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Blepharitis and Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, RLE, and P-IOL

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Blepharitis

Considerations with Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, RLE, and P-IOL.


Image of red and closed eyelid.  
Blepharitis is a reddening of the eye lids caused by inflammation or infection that must be managed before Lasik laser eye surgery.  
   

Blepharitis is a contraindication for most cornea-based refractive surgery techniques, including conventional or wavefront Lasik, Bladeless Lasik, PRK, LASEK, and Epi-Lasik, unless the blepharitis is very mild and/or is fully under control. Blepharitis is a consideration for P-IOL, and RLE, but does not seem to be as critical.

Blepharitis is an inflammation of the eyelids. It is a very common condition that can be associated with a low grade bacterial infection (staphylococcal blepharitis) or a generalized skin condition (seborrheic blepharitis). Blepharitis is seen most commonly in adults.

Causes of Blepharitis

Factors believed to contribute to blepharitis include abnormalities in oil gland function and an alteration in bacterial colonies that normally live on the skin. Blepharitis is not contagious and cannot be passed from one person to another.

People with blepharitis will have red eyelid margins and persistent ocular irritation, however there are other ocular problems that will have similar symptoms. An ophthalmologist can help definitively diagnose this condition by careful examination of the eyelid margins. In some instances, dry eye symptoms and underlying skin conditions can be associated with blepharitis.

The inflammation around the eyelids characteristic of blepharitis can be improved by increased lid hygiene. Gently scrubbing the eyelid margins with baby shampoo diluted with water can decrease the amount of flaking skin and oil in the area. A cotton tipped applicator or a washcloth wrapped around the index finger can be used to apply the shampoo.

Treatment

Warm compresses applied to the lids for several minutes a day can also be helpful. In some select cases, your ophthalmologist may also choose to prescribe an antibiotic ointment or drop. Restasis is a cyclosporine eye drop that has been shown to be very helpful for blepharitis.

Blepharitis is a chronic condition that often requires long-term treatment in order to prevent exacerbations.

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

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If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Recent Blepharitis Medical Journal Articles...

 


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