The chronic inflammation of the eyelids is referred to as blepharitis. Inflammation can also develop in the conjunctiva, the membrane that covers the eyelid and the eyeball. A common ailment, blepharitis frequently affects otherwise healthy persons. Rarely can the condition endanger the eye itself or result in irreversible vision loss.
Symptoms
The following chronic symptoms may result from eyelid inflammation:
Itching and irritation
A red eye
Scales and debris that resemble dandruff along the eyelids and lashes
Eyelid swelling and sensitivity
Causes
Allergies
hormone issues
in close proximity to seborrheic dermatitis
obstruction of glands
Infections
tiny mite-like insects
Pathophysiology
A bacterial colonisation of the eyelids during the early stages of blepharitis results in a direct invasion of germs. As a result of the microbial invasion, pathogenic alterations appear.
Autoimmune-mediated injury
Damage brought on by the waste products, enzymes, and poisons produced by bacteria.
In the presence of meibomian gland dysfunction or seborrheic dermatitis, colonisation of the lid margin is increased.
Diagnosis
The doctor correctly examines the eyelid to get the diagnosis.
Skin swabbing to look for bacteria, parasites, or fungi
Treatment
Warm compresses
Eyelid scrubs
Apply baby shampoo diluted in warm water on a clean washcloth, cotton swab (Q-tip), or lint-free pad. Once you’ve done that, use it to gently clean the base of your eyelashes. Rub for approximately 15 seconds.
Antibiotics
You could be instructed by your ophthalmologist to apply an antibiotic eye ointment. Apply a small amount of ointment on a Q-tip or a clean fingertip. Apply the cream sparingly to the root of your eyelashes. If your doctor advises it, do this right before bed. Additionally, your doctor could advise you to take an oral antibiotic medication.
Eye drops
Redness, swelling, and dry eyes may be reduced using artificial tears or steroid eye drops. Your ophthalmologist can advise an antibiotic eye solution to improve the function of the oil glands.
Skin and Eyelid hygiene
Maintaining clean eyelids, skin, and hair is crucial. This controls the symptoms of your blepharitis. Every day, gently wash your eyelashes with warm water and baby shampoo. Use an antibacterial shampoo to wash your eyebrows, scalp, and hair as well. There are several new antiseptic sprays that you can apply to the skin to prevent excessive bacterial growth.
Omega-3s (fish oil)
Omega-3 fatty acids may improve the function of the eyelid oil glands and provide symptom relief for certain persons.
Prognosis
Rarely does it totally vanish. The problem is typically chronic and necessitates daily care with eyelid washes, even with effective treatment. The condition could be brought on by a localised eyelid cancer if it doesn’t improve after therapy, if you’ve also lost your eyelashes, or if only one of your eyes is afflicted.
Complications
Eyelash issues.
Skin issues on the eyelids.
A lot of tears or dry eyes.
Stye.
Chalazion.
Persistent pink eye.
Corneal Damage
Blepharitis in Ayurveda
An eye condition known as Krimigranthi or Jantugranthi affects the roots of the eyelashes. It has a connection to blepharitis and pediculi ciliaris.
Location: Pakshma-Vartma, Netra, Eye-Specific location Eyelids and eyelashes meet at the Gata Sandhi, as do the eyelids and the sclera at the Vartma-Shukla Gata Sandhi.
Nidana
Infection
Faulty oil glands in the eyelids
Allergic diseases
Dermatitis seborrheica
Wet eyes
Lashes mites
Purvaroopam
Kandu Wherever the krimis are lodged, there is itching in the junctions of the eyelashes and the eyelids (pakshma-vartma gata sandhi) as well as in the junction of the eyelids and the sclera (vartma-shukla gata sandhi).
When krimigranthi is not treated in a timely manner, the krimis advance further into the eye and wreak havoc on its structural components.
Samprapti
Different kinds of germs damage the eyelid margins or pakshma vartma sandhi, producing smaller cysts. The infection (krimi) enters the vartma sukla sandhi (interior of the eye) through the eyelid margin.
Lakshana
Irritations
Dropping eyelashes
A stinging feeling
Burning feelings
From the edge of the eyelid, a purulent discharge
Prognosis
Sadhya
Chikitsa
Local treatment
Washing with triphala decoction is known as pariseka.
With triphala, tutha, kasisa, and saindhava, Anjana is made.
Pratisarana: massaging with honey and saindhava
Samana
Manjishtadi Kashayam
Thiktakam Kashayam
Triphala Ghritham
Triphala Churna
Common used medicines
External uses
Akshi Tarpana Grutham for netra tarpana
Triphala varthi
Elaneer kuzhambu anjanam
Triphala prakshalan
Mukkadi purampada
Shalmali (Salmalia Malabarica) thorn paste application
Internal uses
Daru Haridra Seka
Triphala Rasakriya
Netra Pratisarana
Kanchanara guggulu
Avipattikara churna
Triphala guggulu
Pachanamrutham Kashayam
Brand available
Aryavaidyasala, Kottakkal
Dabur India
Baidyanath
Vaidyaratnam Oushadhasala
Home remedies
Application of a warm swab may lessen the swelling
dandruff prevention methods
Light eyelid rubbing
Aparajita Triphala
Amalaki
Yashti
Lodhra
Haridra
YOGA FOR BLEPHARITIS
Nadi Shuddi Pranayam – relieves blepharitis-related eye irritations while calming the mind.
The patient must be seated in a relaxed, contemplative position with the head and spine upright. The patient must use his thumb to cover one nostril (the left nostril if using the right hand, and the other nostril if using the left hand) and fully exhale through the other nostril. He will have to breathe in deeply once more through the other nostril while maintaining the thumb-shut position of the opposite nostril.
To hasten the effects of the treatment, pranyama and savasana can be practised. Following the course of treatment using Ayurvedic techniques, Trataka kriya is strongly advised for eye care. Blepharitis can also be treated with the use of the Varuna and Jala Samhar mudras.
DIET RECOMMENDATIONS (AAHAR)
Ghee, milk, rock salt, honey, patola (snake gourd), red rice, green gramme, wheat, triphala (3 fruits), carrots, and leafy vegetables are among the foods that should be consumed every day.
Foods like sour foods, dry meat, alcohol, certain marine seafood, curd, cigarettes, too hot and fatty foods should be avoided.
LIFESTYLE CHANGES (VIHAR)
regular walking
It is important to practise good personal cleanliness, especially to avoid coming into touch with infected people.
To protect yourself from UV rays, put on protective eyewear like sunglasses and headgear like hats.
Make sure you frequently receive quality rest.
Make getting up early a habit.
According to Ayurveda, massaging ghee into the soles of the feet is good for the eyes’ overall health.
AYURVEDIC MANAGEMENT OF BLEPHARITIS RESEARCH PAPERS
A case study of blepharitis (krimigranthi) and how it is treated using ayurveda
https://www.journalijdr.com/blepharitis-krimigranthi-and-its-management-through-ayurveda-case-study
An investigation of triphaladi pratisarana’s effectiveness for treating blepharitis in krumigranthi
https://ijapr.in/index.php/ijapr/article/view/24
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