Over The Counter Stye Medication Woman Stye Warm Compress

Over The Counter Stye Medication: Best Options

Be cautious when buying over the counter stye medication. While it is unlikely to harm you, it is also unlikely to really help you. A stye is typically an inflammatory process. This inflammation is a result of the oil glands in your eyelid becoming clogged and irritated. These glands are called the meibomian glands. Because the glands of the eyelid are clogged, putting additional over the counter stye medication is not likely to help. So, what are the best options when it comes to eyelid stye medications? The best thing to do is to start using warm compresses. The warm compresses should not be extremely hot. Aggressive heat on the eyelids can actually make inflammation worse initially. You need enough warmth to try to open the glands, loosen the material that is clogging the glands and express the contents of the stye. This heat mask is a great option because it provides moist heat that actually stays warm, and it is reusable. It is also can be warmed up in the microwave, and stays warm for a 10 to 15 minutes. If you are using a warm washcloth you will notice that it becomes cool very quickly. One over the counter stye medication option is using cleansing wipes for your eyelids. Keeping the eyelids clean can help to prevent styes overall, and also can prevent existing styes from getting worse. Eyelid wipes should be used on your eyelids after a warm compress. Keep some handy at home and at work so that you can keep your lids clean.Another over the counter option for styes, is using artificial tears. This however does not treat the stye itself. Artificial tears only help with any dry eye that may come along with having a stye. The meibomian glands play an important role in the tear film of the eye. When these glands are clogged, the tear film is not optimal and many patients experience dry eye. If you are able to see an ophthalmologist, this eye doctor can actually prescribe an ointment that is a combination of an antibiotic and a steroid that may help. Most ophthalmologists, however, will tell you to try warm compresses first. Because styes are more inflammatory than they are infectious, antibiotics are usually not extremely helpful. The steroid part of the ointment may help to reduce some of the inflammation, but it can not magically unclog your eyelid glands.If you have been trying warm compresses, and have consulted with an ophthalmologist, but, still, your stye won't go away, you have two options. These include laser treatment and surgical removal. Laser treatment for a stye is called IPL laser. It is fairly new and not every ophthalmologist will have this machine in their office. While IPL laser has the ability to reduce the appearance of styes in as little as 3 to 5 days, there are patients who need 2 to 3 weeks to see real results. Laser is a nice option because it doesn't involve making an incision, or a surgical cut, into the eyelid. One of the downsides to laser is that it is not typically covered by insurance. If you do have any flex health spending or an HSA account, you should be able to use that to pay for the procedure.Surgical removal is your second option. Only an ophthalmologist (someone who has gone to medical school and has completed a residency in ophthalmology) should surgically remove your stye. It is typically a procedure that is done in the office with local numbing medication. The surgery is considered minor surgery and should only take a few minutes. This is the most definitive treatment for if your stye won't go away. Styes that don't go away are a very annoying problem for many people. Acupuncture has even been studied for the treatment of styes (but there is no good data to support doing this). If you are having persistent styes, see your local ophthalmologist to have your eyelids evaluated. In some rare cases, a stye that won't go away could be something more serious like cancer. This is why it is important to have a medical doctor like an ophthalmologist involved in your care for persistent styes.Sources:Lindsley K, Nichols JJ, Dickersin K. Non-surgical interventions for acute internal hordeolum. Cochrane Database Syst Rev. 2017 Jan 9;1(1):CD007742. https://pubmed.ncbi.nlm.nih.gov/28068454/Zhu Y, Huang X, Lin L, Di M, Chen R, Dong J, Jin X. Efficacy of Intense Pulsed Light in the Treatment of Recurrent Chalaziosis. Front Med (Lausanne). 2022 Mar 1;9:839908. doi: 10.3389/fmed.2022.839908. PMID: 35299836; PMCID: PMC8921764.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921764/Cheng K, Law A, Guo M, Wieland LS, Shen X, Lao L. Acupuncture for acute hordeolum. Cochrane Database Syst Rev. 2017 Feb 9;2(2):CD011075. https://pubmed.ncbi.nlm.nih.gov/28181687/
4 min read
Side Effects Of Latisse Long Eyelashes Woman

Side Effects Of Latisse

Latisse was discovered by accident. Latisse is in the same class of drugs that are used to treat glaucoma. The category of drugs is called Prostaglandin Analogues. When patients used these drugs for their glaucoma, it became apparent that the side effect of this category of drugs was thicker, fuller eyelashes. An undesired side effect of Latisse is a possible change in the color of the iris. The iris is the part of the eye that determines what color your eye is. It is more likely that Latisse changes eye color in patients who have lighter colored eyes, such as blue eyes. This side effect, unfortunately, is not reversible. All patients using this drug should be aware that this could happen. When Latisse changes eye color, the resulting color of the iris is usually a brown darkening. The odds of Latisse changing eye color are higher if you have lighter color eyes, when compared to eyes that already have brown pigment. Most of the studies that have been done regarding prostaglandin analogs and eye color change were when the patient was putting a drop of medication inside the eye to treat glaucoma. Because Latisse should be applied to the upper lid's lash line and is not meant to go inside the eye, the side effects may be slightly different. Given the proximity of the lash line to the eye, it is possible that some of the medication may also get inside the eye. There are other side effects of Latisse that you should be aware of. In some patients, Latisse can cause a darkening of the eyelid skin. The effects of this tend to go away if you stop using the drop. Some people develop also report eye redness after using Latisse, but this usually is temporary. Itching and eye redness happen in about 4% of patients using Latisse. Long term eye redness with Latisse could be a sign of an allergy and should be discussed with your ophthalmologist. If you have a history of eye inflammation (uveitis) or swelling in the back of the eye (macular edema), you should not use Latisse. Always use Latisse under the direction of an ophthalmologist. The generic name for the drug in Latisse is called bimatoprost. Once it was discovered that bimatoprost had this effect on eyelashes, the drug was rebranded and approved for use for the sole purpose of giving people thicker and fuller lashes. Latisse should only be used on the upper eyelid and not on the lower eyelid. Do not use Latisse if you are pregnant or breastfeeding. One irreversible side effect of Latisse is a darkening of the iris in certain patients. It is more likely that Latisse changes eye color in patients who have lighter eyes. Other side effects that are usually reversible include eye redness, eyelid skin darkening, and itching. Do not use Latisse with contact lenses inside the eye.Sources:Priluck JC, Fu S. Latisse-induced periocular skin hyperpigmentation. Arch Ophthalmol. 2010 Jun;128(6):792-3. doi: 10.1001/archophthalmol.2010.89. PMID: 20547960.https://pubmed.ncbi.nlm.nih.gov/20547960/Centofanti M, Oddone F, Chimenti S, Tanga L, Citarella L, Manni G. Prevention of dermatologic side effects of bimatoprost 0.03% topical therapy. Am J Ophthalmol. 2006 Dec;142(6):1059-60. doi: 10.1016/j.ajo.2006.07.019. Epub 2006 Aug 7. PMID: 17157592.https://pubmed.ncbi.nlm.nih.gov/17157592/Filippopoulos T, Paula JS, Torun N, Hatton MP, Pasquale LR, Grosskreutz CL. Periorbital changes associated with topical bimatoprost. Ophthalmic Plast Reconstr Surg. 2008 Jul-Aug;24(4):302-7. doi: 10.1097/IOP.0b013e31817d81df. PMID: 18645437.https://pubmed.ncbi.nlm.nih.gov/18645437/https://www.latisse.com/SafetyAndSideEffects.aspx
3 min read
How To Make Eyelid Swelling Go Down Woman with eye mask for blepharitis

How To Make Eyelid Swelling Go Down

In order to make eyelid swelling go down, it is essential to figure out what is causing the eyelid swelling. Many patients can have eyelid swelling from allergies. There are a few ways that this can happen. The first is from seasonal allergies and pollen. Eyelid swelling from seasonal allergies will usually get worse if you are spending a lot of time outside. If you take over-the-counter allergy medications, this could improve symptoms from seasonal allergiesA contact allergy can also cause eyelid swelling. This means that your eyelid is allergic to something that it has had direct physical contact with. This could be a new makeup product or a new set of bed sheets. If you remove the product that is the irritant, then your eyelid swelling should go down. Because eyelids are often very itchy from allergic reactions, many patients will frequently rub their eyelids. This rubbing itself can make the eyelid swollen. It is important to avoid rubbing your eyes when they are itchy. You can use an over the counter anti itch drop to help with the symptoms so that you do not have to touch your eyelid. If you have eyelid swelling and pain, this could mean you have a stye or a chalazion that is beginning to form. You may feel a small bump or nodule in the eyelid. Sometimes it can take a couple days for this bump to appear. The eyelid swelling and pain from a stye is usually not a bad as the pain that happens with preseptal cellulitis. In preseptal cellulitis the eyelid can become very tight and very red. This may even given it a shiny appearance. In preseptal cellulitis. theeyelid may be hard to open. If this is causing your eyelid swelling, then you will need antibiotics right away. If a stye or chalazion is causing eyelid swelling and pain, you can use warm compresses to help reduce the inflammation. If you are having eyelid swelling and pain, it is a good idea to make an appointment with an eye doctor urgently. If you can not see an eye doctor, then you should seek emergency care in an urgent care center or emergency room. While styes are typically not harmful, preseptal cellulitis can be dangerous. A doctor can help determine what the best treatment is.If your eyelid is swelling up intermittently, you may have something called angioedema. Angioedema can be from a food allergy, it can be an allergic reaction to a medication, it can be something that is genetic, or it can have no clear cause (called idiopathic angioedema). Sometimes patients can also get hives (urticaria) along with angioedema. Angioedema refers more to the swelling that occurs in deeper tissues of the body. If you think you are experiencing angioedema, you should see a doctor as soon as possible.In order to treat eyelid swelling, it is important to determine the cause of the swelling. In some cases you may need antibiotics, in some cases a warm compress. An ophthalmologist can help figure out what is causing the swelling so that you can have it treated properly. Sources:Bernardes TF, Bonfioli AA. Blepharitis. Semin Ophthalmol. 2010 May;25(3):79-83. doi: 10.3109/08820538.2010.488562. PMID: 20590417.https://pubmed.ncbi.nlm.nih.gov/20590417/Gordon AA, Danek DJ, Phelps PO. Common inflammatory and infectious conditions of the eyelid. Dis Mon. 2020 Oct;66(10):101042. doi: 10.1016/j.disamonth.2020.101042. Epub 2020 Jul 1. PMID: 32622681.https://pubmed.ncbi.nlm.nih.gov/32622681/Saini S, Shams M, Bernstein JA, Maurer M. Urticaria and Angioedema Across the Ages. J Allergy Clin Immunol Pract. 2020 Jun;8(6):1866-1874. doi: 10.1016/j.jaip.2020.03.030. Epub 2020 Apr 13. PMID: 32298850.https://pubmed.ncbi.nlm.nih.gov/32298850/
4 min read
Preseptal Cellulitis

Preseptal Cellulitis

Preseptal cellulitis is an infection of the preseptal tissue of the eyelid. It can happen in the upper eyelid, the lower eyelid, or in both the upper and lower eyelid. It tends to happen on one side, but there are cases of bilateral preseptal cellulitis.It is called preseptal because the parts of the eyelid that are affected are anterior to a part of the eyelid called the orbital septum. The orbital septum separates the preseptal tissue from the postseptal tissue. If the infection from preseptal cellulitis extends to the postseptal tissue, then the condition is called orbital cellulitis. Orbital cellulitis is a very serious eye condition that often requires overnight hospital admission.Preseptal cellulitis looks like redness and swelling of the eyelid. It can almost appear as if the skin of the eyelid is stretched and shiny. In severe cases of preseptal cellulitis the eyelids could become very swollen, making it hard for someone to open their eyes. The movements of the eyes should not be affected by preseptal cellulitis. This means that a patient with preseptal cellulitis should be able to move their eyeball left, right, up and down. There may be some mild restriction if they eyelid swelling is significant. If eye movements are significantly affected, this could be a sign that the preseptal cellulitis has progressed to orbital cellulitis. A patient’s vision and pupils should not be affected by preseptal cellulitis. If a doctor notes a significant decrease in vision or a pupillary abnormality, this could also mean that the preseptal cellulitis has progressed to orbital cellulitis.In some cases, patients can also have a fever. A fever is a more concerning symptom and these patients should be watched closely for the development of orbital cellulitis.Most patients with preseptal cellulitis will likely report some pain or discomfort. This pain is likely related to the eyelid swelling and any eyelid tightness. In some cases, the swollen eyelid can place pressure on the eyeball and cause the pressure inside the eye to go up. In these cases, some patients may experience pain from the this rise in pressure. It is important to have your eye pressure checked if you have preseptal cellulitis.The signs and symptoms of preseptal cellulitis can sometimes be difficult to distinguish from orbital cellulitis. If this is the case, your doctor may want to order some imaging of your eye and your orbit. A CT scan can help the doctor to see where exactly the infection and inflammation from preseptal cellulitis has extended to. It can also help to locate an abscess (a collection of pus or infection) if there is one. If there is an abscess found on imagine, it means that it is orbital cellulitis.The severity of your preseptal cellulitis will determine how often you are seen by a doctor. In severe cases, the doctor may examine you daily or even multiple times during the day. In less severe cases, the doctor may see you back after one or two days, while on treatment.The majority of preseptal cellulitis is caused by bacteria. Therefore, patients are often on antibiotics. In severe cases, the patient may be hospitalized and given intravenous (IV) antibiotics. In less severe cases, oral antibiotics may be enough to treat the infection. If an abscess is found on an imaging study then it is very likely that the abscess will need to be drained. Sources:Bae C, Bourget D. Periorbital Cellulitis. 2022 Jul 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29261970.https://pubmed.ncbi.nlm.nih.gov/29261970/Mouriaux F, Rysanek B, Babin E, Cattoir V. Les cellulites orbitaires [Orbital cellulitis]. J Fr Ophtalmol. 2012 Jan;35(1):52-7. French. doi: 10.1016/j.jfo.2011.08.004. Epub 2012 Jan 4. PMID: 22221713.https://pubmed.ncbi.nlm.nih.gov/22221713/Tsirouki T, Dastiridou AI, Ibánez Flores N, Cerpa JC, Moschos MM, Brazitikos P, Androudi S. Orbital cellulitis. Surv Ophthalmol. 2018 Jul-Aug;63(4):534-553. doi: 10.1016/j.survophthal.2017.12.001. Epub 2017 Dec 15. PMID: 29248536.https://pubmed.ncbi.nlm.nih.gov/29248536/ 
4 min read
Ptosis Of The Eye

Ptosis Of The Eye

Ptosis of the eye is a drooping of the eyelid. It usually refers to the upper eyelid but doctors can also reference ptosis of the lower eyelid, but this is much less common. Ptosis of the eyelid can have many different causes. The cause may be a problem with the muscles in the eyelid or in the upper part of the face and brow, or the problem could be a problem with the nerve that is associated with those muscles. While most cases of ptosis happen in adults, there is a form of ptosis that children can be born with. Symptoms of ptosis are fairly obvious when the ptosis is significant. Usually, the patient or the parent will notice the problem and make the eye doctor’s appointment to address the ptosis. Sometimes if ptosis is subtle, it may be picked up by a doctor during an eye exam. Patients may also complain that their eyes get tired when they are trying to read or watch TV. This is because they may be raising their eyebrows in order to help keep their eyelid open. When you see an eye doctor for ptosis of the eye, the doctor will perform a few tests. The first is a basic eye exam. The doctor will make sure that the ptosis is not associated with any other concerning symptoms. Some worrisome symptoms would be having difficulty to move the eye in a certain direction or having a difference in pupil size, called anisocoria. Anisocoria and ptosis together could mean you have Horner’s syndrome. In addition to doing a complete eye exam, your doctor may also perform a visual field. This test is usually done in the office and it can measure if there’s any degree of visual field loss from the ptosis. The visual field may be done with the eyelid taped up. This can help the doctor to figure out if lifting the eyelid will improve the patient’s field of vision.Depending on the cause, ptosis is treated in different ways. If ptosis is related to a medical condition like Horner’s Syndrome, that must be fully worked up by a doctor. The most common treatment for ptosis is surgical correction. There are many different types of surgeries for ptosis correction and an ophthalmologist who specializes in oculoplastics is the best type of doctor to help you. An oculoplastics specialist can evaluate which muscles in and around your eye and eyelid are causing the ptosis. They will choose a surgical procedure based on their findings.The most common complication of surgical ptosis repair is an undercorrection of the ptosis. This happens in about 10 to 15% of cases. Overcorrection can also happen and in both cases your surgeon will likely wait until any eyelid edema or other post operative changes have stabilized. In cases of overcorrection, patients may be able to massage the eyelid for a mild improvement. Another side effect of ptosis surgery is that the prescription of the eye may change. In 72% of patients who undergo surgical treatment for ptosis, a change in astigmatism may happen. Treatment for ptosis is especially important in children. When children are young, their vision is developing. If a child has a droopy eyelid from ptosis, it blocks their vision. This has a negative impact on a child’s visual development. Ptosis in a child can lead to a disease called amblyopia. In amblyopia, the visual pathways do not develop correctly and a child’s vision is permanently decreased. If your child has a droopy eyelid, see a pediatric ophthalmologist right away.  Ptosis can have many different causes. A nerve problem can cause ptosis. Cranial nerve 3 controls the movement of many eye muscles including the Levator palpebrae superioris, which raises the upper eyelid. If the 3rd cranial nerve is injured or has a palsy, a patient may have ptosis. In the case of a 3rd nerve palsy, patients may also have abnormal eye movements, since the third nerve controls 4 other eye muscles.Other diseases like myasthenia gravis, or myotonic dystrophy can also cause eyelid ptosis. These diseases affect muscles and can cause muscle weakness. The eye muscle itself could be weak and this can also cause ptosis. An injury to the eye muscle itself can also cause ptosis.Ptosis can be a result of a variety of different problems both in the eye and even in the brain and body. The most common way to treat ptosis is through surgery. The type of surgery is usually determined by an oculoplastic surgeon. In children, ptosis that is left untreated can cause amblyopia, and these patients need to be seen by a pediatric ophthalmologist right away. Sources:Díaz-Manera J, Luna S, Roig C. Ocular ptosis: differential diagnosis and treatment. Curr Opin Neurol. 2018 Oct;31(5):618-627.https://pubmed.ncbi.nlm.nih.gov/30048338/SooHoo JR, Davies BW, Allard FD, Durairaj VD. Congenital ptosis. Surv Ophthalmol. 2014 Sep-Oct;59(5):483-92. doi: 10.1016/j.survophthal.2014.01.005. Epub 2014 Feb 5. PMID: 24657037.https://pubmed.ncbi.nlm.nih.gov/24657037/https://eyewiki.org/Aponeurotic_Ptosis
5 min read
Ectropion Eye In Old Man

Eyelid Ectropion

An eyelid ectropion occurs most commonly in the lower eyelid. A person’s lower eyelid will become droopy and it will extend outward. Because the eyelid is not in the correct position, the eyeball is not as protected as it should be. This causes eye exposure. An upper eyelid ectropion is very uncommon and may be related to sleep apnea.The majority of symptoms that patients experience from an eyelid ectropion are due to the fact that when the patient blinks or tries to close their eyes, the eyelids do not close properly. Therefore, parts of the eye itself are exposed and they become dry and irritated.Because of the exposure, symptoms of eyelid ectropion include tearing, eye irritation, eye redness, and in some cases eye discharge. Because a patient may develop severe dry eye due to having a long standing ectropion, their vision can even become blurry over time. An ectropion can happen for many different reasons. One of the most common reasons is getting older. A patient can also develop an eyelid ectropion as a result of eyelid disease. For example, if a patient has an eyelid tumor or eyelid mass in their lower eyelid, this can physically cause that eyelid to become heavier and more subject to the forces of gravity. This mechanical force then pulls the eyelid down causing it to become droopy and rotate outwards.Trauma or eyelid injury can also cause an eyelid ectropion. While most people think of trauma as a big event, even small repeated events over a long period of time can cause an eyelid ectropion. An example of this would be a person who has a habit of constantly rubbing their eyes. Another example is a patient who constantly pulls their eyelid down to insert contact lenses. In less common cases, certain eye drops can cause eyelid ectropion when they are being used for a long time. This is seen with the chronic use of drops like dorzolamide and brimonidine, which are commonly used to treat glaucoma. In some patients, they may develop an allergy or inflammatory reaction to these drops and that can cause inflammation in the eyelid as well. This inflammation can cause the eyelid to droop. Although eye drops for glaucoma are meant to go inside the eye and not onto the eyelid, many patients will have some drops that also touch their eyelid. If you think you have an eyelid problem because of your glaucoma drops, you should talk to your ophthalmologist or glaucoma specialist. It is not a good idea to discontinue any medical eye drops without first speaking to your ophthalmologist. There are also reports of other topical treatments to the eyelid area that can cause an ectropion. In one case report, authors described treatment of a eyelid xanthelasma (accumulation of lipid) that caused an eyelid ectropion. The most definitive treatment for an eyelid ectropion is surgical correction. The surgery to correct an eyelid ectropion is usually done by an oculoplastics specialist. An oculoplastics specialist is an eye surgeon who has completed medical school, a four year residency in ophthalmology, and then additional years of surgical training in oculoplastics.  Sources:Orbit, Eyelids, and Lacrimal System, Section 7. Basic and Clinical Science Course. San Francisco: American Academy of Ophthalmology; 2009.Bedran EG, Pereira MV, Bernardes TF. Ectropion. Semin Ophthalmol. 2010 May;25(3):59-65. doi: 10.3109/08820538.2010.488570. PMID: 20590414.https://pubmed.ncbi.nlm.nih.gov/20590414/Salloum G, Crawford JJ, Dryden S, Meador AG, Wesley RE, Klippenstein K. Lower Eyelid Ectropion Secondary to Over-the-Counter Treatment of Xanthelasma. Ophthalmic Plast Reconstr Surg. 2022 Jan-Feb 01;38(1):e25-e28. doi: 10.1097/IOP.0000000000002070. PMID: 34812179.https://pubmed.ncbi.nlm.nih.gov/34812179/Vallabhanath P, Carter SR. Ectropion and entropion. Curr Opin Ophthalmol. 2000 Oct;11(5):345-51. doi: 10.1097/00055735-200010000-00010. PMID: 11148701.https://pubmed.ncbi.nlm.nih.gov/11148701/https://eyewiki.org/Ectropion
4 min read
Symptoms Of Blepharitis Man With Itchy Eyes

Blepharitis Symptoms And Treatment

Blepharitis is sometimes called “dandruff of the eyelids.” While people use this phrase, it is not the same thing. Under the microscope, an ophthalmologist may see flaky debris that looks similar to dandruff. The difference is that blepharitis is caused by a problem in the meibomian glands of your eyelids. Blepharitis has a wide variety of symptoms. In some patients, blepharitis causes no symptoms. In fact, patients may not know that they have blepharitis or meibomian gland dysfunction until they are told this by an eye doctor. As blepharitis get worse, the symptoms of blepharitis will also get worse. One of the most common symptoms of blepharitis is itchy eyes. Some patients can also experience watery eyes and eyelid crusting. Eyelid crusting is usually more common in the morning after waking up. As blepharitis gets worse it can cause more severe symptoms like burning in the eyes, light sensitivity, foamy tears, severe dry eye, or even swollen red eyelids. While blepharitis itself is not dangerous, severe and chronic blepharitis can be very frustrating and can severely decrease your quality of life. It can also cause other problems like chronic dry eye and even blurry vision. When the meibomian glands of the eyelid become clogged, this results in an irritation and inflammation of the eyelid skin called blepharitis. Blepharitis is usually separated into two categories. The first type is anterior blepharitis. Anterior means in the front, and thus, anterior blepharitis affects the part of the eyelid where the eyelashes are. Anterior blepharitis is usually caused by bacteria called Staphylococcus. Anterior blepharitis is more likely if you have poor lid hygiene, scalp or eyebrow dandruff, or allergies.The second type of blepharitis happens more towards the back of the eyelid, and it is called posterior blepharitis. This is when the oil glands (meibomian glands) of the eyelid are involved. This is the part of the eyelid that touches the eyeball. Under a microscope it is easy to distinguish anterior vs posterior blepharitis. But they are very close together practically speaking. Posterior blepharitis can happen to anyone, but it is more common in patients who have rosacea or scalp dandruff. No, blepharitis is not contagious. While there is no cure for blepharitis, there are many ways to treat it. Eyelid hygiene is important in reducing blepharitis. This involves two things: warm compresses and soapy lid scrubs. When heat is applied to the eyelid, it helps the meibomian glands to open and express any oil that may be stuck. A heat mask can be very helpful in treating blepharitis.After this debris leaves the glands, it needs to be washed away from the eyelid. That is why the lid scrubs are recommended after the heat. Use a mild soap and make a small lather in the palm of your hand. Use one or two fingers to gently clean the margin of your eyelid and eyelashes. Many doctors will recommend this schedule two times a day. If you have untreated dandruff, it could be contributing to your blepharitis. Use an anti-dandruff shampoo to treat your dandruff as well. Artificial tears do not directly help blepharitis. Because blepharitis can also cause dry eye, artificial tears can be helpful to patients who are also having dry eye symptoms.All people have some bacteria on their eyelids. This is totally normal. Some people will either have more bacteria on their eyelids than others, or they are just more sensitive to blepharitis. Especially if they have other conditions like rosacea or meibomian gland dysfunction, they are more likely to have blepharitis. It is also important to clean your eyelids regularly. When people wash their face, they sometimes forget to pay attention to their lids and lashes. This can cause excessive bacteria to build up in those locations. The best way to know if you have blepharitis is to see an eye doctor. Any ophthalmologist will be able to diagnose blepharitis by asking you about your symptoms as well as by examining your eye and eyelids. This exam is usually done at the slit lamp. In some cases of mild blepharitis, diagnosis can also be done via telemedicine through a limited exam and asking about your symptoms. It is important to see an in-person ophthalmologist in the future if you opt for a telemedicine exam for your blepharitis so that the in-person eye doctor can also evaluate the other parts of your eye. Sources:Amescua G, Akpek EK, Farid M, Garcia-Ferrer FJ, Lin A, Rhee MK, Varu DM, Musch DC, Dunn SP, Mah FS; American Academy of Ophthalmology Preferred Practice Pattern Cornea and External Disease Panel. Blepharitis Preferred Practice Pattern®. Ophthalmology. 2019 Jan;126(1):P56-P93. doi: 10.1016/j.ophtha.2018.10.019. Epub 2018 Oct 23. PMID: 30366800.https://pubmed.ncbi.nlm.nih.gov/30366800/Lindsley K, Matsumura S, Hatef E, Akpek EK. Interventions for chronic blepharitis. Cochrane Database Syst Rev. 2012 May 16;2012(5):CD005556. doi: 10.1002/14651858.CD005556.pub2. PMID: 22592706; PMCID: PMC4270370.https://pubmed.ncbi.nlm.nih.gov/22592706/Onghanseng N, Ng SM, Halim MS, Nguyen QD. Oral antibiotics for chronic blepharitis. Cochrane Database Syst Rev. 2021 Jun 9;6(6):CD013697. doi: 10.1002/14651858.CD013697.pub2. PMID: 34107053; PMCID: PMC8189606.https://pubmed.ncbi.nlm.nih.gov/34107053/
5 min read
Stye Vs Chalazion

Stye Vs Chalazion

Many people think that a chalazion and a stye are the same disease. They are not, but they are related to each other. Another name for a stye is called a hordeolum. Keep reading to learn the differences between a stye and a chalazion. A chalazion is a chronic reaction. Chronic means that the problem is long lasting and tends to happen over and over again. This means if you have had a chalazion in the past, you are more likely to have a chalazion in the future. A chalazion tends to happen over a slightly longer time than a stye. A stye, or hordeolum, tends to show up quick.A chalazion is chronic inflammation. A stye is usually a mix of infection and inflammation. Antibiotics tend to be more effective in treating styes than they are for treating a chalazion. The exception to this is an antibiotic called doxycycline which is often prescribed for patients with chalazia because it can help to thin out the oily secretions in the glands that are causing the inflammation. In a chalazion, the small meibomian glands of the eyelids are clogged and this clogging leads to build up of the body's natural oil. When the oil can not freely exit the eyelid, it backs up and causes an inflammatory reaction. This inflammatory reaction looks like a bump on the eyelid. The picture above is a chalazion. The picture below is a stye.In a stye, there is also a bump on the eyelid. With styes you can sometimes see a whitish area on the bump which is a sign of pus. Pus inside a stye means that there is an infection there. In many cases, if this pus comes out, the stye is likely to get better. A hordeolums can also be more red and tender than a chalazion. The bump associated with a chalazion can be on the eyelid for many weeks and in the later stages is painless.Stye Vs ChalazionOne similarity between the two is that both styes and chalazions tend to happen more in people who have dysfunction of their meibomian glands. The meibomian glands are tiny glands in the eyelids. You can prevent styes and chalazions by keeping your glands open. Make sure your lids and lashes clean by using a mild shampoo over them daily and keep the glands open by using a warm compress to the eyelid twice daily.If you experience a stye or a chalazion, make an appointment with a doctor. You may be eligible to be prescribed an oral medication that can help to thin out the secretions of the meibomian glands. This medication is called doxycycline. This should be used along with warm compresses and eyelid hygiene.1. A chalazion is a chronic process of inflammation. A stye is both infectious and inflammatory. Antibiotics will work better for styes than they will for a chalazion, but both may ultimately need to be removed surgically.2. Both a chalazion and a stye can be prevented by good eyelid hygiene. This means using regular warm compresses to keep the eyelid glands open and also using a mild soapy scrub on the eyelids to keep the eyelids clean.3. If there is a whitish head on the bump, then it is likely a stye. If the bump is painless and has been there for many weeks it is likely a chalazion.4. If at-home remedies using warm compresses are not working, make an appointment with an ophthalmologist for both styes and chalazia. There are treatment options that can help you find relief more quickly.
4 min read
Twitch In Eye

What Causes An Eye Twitch?

There are 3 main eye twitch causes. Fortunately, the most common cause of an eye twitch is the common eye twitch and it is generally harmless. This eye twitch is usually caused by stress, lack of sleep, fatigue, ocular surface irritation, ocular allergies or dry eyes. If a patient complains of an eye twitch that happens once in a while but has no regular pattern, it is likely from other elements in their life. Poor sleep and excessive exhaustion has been known to cause eye twitches. The common eye twitch can happen on one side or it can happen on both. So, you can have a left eyelid twitch or a right eye twitch . Patients also about their eye twitching in pregnancy. This is likely to be the common eye twitch. However, because pregnancy is a vulnerable state, remember to discuss any problems with your Obgyn and your eye doctor. The good news is, that the common eye twitch is likely to resolve on their own if the patient is able to rest and take care of themselves. In addition to getting rest, it's important to lubricate the surface of the eye as well. This can be done easily through artificial tears. Artificial tears can be bought without a prescription and are generally safe to use three to four times a day. Another way to soothe the eyes is through an eye mask. A heated eye mask can help improve dry eye and can provide some relaxation for the patient as well. Cutting down on caffeine can also be helpful. If you have done all these things and your twitch is not improving, it is likely time to make an appointment with an ophthalmologist. Blepharospasm is another one of the eye twitch causes. It is much less common than the common eye twitch. It can also be more serious. It is also called Benign Essential Blepharospasm. Essential blepharospasm is caused by a nerve impulse. This impulse makes the eyelid close involuntarily. It can happen to either eyelid or it can happen to both at the same time. The duration can vary from a few seconds to a few hours in severe cases. For patients with severe blepharospasm, their eyelids may close so tightly that it affects their daily life. These spasms are usually treated by an ophthalmologist with botulinum toxin. After injecting botulinum toxin into the face, the patient can see relief in as quickly as one day. The relief usually lasts about 3 months before it needs to be repeated. This is the least common of the eye twitch causes. It is a rare condition. Hemi means half, so a hemifacial spasm means that the spasm involves half the patient's face. In this spasm, muscles on one side of the face tighten. These spasms may start near your eye and then affect other parts of your face. In advanced cases, a hemifacial spasm can last for several days to a few months. Hemifacial spasms are usually caused by pressure on cranial nerve 7 which is the facial nerve. This is the same nerve that is affected in Bell's Palsy. Botulinum toxin is used to treat hemifacial spasm also.The main eye twitch causes are the common eye twitch, blepharospasm and hemifacial spasm. The common eye twitch is far more common than the other two and is usually from fatigue, stress of caffeine. Lifestyle modifications are the first step in overcoming the common eye twitch. Sources:https://www.aao.org/eye-health/tips-prevention/how-to-stop-eye-twitchingDefazio G, Hallett M, Jinnah HA, Conte A, Berardelli A. Blepharospasm 40 years later. Mov Disord. 2017 Apr;32(4):498-509. doi: 10.1002/mds.26934. Epub 2017 Feb 10. PMID: 28186662; PMCID: PMC5941939.https://pubmed.ncbi.nlm.nih.gov/28186662/Chaudhry N, Srivastava A, Joshi L. Hemifacial spasm: The past, present and future. J Neurol Sci. 2015 Sep 15;356(1-2):27-31. doi: 10.1016/j.jns.2015.06.032. Epub 2015 Jun 16. PMID: 26111430.https://pubmed.ncbi.nlm.nih.gov/26111430/
4 min read
Eyelid Swollen And Red

Eyelid Swollen And Red

Is your eyelid swollen and red? A red eyelid that also has swelling could be from a few different things. Some causes of a swollen and red eyelid are not very harmful, and others are more concerning.Eyelid inflammation can cause an eyelid that is red and swollen. Eyelid inflammation is most commonly from a disease called blepharitis. Sometimes eyelid inflammation can also be from a stye or a chalazion. In this situation you may feel a discrete bump on the eyelid. The bump may not appear right away. It could appear one to two days after the eyelid becomes swollen and red. In order to treat blepharitis, it is important to make sure that the eyelid glands (called the meibomian glands) are functioning properly. Applying a moist heat mask two to three times a day can be extremely helpful. This will help to unclogg the meibomian glands which could be causing the Allergic eyelid swelling is one of the most common reasons to have a puffy eyelid. Fortunately, in most cases this is due to seasonal allergies, and tends to resolve as allergy season is over. Many patients may also take over the counter allergy medication that can help with this problem. If the allergic eyelid swelling is due to a true allergy to a food, plant or something else that can also cause a more severe reaction, it is important to seek out medical care as soon as possible. While allergic eyelid swelling from eating food is uncommon, it is possible. Allergic eyelid swelling can also happen from physical contact with a potential allergen. If you have recently changed your brand of eye make up or you have started using a new laundry detergent for your bedding, you may want to stop what is new and see if there is an improvement in your symptoms. Preseptal cellulitis is a more serious cause of a red eyelid that is also swollen. Preseptal cellulitis is caused by a bacterial infection in the eyelids. Sometimes the infection can be from a stye. In other cases the infection can be from an extension of an infection inside a person's sinuses. Preseptal cellulitis can be dangerous and needs urgent medical evaluation and treatment. Treatment for preseptal cellulitis 1600/6 is usually oral antibiotics. The bacteria usually responsible for preseptal cellulitis are Staphylococcus aureus, and bacteria in the Streptococcus family. If preseptal cellulitis advances to orbital cellulitis, a person may need to be admitted to the hospital for intravenous antibiotics. Is your eyelid swelling up randomly? If you are having random eyelid swelling, it may be nothing, or it could be something called urticaria. In most cases of patients who have random eyelid swelling that is not red, painful or itchy, it is likely because they slept on their face causing their eyelid to become puffy. However, if your eyelid swelling happens constantly and it does not go away quickly, it is important to talk to an ophthalmologist and also an allergy doctor. Depending on the cause of your red eyelid and the severity of the swelling, you may or may not need urgent medical attention. Allergic eyelid swelling and blepharitis are less concerning, but preseptal cellulitis is a much more serious condition that needs antibiotic treatment. If you have a red and swollen eyelid, be sure to see an ophthalmologist right away. Sources:Amescua G, Akpek EK, Farid M, Garcia-Ferrer FJ, Lin A, Rhee MK, Varu DM, Musch DC, Dunn SP, Mah FS; American Academy of Ophthalmology Preferred Practice Pattern Cornea and External Disease Panel. Blepharitis Preferred Practice Pattern®. Ophthalmology. 2019 Jan;126(1):P56-P93. doi: 10.1016/j.ophtha.2018.10.019. Epub 2018 Oct 23. PMID: 30366800.https://pubmed.ncbi.nlm.nih.gov/30366800/Williams KJ, Allen RC. Paediatric orbital and periorbital infections. Curr Opin Ophthalmol. 2019 Sep;30(5):349-355. doi: 10.1097/ICU.0000000000000589. PMID: 31261188.https://pubmed.ncbi.nlm.nih.gov/31261188/Papier A, Tuttle DJ, Mahar TJ. Differential diagnosis of the swollen red eyelid. Am Fam Physician. 2007 Dec 15;76(12):1815-24. Erratum in: Am Fam Physician. 2008 Jun 1;77(11):1505. PMID: 18217520.https://pubmed.ncbi.nlm.nih.gov/18217520/
4 min read
Chalazion Treatment

Chalazion Treatment : Top 5 Methods

A chalazion is a common but very frustrating eyelid problem. It can cause a bump on the eyelid and this bump can take weeks or even months to go away. A chalazion is an inflammatory condition of the eyelid. It can happen on either the upper or lower eyelid. It is a result of a clogged meibomian gland. Meibomian glands are sebaceous glands in the eyelids. Their main function is to produce the fatty layer of a person's normal tear film. In the upper eyelid, there are approximately 25 to 40 glands and in the lower eyelid, there are about 20 to 30 meibomian glands. When these glands become clogged, a chalazion can happen. This is important to understand because chalazion treatment involves keeping the meibomian glands unclogged. Here are the 5 best practices on how to treat a chalazion.(1) Prevention is important. If you have had a chalazion in the past, it's likely that you will have one in the future. So, preventing them is the best way to treat your problem. This means keeping the meibomian glands open so that they do not become clogged. Heat helps to keep the meibomian glands open. Ideally, this should be moist heat, but even dry heat can be helpful. When you are in the shower, you can use warm soapy water to clean and rinse the eyelids two times a day.(2) Use warm compresses and soapy lid scrubs. Once you already have a chalazion, you will want to do more heat. Warm compresses 2 times a day is likely not enough to treat a chalazion once it has formed. Warm compresses help the inflammatory tissue to break up and allows the clogged fluid to be released from the glands. Using a soapy scrub after the warm compress is important also. This clears away the clogged fluid that has been released from the clogged glands. Use a warm compress at least 6 times day for 10 minutes each time for the treatment of chalazion. (3) Your ophthalmologist may consider prescribing prescription medications, such as a steroid eye drop, or an oral medication called doxycycline. Steroid eye drops can help to reduce the inflammation in a chalazion. However, they should not be used as primary treatment. Most doctors will always recommend that steroids are used alongside warm compresses. If your eye doctor prescribes a steroid eye drop, you will likely have to go back in a few weeks to have your eye pressure checked. Steroid eye drops in some cases can cause a rise in eye pressure. Do not use a steroid eye drop unless you are under the care of an ophthalmologist who can monitor for any side effects. Doxycycline is an oral medication that can help thin out the secretions of the meibomian glands. This may be helpful in expressing the glands. Doxycycline should be used under the direction of your physician. (4) Some ophthalmologists are able to perform eyelid laser. This is called IPL or intense pulsed light therapy. It is a newer form of treatment that is gaining popularity with ophthalmologists. It is not invasive, painless and can be done in a matter of minutes. It is not covered by insurance and can cost anywhere from $150 to $400. (5) If conservative chalazion treatment is not working, you may need to have chalazion surgery. This is usually done by an oculoplastics specialist. An oculoplastics specialist is an ophthalmologist who has had 4 years of residency training and then one or two years of specialty training in diseases of the eyelid. The best chalazion treatment is prevention. After that it is warm compresses and good lid hygiene. Some people may also benefit from prescription medications and intense pulsed light therapy. If nothing seems to be working, see an ophthalmologist for chalazion surgery.Sources:https://eyefacts.com/article/Stye-Vs-Chalazion
4 min read
© 2022 eyeFACTS. All Rights Reserved.