Seborrheic blepharitis

Application of solutions or ointments directly to the lid margin is especially helpful in treating seborrheic or infectious blepharitis. After several drops of the antibiotic solution or detergent, such as baby shampoo, are placed on the end of a cotton-tipped appUcator, the solution is applied to the Ud margin with the eyeUds either opened or closed (Figure 3-11). Antibiotic ointments are applied in the same way. 

Mixed seborrheic-staphylococcal blepharitis Posterior lid margin Meibomian gland dysfunction Meibomian seborrhea Meibomitis Primary Secondary... 

Figure 23-7 Greasy lashes and scurf in seborrheic blepharitis. Note the external hordeolum (stye) on the lower lid margin black arrow). (From Kanski JJ. EyeUds. In Clinical ophthalmology a systematic approach. Philadelphia Butterworth-Heinemann, 2003 10.)...

Seborrheic blepharitis may be fitund in isolation, in conjunction with staphylococcal infection, or with posterior blepharitis with or without inflammation of the glands. 

In resistant cases of seborrheic blepharitis, bacterial superinfection must be considered and an antibiotic ointment may be added to the regimen if indicated. 

Most cases of blepharitis involve a combination of staphylococcal and seborrheic changes. The patient should be instructed carefully in appropriate lid hygiene techniques and the application of antibiotics as previously described. In addition, the patient should be referred for treatment of the dermatitis. An over-the-coimter dandruff shampoo should be recommended. 

Evaporative dysfunction is caused by a reduction in the lipid layer of the tear film. Most often, this condition is caused by MGD or blepharitis. MGD is traditionally conceptualized as a triad of meibomianitis (stagnated secretions within the meibomian glands), meibomian seborrhea (overabundance of meibomian secretions into the tear film), and seborrheic blepharitis (oily debris visible on the eyelashes and ocular adnexal surfeces). Additionally, we have become increasingly aware of the influence of male hormones, or androgens, on the health of the meibomian glands. Clinically significant androgen deficiency, which naturally occurs in women of menopausal age and men in... 

Uses Antifungal, antiseborrheic used with detergent as a dandruff shampoo and for treatment of seborrheic blepharitis veterinary medicine (topical treatment for eczema and dermatomycoses)... 

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