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What Happens if Blepharitis Is Left Untreated?

Close up of eye that has Blepharitis (Eyelid inflammation)

If you have irritated, swollen, or red eyelids, you may be suffering from a common eye disorder related to dry eye disease called Blepharitis. Although Blepharitis is a chronic condition, many treatments are available to help you manage the symptoms and side effects. 

Even though Blepharitis can be treated and managed with the help of your eye doctor, some people don’t seek treatment at all.

Unfortunately, Blepharitis can lead to serious health risks if left untreated. Keep reading to learn more about treating Blepharitis and the consequences of not having it treated. 

What is Blepharitis?

Blepharitis is a common eye disorder that only affects the eyelids. If you have Blepharitis, one or both of your eyelids may become red, swollen or irritated.

Although the disorder is typically non-contagious and mild, some cases can be contagious and can result in severe health risks such as blindness. In addition to this, if you have blepharitis, it is possible to develop a secondary infection which can lead to other eye and health issues. 

For these reasons, it is crucial that you get your eyes examined by your optometrist to catch Blepharitis before it progresses into something more serious. 

The Two Types of Blepharitis 

There are two types of Blepharitis. These are:  

  • Posterior blepharitis: This is the more common type of blepharitis. It affects the meibomian glands, which produce the oily part of the tears. 
  • Anterior blepharitis: This type of blepharitis affects the outside of your eye, where the eyelashes attach to the eyelid. 

Blepharitis Symptoms

Blepharitis can have a range of different symptoms depending on the underlying cause related to your condition.

These symptoms may include:

  • Itchy, red, burning or swollen eyelids
  • Eyelids that stick together after sleeping
  • Yellow coloured eye discharge 
  • A gritty feeling in your eye  
  • Excessive blinking
  • Blurred vision
  • Excessive tearing
  • Flakes of skin around eyes and eyelids.
  • Greasy eyelids
  • Sensitivity to light 

What Causes Blepharitis?

The causes of blepharitis are largely unknown. Unfortunately, there is not one single cause, so your eye doctor may have a hard time diagnosing the cause of your blepharitis.

What Causes Posterior Blepharitis?

Some common causes that have been linked to posterior blepharitis include: 

What Causes Anterior Blepharitis?

Some common causes that have been linked to anterior blepharitis include: 

How is Blepharitis Treated?

Your blepharitis treatment will depend on the following:

  • Your medical history and overall health 
  • The type of blepharitis you have
  • The suspected cause of your blepharitis 

Your eye doctor will examine your eyelids and run tests to determine what course of action would be best for you. Once the cause of your blepharitis has been determined, your optometrist may suggest any of the following treatments:

  • Antibiotics: Your eye doctor may prescribe you an antibiotic ointment, prescription antibiotic eye drops, or oral antibiotics.
  • Anti-Inflammatories:  Inflammation can be one of the symptoms associated with blepharitis. To combat this, your eye doctor may prescribe anti-inflammatories to reduce inflammation. These are also useful for treating underlying conditions or secondary infections.
  • Blephex: Blephex is a treatment that uses a small spinning sponge to clean your eyelids, which helps remove debris and prevent buildup.
  • Root cause treatment: Sometimes, the easiest way to treat blepharitis is by treating the underlying cause, whatever it may be. 
  • LipiFlow: LipiFlow uses gentle heat and pressure to clean out any blockages from the meibomian glands.
Man with red eyes caused due to Blepharitis

What Happens if Blepharitis Is Left Untreated?

If left untreated, blepharitis can lead to other severe eye conditions such as: 

  • Chalazion: A chalazion is a red cyst-like pump that develops on your eyelid.
  • Corneal ulcer:  A corneal ulcer is an eye infection that causes an open sore on the cornea.
  • Pink eye: Pink eye is a type of eye infection that causes red, itchy and swollen eyes.
  • Sty: A sty is a small but painful red bump that forms on the eyelid. 
  • Dry Eye: Dry eye and blepharitis are closely related. Dry eye results in a number of uncomfortable symptoms such as dry eyes, red eyes and eye fatigue. 

What Happens if Blepharitis Is Left Untreated?

If you suffer from blepharitis, there are many ways to manage and treat your symptoms with the help of your eye doctor.

Contact us today if you have any questions or concerns about blepharitis!

Written by Dr. Mike Woods

Dr. Michael Woods graduated with honours from the University of Waterloo’s Optometry program in 2013. He completed both his Bachelor of Medical Science (Honours) and his Masters of Clinical Anatomy degrees at the University of Western Ontario. His externship in Washington, D.C., allowed him to work in conjunction with an Ophthalmologist concentrating on treating cataracts, glaucoma, diabetes, and the anterior surface of the eye. He has also worked for the Center for Contact Lens Research (CCLR) in Waterloo, giving him extensive experience with contact lenses. For the last 3 years, he worked in North York, performing comprehensive eye exams for all ages. His special interests include dry eye and contact lenses.

While not in the office, Dr. Woods enjoys going to the gym, running, swimming, and travelling. He has travelled to Ecuador previously for a medically based eyecare mission.


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