Eye Lid Disorders

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Blepharitis​

Blepharitis is chronic inflammation of the eyelids.
Symptoms
Blepharitis can present with one or more of the following symptoms:

  • Crusting or dandruff along the lid margins
  • Swollen eye lids
  • Itching and irritated eye lids
  • Gritty, foreign-body sensations

Treatment
Milder cases of Belpharitis may be cleared with simple home remedies. More serious cases may require using several remedies in conjunction.

  • Warm Compresses – placing a warm pad (such as a moistened cotton ball or make-up remover pad) on the eyelids for 5 minutes. Keep a constant heat on the eyelids by replacing them with warm ones as they cool. Perform 2-4 times a day to help loosen the debris on the lid margins.
  • Lid Scrub – washing the eyelids daily to remove more stubborn debris will help relieve the condition. The use of baby shampoo or commercially specific products like “Lid Care” may be required. Ensure you clean along the very edge of the lid by keeping your lids only gently closed during cleaning.
  • Medication – Antibiotics or steroid ointments may be prescribed in more severe cases. These are only for short term use and may cause side-effects if used long term.

Daily cleansing of the eyelids is key to managing Blepharitis.

 

Cysts & Styes 

A cyst (chalazion) is a swelling in the eyelid caused by chronic inflammation of one or more of the small oil producing meibomian glands located in the upper and lower eyelids. A chalazion is usually a reaction to trapped oil secretions and not caused by bacteria, although bacteria can secondarily infect the site. Chalazions usually present as a firm lump that can be felt through the skin surface of the eyelid.

A stye is an acute inflammatory infection of an eyelash follicle and forms a red sore lump near the edge of the eyelid. Styes usually present as a small collection of pus on the lid margin.

Both chalazions and styes can cause discomfort and can be treated by your Ophthalmologist. If it is small and without symptoms it may disappear without treatment.

Ectropion

Ectropion occurs when the lower eyelid “rolls out” away from the eye, or is sagging away from the eye. This can lead to the eye becoming dry and sore. It may also lead to damage to the cornea due to exposure.

 

Symptoms

·         Watering

·         Irritation, grittiness & pain

·         Redness

 

Causes

·         Ageing

·         Facial nerve paralysis (Bells palsy, stroke)

·         Trauma / Injury

 

Treatment

 Ectropion can be repaired surgically. After your eyelid heals, your eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.

 

 

Entropion

Entropion occurs when the eyelid “rolls inward” towards the eye. The turned in eyelid rubs against the surface of the eye, rubbing against the corneal surface and can lead to corneal scarring or ulcers.

 

Symptoms

·         Red & watery

·         Irritated & painful

·         Sensitive to light and wind

 

Causes

·         Ageing

·         Trauma / Injury

 

Treatment

 Entropion can be repaired surgically. After your eyelid heals, your eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.

 

 

Droopy/Puffy Eyelids & Ptosis

Just like the rest of our skin, the tone and shape of our eyelids can overtime, loosen and sag.

Sometimes this sagging skin can become so excessive that it obstructs our vision.

 

Causes

·         Ageing 

·         Hereditary conditions

·         Significant sun exposure

 

Treatment

By removing excess skin, bulging fat, and lax muscle from the eyelids, the “bulk” of the eyelid can be removed to restore the eyelids to a more normal and functional state. 

 

In some cases the muscles of the eyelid no longer work properly (known as ptosis) causing the lids to hang over the eye.This can also cause significant obstruction to vision.

The muscle may become weak or stretched, may be affected by  neurological condition or trauma. Surgery on the lid muscle to lift the lid can be performed to correct the problem.