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Seborrheic blepharitis on the eyelids - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2248 Questions
The last few months my eyelids are swollen itchy, and under my eyes the skin is itchy, dry, and has small folds like an accordian which make me look old. The inside of my eyes are very itchy and sometimes my eyesbrows itch. Lately, I hab=ve been waking up witha swollen face- nose wide and swollen, lids, beneath eyes appear as if lquid is collecting. The dermatologist said it was blepharitis, then dermatitis. Now with the face swelling, I a beginning to believe this might be a food allergy. I have always been sensitive to dust etc, and am astmatic. The only food that I have been eating that I am suspicious of are stone ground wheat crackers. My face looks old, tired, and I don't look like myself. Please help!
Doctor :   let me read your query
User :   Thank you-
Doctor :   May i know your age ?
User :   yes, I am 43 femaie
Doctor :   The condition described by you, appears to be seborrhiec blepharitis
Doctor :   This is due to infection of the secretions produced by the oil glands in the eyelids
Doctor :   sometimes this infection can spread to the surrounding skin and result in seborrhiec dermatitis
User :   even with the facial swelling? not a wheat allergy?
Doctor :   Do u have symptoms like nausea, vomiting , weight loss etc ?
User :   No, i hav lost a little weight but probably treadmill which I've just started. No nausea etc. But, I do get abdominal swelling after I eat bread. I had a colonoscopy that was fine.
Doctor :   ok, it that case it is not any sort of wheat allergy
Doctor :   may i know if u have had any sort of treatments ?
User :   would the facial swelling be this bad from seborrhiec blepharitis?
User :   What type of treatments?
Doctor :   have u had any treatments for your seborriec dermatitis
Doctor :   spread of infection , does cause the infection to spread to the subcutaneous tissues of the face
User :   The doctor gave me ointment for blepharitis which I took for 3 days, then he gave me protonic ointment which i took for 3 days but then saw that is was black boxed at one time so I threw it away. Now i have nothing and pt coconut oil around my eyes to moisturize them.
Doctor :   you must recognize that the management of blepharitis is a long process
User :   Well then that explains the swelling. I have big pockets under my eyes every morning.
Doctor :   eyelid hygiene is essential and has 3 essential steps.
Doctor :   application of heat to warm the eyelid gland secretions and to promote evacuation and cleansing of the secretory passages with soaked warm compresses and to apply them to the lids repeatedly.
User :   I thought blepharitis affects eyelids only? Is there an underlying cause for this condition?
Doctor :   it is due to infection of the secretions of the sweat glands in the skin or the eyelids
Doctor :   a combination of aerobic and anaerobic bacteria are the cause
User :   So there is nothing I can do to prevent this?
User :   I will do the compresses, but no quick remedy- antibiotics or benadryl?
Doctor :   i am explaing the process to you
Doctor :   the second step : the eyelid margin is washed mechanically to remove adherent material, such as scurf, collarettes, and crusting, and to clean the gland orifices. This can be completed with a warm washcloth or with gauze pads
User :   Yes, sorry i'm frustrated.
User :   There is no crusting whatsover, only swelling
Doctor :   Attention must be directed to gentle mechanical jostling or scrubbing of the eyelid margin itself, not the skin of the lids or of the bulbar conjunctival surface. Vigorous scrubbing is not necessary and may be harmful.
Doctor :   the third and final step - is the use fo an antibiotic ointment
Doctor :   antibiotic ointment is applied to the eyelid margin after it has been soaked and scrubbed
Doctor :   Commonly used agents include erythromycin or sulfacetamide ointments
User :   ok, so the protopic is not the correct ointment anyway.
Doctor :   Have you understood the treatment measures that i have explained
Doctor :   you need to change it
Doctor :   since it is not helping
User :   yes, each day steps 1,2,3. step 1 warm compresses will be done repeatedly.
User :   Yes, the ointment changes and i will do the 3 steps. I am amazed how the infection can be responsible for swelling. eventually the jostling of skin will open the glands.
Doctor :   I hope u have understood my comments
Doctor :   yes that is right
User :   yes, I do. The 3 steps used together will clear this up. The antibiotic ointment will help with the healing too.
Doctor :   yes definitely
User :   I am relieved it is not a food allergy. I won't go to the allergist now that saves time. But benadryl won't help in the meantime? I would like to get rid of the swelling, but I suppose the warm compresses are better
Doctor :   yes
User :   Okay, I appreciate your help!
Doctor :   you can use cold compresses and ice packs for the facial swelling as well
Doctor :   you r most welcome
Doctor :   take care and bye for now
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