Blepharitis is inflammation of the eyelids causing redness, swelling and itching.
Medications:
- Eye oint. Optithrocin (Azithromycin 1% w/w) thrice a day for 7 days.
- For chronic cases – add cap. Microdox-LBS (Doxycycline 100 mg, Lactobacillus 5 billion spores) 1 capsule a day for 4 weeks.
In refractory cases –
- Eye drops Milflox DF (Moxifloxacin 0.5% w/w, Difluprednate 0.05% w/w) one drop four times a day for 10 days.
- Cap. Microdox-LBS (Doxycycline 100 mg, Lactobacillus 5 billion spores) 1 capsule a day for 4 weeks.
General care:
- Apply warm compresses.
- Wash the lids with baby shampoo on cotton swab.
- Massage lids to express the gland discharge.
Investigations:
- Eyelid margin culture- to check the microbiology
Referral:
Consider referral to ophthalmologist if patient fails to respond or presents with additional complications.