Blepharitis

What is it?

Blepharitis is inflammation of the eyelid margin.

Crusting of the eyelashes in anterior blepharitis

 

The eyelid margin

Although the eyelid margin is very narrow there are two quite separate and important zones.

 

The anterior zone contains the roots of the eyelashes. The posterior zone contains small oil glands known as the meibomian glands.

 

Types of blepharitis

There are three types of blepharitis:

  • Anterior blepharitis
  • Posterior blepharitis
  • Mixed blepharitis

 

Anterior blepharitis

Anterior blepharitis affects the front edge of the eyelid and eyelashes. This type of blepharitis is similar to dandruff; the eyelid margin becomes greasy and crusted. Bacterial infection is common. In severe cases eyelash loss occurs.

 

Posterior blepharitis

Posterior blepharitis, also known as meibomianitis, affects the back edge of the eyelid and the meibomian glands. Posterior blepharitis is like acne. The meibomian gland secretions thicken and the glands become blocked and inflamed. Infection is rare.

 

Mixed blepharitis

Mixed blepharitis is inflammation of the entire lid margin.