warm compresses alone [27].

Category: Eye
Satisfied Customers: 301
DocHarrison and 2 other Eye Specialists are ready to help you
Customer: replied 6 years ago.
Yes, I received this reply. It was to another question I posted, about geographic tongue, which I missed the answer, somehow. Thanks

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland

Meet The Experts:

  • Dr. Dan B.

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • Dr. Stan's Avatar

    Dr. Stan


    Satisfied Customers:

    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • Dr. Stevens's Avatar

    Dr. Stevens


    Satisfied Customers:

    Board Certified Ophthalmologist
  • Dr. Susan's Avatar

    Dr. Susan


    Satisfied Customers:

    Board Certified & Fellowship trained eye surgeon.
  • Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    Harvard Medical School, Massachussetts Eye and Ear
  • Dr-Trace's Avatar


    Board Certified Ophthalmologist

    Satisfied Customers:

    Board Certified in General Ophthalmology
  • Dr. Daniel Jewelewicz's Avatar

    Dr. Daniel Jewelewicz

    Board Certified Ophthalmologist

    Satisfied Customers:

    Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

Related Eye Questions