Blepharitis is a common condition where the edges of the eyelids (eyelid margins) become red and swollen (inflamed).

The condition can develop at any age, and symptoms can include:

  • itchy, sore and red eyelids that stick together
  • crusty or greasy eyelashes
  • a burning, gritty sensation in your eyes
  • increased sensitivity to light (photophobia)
  • swollen eyelid margins
  • finding contact lenses uncomfortable to wear
  • abnormal eyelash growth or loss of eyelashes in severe cases

There are a number of treatment options, however, 6 monthly in-practice treatments are highly effective in maintaining lid hygiene.  Depending on the type of blepharitis, a variety of eye lid wipes or warm compresses may also be recommended.

What is Demodex?

Demodex infestation can lead to eye irritation, burning and itching of the eyes, red eyelid margins with typical cylindrical dandruff, dry eye and visual complaints such as blurred vision.

Demodex is a common mite.  Research shows that Demodex infestation increases with age, occurring in 84 percent of the population at age 60.

Although most clinicians think of the Demodex mite as a harmless, ubiquitous resident of the skin, current evidence suggests that Demodex can cause or exacerbate blepharitis. It is thought that Demodex overpopulation (demodicidosis) is responsible for various skin disorders such as rosacea.

In-Practice Treatments

1. Blephex Treatment

An in-practice deep eyelid exfoliation to remove bacterial debris and scurf from the eyelash margins.  Blephex treatment provides the ideal kick start to at-home lid hygiene.  We recommend treatment every 6 months.

2. Intense Pulsed Light Treatment

Intense Pulsed Light (IPL) treatment has been shown to be effective in the treatment of Meibomian Gland Dysfunction (MGD).  MGD is a common form of blepharitis which is often difficult to treat.  Common treatments are warm compresses – which are not always effective.

Furthermore, there is a growing body of evidence that suggests IPL treatment is effective in killing Demodex mites.

At-Home Treatments

Warm Compresses

Many patients are often told to use warm compresses to treat blepharitis.  The heat from the compresses melt the oily secretions blocking the openings of the oil producing glands (known as meibomian glands) and to soften debris and flakes on the eye lashes.

Fortunately, warm compresses are available in the form of heat retaining reusable bags (EyeBags) which can be warmed in a microwave and retain heat for a sustained period (generally you should apply the compress for 12 minutes).

Massage your eyelids by gently rolling your first finger over them in a circular motion or running the length of your finger up and down the eyelids towards the eyelashes. This helps to push out the oil from the tiny eyelid glands.

Lid Wipes

Regular lid hygiene using lid wipes is recommended to help remove crusty dandruff-like flakes at the base of the eye lashes.  Lid wipes should be used twice daily even in the absence of symptoms to prevent the condition causing further problems.

Lids wipes are preferred over moistened cotton buds for two reasons.  Firstly because lid wipes are impregnated with a chemical designed to loosen debris on the lids.  Secondly, the wipes are sterile whereas cotton buds may not be once the container is opened.

For non-demodex related blepharitis we recommend Blephaclean, whereas for demodex blepharitis OcuSoft lid wipes are advised.

Call Us Now

Don’t suffer in silence, book an appointment at one of our practices in Coventry.

KENPAS HWY: 02476 233993

blepharitis, dry eye, appointments

ANSTY ROAD: 02476 444566

blepharitis, dry eye, appointments

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£7.99 £7.49

Blephaclean wipes are impregnated with an aqueous solution designed to both cleanse and soothe the eyelids. They are ideal for daily eyelid hygiene especially in cases on blepharitis and dry eyes.

Size: box of 20 wipes

After opening can be used for: single use



EyeBag by MGD Rx

£19.99 £17.99

The EyeBag® is a silk and cotton device which can be re-heated up to 200 times in a microwave. Simply heat for 30 or 40 seconds on full power and the EyeBag® will stay warm for up to 10 minutes.

Conditions which usually benefit from regular twice daily EyeBag® treatment are:

• Meibomian Gland Dysfunction (MGD)
• Blepharitis
• Dry Eye Syndrome
• Styes
• Eyelid Cysts (Meibomian cysts know as chalazion, pronounced Ka-lazy-on)
• Contact Lens Dry Eye
• Corneal Laser Dry Eye
• Seborrhoeic dermatitis
• Rosacea

ocusoft demodex

OcuSoft Lid Cleanser

£9.99 £9.50

OCuSOFT® Lid Scrub PLUS is recommended for moderate to severe eyelid conditions with bacterial involvement and/or Demodex mite infestation. Because it effectively kills seven different strains of bacteria including MRSA and Staph epi.

20 pre-moistened sachets for individual, single use