The treatment of blephartis and meibomitis in allopathy or conventional mode of treatment is aimed at:
Treating infection and reducing the inflammation using antibiotic tablets.
The above allopathy or conventional treatment is temporary which make eyes comfortable for sometime but there is no magic cure and condition again becomes worse.
In conventional or allopathic treatment of blepharitis antibiotics and anti-inflammatory drugs are prescribed as local application and sometimes orally. Antibiotics can cause various side effects which ultimately results in decreased immunity. External application only suppresses the condition and does not remove the root cause of the disease.
Sometimes topical steroid ointments are used to reduce inflammation; these drugs containing steroids must be used with great care. If there is even a suspicion of a viral infection, such as a herpes infection, steroids should not be used. Steroids suppress the local immune response, allowing herpes infection to become more aggressive. Use of these drugs also creates a risk of increased pressure within the eyeball, which can lead to glaucoma as well as to cataracts, perforation of the cornea, and damage to the optic nerve.
Homoeopathy remedies treat the person as a whole. The treatment focuses on the patient as well as his pathological condition. Medicines are prescribed after a full individualization of the case, which include medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology and possible causative factors.
The correct homoeopathic remedy tries to correct the disease predisposition also. There are many remedies for blepharitis, which are prescribed after thorough case taking of the individual. So individuals who are suffering from blepharitis will never get same medicines but different according to the constitution and modalities of the individual. These medicines help to boost the immunity of the patient so that it can cure the condition permanently. Thus homoeopathy helps the body to fight its own battle against blepharitis which results in permanent cure and not just suppression.
There are 142 medicines which give great relief in blepharitis and meibomitis. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient. Thus homoeopathic remedies are designer made unlike allopathy in which all patients receive the same medicines or drugs although trade name may be different.
What is Blepharitis and Meibomitis
Blepharitis is subacute or chronic inflammation of the eyelid margin. It is an extremely common disease. Blepharitis and meibomitis usually occur together.
Meibomitis is inflammation of the oil gland in eyelids. Both blepharitis and meibomitis are chronic conditions for which there is no cure in conventional or allopathy system of medicine.
In people with blepharitis and meibomitis the oil glands in the eyelids do not function properly. As a result, the eyelids become inflamed and the normal bacteria that reside on the eyelashes proliferate. If left untreated, severe blepharitis and meibomitis can lead to the development of styes, chalazae or corneal ulcers caused by sensitivity to the staphylococcal bacteria found on the eyelids.
Forms and Types
Blepharitis has two basic forms:
Types of Blepharitis:
It is commonly caused by bacteria (staphylococcal blepharitis) or dandruff of the scalp and eyebrows (seborrhoeic blepharitis).
Symptoms of anterior blepharitis caused by staphylococcal bacteria are more severe and can even lead to loss of eyelashes. Pink eye is a condition due to bacteria, a common type of eye infection, sometimes occurs simultaneously with blepharitis. Viruses and other types of bacteria besides staphylococcus also can cause anterior blepharitis.
Without treatment, blepharitis caused by bacteria can cause long-term effects such as outward turning of the lid margin (ectropion), thickened lid margins, dilated and visible capillaries, inward turning of eyelashes (trichiasis) and inward turning of lid margin (entropion). In cases of trichiasis and entropion, the cornea may exhibit significant erosion from eyelashes rubbing against the eye.
It can be caused by irregular oil production by the glands of the eyelids (meibomian blepharitis) which creates favourable environment for bacterial growth.
It is commonly seen in middle-aged persons with acne rosacea and seborrhoeic dermatitis. It is characterized by white frothy secretion on the eyelid margins.
It is usually associated with seborrhea of scalp (dandruff). Sometimes it is caused by seborrheic dermatitis, a skin condition that creates flaking and scaling — including on the eyelids.
Seborrheic dermatitis appears in a person with a weakened immune system. Fungi or certain types of yeast that feed on oils (lipids) in the skin also may lead to seborrheic dermatitis, with accompanying blepharitis.
It refers to chronic blepharitis associated with demodex folliculorum infection and phthiriasis palpebram due to crab louse, very rarely to head louse. It is characterized by presence of lice eggs (nits) at the lid margin and at roots of eyelashes.
Signs & Symptoms
History of irritation, itching, and burning at the edge of the eyelids, or the sensation of a foreign body in the eyes is sufficient to diagnose.
Individuals who have ulcerative blepharitis may report dry scales, red eyelids, and tiny ulcerations along the edge of the lids. Lashes also tend to fall out in some cases.
With posterior blepharitis, a history of repeated stye infections (hordeolum) or inflammation of the meibomian glands may be reported.
In advanced cases, blurring of vision may be reported. Some individual give history of clinging of both upper and lower eyelids especially in the morning.
The eyelid margins will be red and swollen and may have dry and / or greasy scales. The mucous membrane that lines the eyelids will be irritated and inflamed; the mucous membrane covering the anterior surface of the eyeball (conjunctiva) may also be inflamed (conjunctivitis).
In posterior blepharitis, meibomian glands at the edges of the lids may be sore and swollen and produce an abnormal soft, cheesy substance when pressure is applied.
Examination of the eyelashes may reveal lice infestation, and examination of the scalp may reveal dandruff (seborrheic dermatitis).
A culture of eye secretions may be done to rule out infection or to identify the causative bacteria. Allergic tests may be performed to know the sensitivity of the individual for particular medicines or food so that the underlying cause can be treated.
Home Care & Diet