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Blog #3: What is the different between anterior and posterior blepharitis?

Blepharitis is inflammation of the eyelid, and is extremely common.  It is seen in young and old patients.

Anterior blepharitis if found in the eyelashes themselves, and presents as crusty debree, almost like dandraff, in the lashes.  Bacteria found on the eyelid create a biofilm, and our skin naturally flakes and peels, just like normal dead dry skin.  The combination of sweat, tears, biofilm, debree, dead skin, and oils create anterior blepharitis.  

Treatment for anterior blepharitis begins with lid hygiene.  Keeping the lids clean results in refreshed skin, decreased biofilm, and more comfortable and healthier looking eyes.  

Historically, a warm washcloth with baby shampoo has been recommended to clean the lids.  While this may debride old skin and clean the area, it doesn't moisturize the skin, nor does it really lessen the bacterial load.

Lid and Lash Spray from Heyedrate reduces baterial bioflim, as well as cleans and moisturizes the lids.  

Posterior blepharitis is a phrase that is still sometimes used today, but the vast majority of dry eye specialists now use Meibomin Gland Dysfuction instead of posterior blepharitis.  With over 85% of people having MGD, that deserves another blog all on it's on.  Also, our website provides some extensive information on what MGD is, how we evaluate for it, and what can be done.  Visit https://valleyeyeclinicdsm.com/dry-eye-center.

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