Blepharitis – photo, symptoms and treatment ofadults

Blepharitis – a pathology in which there is inflammation of the edges
century. This inflammation causes discomfort, impairs vision and
hurts, itching and burning. With blepharitis, the eye as a whole can
remain unchanged, which often leads to the mistaken belief that
the disease is trivial, and does not require treatment. This is actually
not so, and during prolonged flow the eyes are subjected to constant
infectious effects that can cause significant
problems, including blurred vision.

Blepharitis eye: what is it?


Blepharitis is an inflammation of the edges of the eyelids caused by bacterial
infection. In the morning, eyes are hard to open, because pus in a night
blinded eyelashes. Chronic course is characteristic of blepharitis.
although emit both chronic and acute form.

The prevalence of this disease among people is very high.
(approximately 30%). The disease can affect children, but nonetheless
The maximum peak incidence is observed in the age group from
40 to 70 years.

Blepharitis may occur as a result of flowing in the body.
diseases not related to eyes, and also due to reduced
the level of its protective forces. Late appeal to a doctor
can lead to serious complications, such as keratitis, with
which require inpatient treatment

Localization of inflammation are distinguished:

  • anterior marginal – mild, eyelids only
    ciliary edge;
  • posterior margin – deeper inflammation affecting
    meibomian glands;
  • angular (angular) – inflammatory lesion with typical
    localized in the corners of the eyes.

Based on the clinical course, eye disease blepharitis may
proceed in the following ways:

  • simple form;
  • seborrheic, it is scaly type (the accompanying usually
    seborrheic dermatitis);
  • ulcerative or staphylococcal blepharitis (ostiofollikulit);
  • demodectic inflammation of the eyelids;
  • allergic form;
  • acne or rosacea blepharitis;
  • and finally, a mixed version.

The reasons

Usually the disease is caused by infectious (bacteria, fungi,
mites) or an allergic agent. Blepharitis may be caused
various reasons but whatever the immediate cause
inflammation of the century, in the development of blepharitis is of paramount importance
reduced immunity, as a result of recently transferred or
available common diseases.

Possible reasons:

  • Long-flowing barley century;
  • Allergic states, anemia and avitominoz;
  • Application of cosmetics (mascara);
  • Prolonged exposure to the sun in dusty rooms;
  • Astigmatism, myopia, hyperopia;
  • Demodecosis century;
  • Diseases of the digestive system;
  • Autoimmune lesions caused by chronic foci
    inflammations: carious teeth, sinusitis, urogenital inflammation

The main reason for the appearance of blepharitis in children is golden
staphylococcus (with weakening of the body). Less common pathology develops
due to factors such as:

  • hypothermia;
  • contact with dust and other mechanical particles;
  • high load on the nervous system;
  • physical overstrain;
  • infectious diseases;
  • reduced immunity;
  • diabetes;
  • metabolic disorders;
  • helminthic invasions;
  • allergy;
  • chronic gastrointestinal tract pathology (gastrointestinal tract).

Возникнуть блефарит может также по причине
negative environmental impact (increased content
dust and smoke in the air, prolonged exposure to the atmosphere
chemical compounds).

Symptoms of blepharitis (photo)

фото глаза у взрослого

Immediately it is worth noting that no matter what kind of form
The described disease has developed in a patient. He will always be
There are typical symptoms of blepharitis in the eye, which include
such manifestations as:

  • rapid fatigue of the organ of vision;
  • increased eye sensitivity to stimuli (for example, to
    light or wind);
  • eyelids blush, swell and itch;
  • blurred vision, which is associated with constantly forming tears
  • eye exudates appear, leading to the appearance of plaque on
    eyelids and gluing eyelashes.

Secondary signs of pathology in case of impaired blood supply

  • photophobia;
  • double objects in the eyes;
  • puffiness;
  • prominent foaming secret in the corners of the eyes;
  • falling cilia;
  • profuse tears;
  • accumulation of inflammatory crusts.

In the morning, the symptoms of the patient have a vivid expression in
large accumulation of pus sticking eyelids. Help the opening of the eyelids
can only be washed.

Обратите внимание: симптомы могут проявляться не постоянно;
periods of remission (improvement) often alternate with

Инфекционный (язвенный) блефарит

The penetration of microorganisms into invisible wounds may
cause their reproduction and damage to surrounding tissues.
The following symptoms occur:

  • The feeling of sand in the eyes, burning, redness of the eyelids, purulent
    discharge from the eye, bonding the edges of the eyelids after sleep.
  • At the edges of the eyelids appear purulent crusts.

Allergic blepharitis

This form is very characteristic alternation of exacerbations and
complete health conditions. Symptoms of the disease, contrary to
common misconception does not manifest itself at the first meeting
person with an allergen. Only this happens at this moment.
�”Identification” and “memorization”, as a potentially harmful substance.
After that, within 1.5-2 weeks, the production
inflammatory proteins (IgM antibodies). It is their interaction with
allergens leads to the appearance of all signs of pathology.

Факторов, вызывающих блефарит аллергического
character, a lot. Самыми распространенными из них

  • House dust;
  • Cosmetic products containing an allergen (mascara, eye shadow and
  • Hygiene products having
    составе раздражитель (мыло и etc.);
  • Unsuitable skin care products (lotions, creams, milk and
  • Pollen;
  • Chemical irritants.

This type of disease is different from other types.
blepharitis a sudden onset associated with penetration into the body
allergen. At the same time, there is such a clinical picture:

  • Redness and swelling of the eyelids.
  • Sensation of “sand”, burning in the eyes.
  • Reaction to bright light, tearing.
  • Excretion of mucus from under the eyelashes.
  • Unbearable itching.
  • Darkening of the edges of the eyelids, which bears the name of allergic

Scaled blepharitis

The characteristic symptom of scaly blepharitis is the appearance of
the edges of the eyelids and at the roots of the eyelashes of small brownish-gray scales, similar
for dandruff. Moreover, these dead particles of the epidermis are very strong
cling to the skin. The edges of the eyelids blush, they appear
thickening. The disease is accompanied by itching, which in the evening
is increasing. Eyes get tired quickly, become sensitive to
external stimuli: dust, wind, bright light.

Demodectic blepharitis

Demodectic blepharitis проявляется покраснением и утолщением
edges of the eyelids, the presence of scales, crusts, white couplings on the eyelashes. Mite
settles in the gaps of meibomian glands, ciliary follicles.
Symptoms include:

  • Intense itching of the eyelids, worse in heat.
  • Eye fatigue, redness, frothy discharge on
    edges of the century.


Meybomium блефарит – результат хронического блефарита, который
characterized by obstruction of the meibomian (edge ​​of the century) and sebaceous
glands. The formation of a transparent secret is noted,
which cannot flow freely from the blocked glands, since
they are inflamed. Bubbles with secretory fluid dissolve through
some time.

Признаками развития патологии глаз are:

  • The condensed edges of the eyelids.
  • Painful sensations in the eyelids, burning, itching.
  • Puffiness and slight swelling of the affected eyelids.
  • Eye fatigue during normal visual
  • Decreased visual acuity, development of photophobia in some

Acne blepharitis (rosacea)

Acne blepharitis is often combined with acne.
It is characterized by motley eyelid skin eruptions. Acne gain
scarlet shade. Заболевание редко протекает изолированно. More often
it combines with conjunctivitis, dry eye syndrome, chalazion
or hordeolum (barley).


It is characterized by inflammatory processes in the corners of the palpebral fissure.
At the same time, foamy content accumulates in the corners of the eyes. Eyelids in
corner of the eye thicken, they appear cracks, sores. Often
This disease occurs in adolescents.


If you do not treat blepharitis eyes, then the appearance of the following

  • chalazion;
  • хронический конъюнктивит;
  • barley;
  • corneal injury;
  • keratitis;
  • incorrect growth of eyelashes;
  • scarring of the eyelid tissue;
  • deformation of the edge of the century;
  • development of abscesses;
  • difficulty in using contact lenses;
  • excessive tearing;
  • dry eye mucosa.


If a patient has timely applied for medical assistance and
adherence to the recommendations of the attending physician, then, as a rule,
recovery occurs quickly enough. For specialist
making a diagnosis is not difficult. For this
will require only a history of the disease and simple diagnostic
manipulations such as external examination and biomicroscopy (inspection at
using a microscope).

If a bacterial infection is suspected, take a swab with
conjunctival surfaces and carry out bacteriological seeding with
the purpose of detecting a specific pathogen and determining its
sensitivity to antibacterial drugs.

Treatment of blepharitis

Treatment of blepharitis глаз, как правило, консервативное. Leaks
it is long and usually requires an integrated approach, taking into account
causal factors.

General principles of treatment for blepharitis:

  • antibacterial drugs in the form of ointments and solutions;
  • sulfonamides;
  • antiseptics;
  • antihistamines;
  • glucocorticosteroids;
  • vitamin therapy;
  • good nutrition;
  • increased immunity;
  • autohemotherapy for persistent disease;
  • elimination of associated diseases.

Treatment of blepharitis проводится с учетом его возникновения,
development, type and is based on three important principles:

  1. The use of warm compresses to improve the liquid outflow
    from the inflamed zone. Used herbal remedies, heated
    to a warm temperature napkins, towels applied to the eyelids.
    Compresses are recommended to be done three times a day to get
    positive performance.
  2. Mandatory cleansing of the eyelids with a few drops of shampoo
    for children who do not pluck eyes dissolved in water. Mixture helps
    eliminate desquamated epithelium, crusts, dirt. Rinse should
    careful not to exert pressure on the eyelids and not annoy
  3. Application to the edge of the eyelids in the event of bacterial infection
    ointments directional. Bacteria are fought with
    tetracycline, erythromycin, bacitracin eye ointments,
    indicated for use by an ophthalmologist.

If external eye treatment is ineffective, in addition there will be
antibiotics are prescribed in pills.

The following drugs are also widely used:

  • Ofloxacin (drops);
  • Ciprofloxacin (drops);
  • Maksitrol (the ointment containing polymyxin B and neomycin).

If the disease develops against the background of flu, cold and other
viral infections, ophthalmologists recommend antiviral
means – aktipol, oftalmoferon, poludan. Drops need
use people with symptoms of chronic blepharitis for
prevention in the winter, springtime.

Physiotherapy treatments help speed the process
recovery. When blepharitis is used:

  • electrophoresis with antibiotics and vitamins;
  • UHF-therapy;
  • UVB therapy;
  • magnetic therapy.

Blepharitis is a recurrent pathology. Treatment effectiveness
depends on the regularity of eyelid hygiene and full medicinal
therapy. However, even this does not exclude periodic exacerbations.

Folk remedies

  1. Кукурузное масло – масло прокипятить и остудить, смазывать
    eyelids 2-3 times a day, you can alternate with the use of burdock
    rosehip oil and oil. Vegetable oils are especially effective at
    seborrheic blepharitis.
  2. Отвар лаврового листа – 12 листиков залить 250,0 мл
    boiling water and boil for 3 minutes. Then put the broth on sterile
    tampons and impose on the eyelids for 15-20 minutes. This method is effective.
    with allergic blepharitis.
  3. To get rid of the concomitant disease
    tears come to the aid of drops of cumin decoction or
    plantain. For the same purpose, decoctions of cornflower and
    eyebright. Instillation is carried out at bedtime and immediately after.
  4. В лечении себорейного блефарита хорошо helps репейное масло,
    to be applied before bedtime on the edges of the eyelids.
  5. You can bury in the eyes of an aqueous solution of honey. Such a solution
    contains a large amount of vitamins, mineral and nutritious
  6. Хорошо себя зарекомендовал настой чабреца или цветков
    календулы с ромашкой. The last remedy can be used in
    fighting an infection that caused an inflammatory


To prevent the disease from reappearing
prevention of blepharitis, which is as follows:

  • hygiene: own towel, handkerchief for
  • do not touch your eyes with dirty hands;
  • personal belongings of a patient with demodectic blepharitis should
    be separated from common things: pillow, towel;
  • immunity strengthening;
  • timely treatment of infectious diseases.

Blepharitis is a rather unpleasant disease that delivers
man a lot of inconvenience. It can be very difficult to cure here.
can not do without an integrated approach.

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