The meibomian glands are situated in the upper and lower eyelids in close proximity to the eyelashes. They secrete lipid which is an important constituent of the tear film to protect the ocular surface from bacteria. Meibomian gland disease (MGD) is an umbrella term to describe a group of conditions affecting the Meibomian glands. It can be associated with other medical conditions such as rosacea, acne, seborrheic dermatitis and poor eyelid hygiene.

What is Blepharitis?

Blepharitis is a chronic inflammatory condition of the eyelids, secondary to an overgrowth of bacteria on the eyelashes and eyelids resulting in MGD. If untreated, a bacterial overgrowth producing a biofilm layer along the eyelashes can penetrate the ocular surface. Over time, the lacrimal gland will produce fewer tears with reduced anti-bacterial quality and the corneal surface becomes exposed. There is also an increase in telangiectatic blood vessels on the eyelid margin. This forms a vicious cycle leading to further accumulation of antibacterial toxins and ultimately can also cause eyelash loss and ocular surface damage due to chronic inflammation.

What are the symptoms of blepharitis?

Symptoms include red eye, burning, sticky eyes, excessive watering, ocular discomfort, light sensitivity and foreign body sensation. It can also cause excessive eyelid closure or twitching, ‘blepharospasm’, which sometimes requires regular botulinum toxin injections around the eye and brow region.

How is it diagnosed?

The diagnosis is made by performing a full anterior segment eye examination on the slit lamp by an ophthalmologist. This includes fluorescein assessment of the ocular surface, eversion of the upper eyelids and measurement of the intraocular pressure alongside a full medical history.

Treatments available

There is no cure for blepharitis, and so the mainstay of treatment at all stages is lid hygiene to control the bacterial build-up. Other treatments such as antibiotics, steroids and ocular lubrication may also be necessary in different sequelae of the condition.

BlephexTM is a medical device used to control blepharitis. It has be shown to be a viable alternative to the traditional time-consuming methods of lid hygiene such as eyelid scrubs. BlephexTM is a form of microexfoliation along the edge of the eyelids and lashes to remove biofilm collections. The procedure is well tolerated with eye drop anaesthesia, taking under 10 minutes, and is repeated every 4-6 months depending on the clinical response. Studies have shown that at 4 weeks there is an improvement in dry eye symptom scoring systems, tear film stability and meibomian gland function. It is also a useful tool for cleaning the eyelids and eyelashes to prevent biofilm build up in the absence of blepharitis or in the early stages of the disease.

To book a consultation please contact the clinic today. 

Ophthalmic Gallery

Blepharitis

Blepharitis - Blepharitis on a patient.

Chalazion

Chalazion - Chalazion on a patient.

Dry Eye

Dry Eye - Drye Eye on a patient.

Entropion/Ectropion

Ectropion - Ectropion on a patient.

Entropion - Entropion on a patient.

Eyelid Lumps & Bumps

BCC Nodular - Nodular basal cell carcinoma (BCC) on eyelid.

Cyst of Moll - Cyst of Moll on a patient.

Cyst of Zeis - Cyst of Zeis on a patient.

Milia - Milia on a patient.

Eyelid naevus - Eyelid naevus on a patient.

What to expect

Free Consultation with one of our Patient Advisors

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

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