Eyelid Problems

The eyelids perform many important functions, including protecting and lubricating the eye, producing oil secretions, and helping to drain away tears. The following conditions are usually not serious and can often be easily treated. However, if left untreated, they can be uncomfortable, unattractive, and can lead to more serious problems. Eyelid problems can affect the upper and/or lower eyelid in one or both eyes.

Blepharitis

Blepharitis is a chronic or long term inflammation of the eyelid margins (the edges of the eyelids), often caused by bacteria around the lashes and outer tissues of the eye.
Symptoms can include swelling of the lid margin, irritation, sensitivity to light, itching, burning, redness along the lid margin and redness of the eyeball itself. There is often crust or roughness along the lid margin and/or possibly dandruff on the lashes. This can be worse in the morning upon awakening. Patients who wear contact lenses will often experience these symptoms to a greater degree, as lenses will seem dry.

Treatment

In most cases, good eyelid hygiene and daily cleaning of the eyelid margins will control blepharitis. Eyelid hygiene is particularly important upon awakening because bacteria builds up during the night. In more severe cases, it may be necessary to combine eyelid hygiene and medication for good control. In cases where the conjunctiva (the front surface of the eye) is affected, the doctor may prescribe additional treatment.

Chalazion

A chalazion results from a blockage of one or more of the small oil producing glands found in the upper and lower eyelids. Symptoms are inflammation and swelling in the form of a round lump within the eyelid that may or may not be painful. If the chalazion becomes infected, the eyelid can become swollen, inflamed and more painful.

Treatment

A chalazion may be treated by applying warm compresses. At times this condition may require additional treatments that your doctor will prescribe.

Stye

A stye is a bacterial infection of one of the eyelid glands near the lid margins, at the base of the lashes. This forms a red, sore lump similar to a boil, causing pain and inflammation.

Treatment

Styes are usually treated with warm compresses. Antibiotic and /or steroid eye drops or ointments may also be needed.