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Blepharitis & styes

Blepharitis et hordeolum · Zánět okrajů víček a ječné zrno

What it is

The lid margins and their oil glands inflame and block.

Symptoms & signs

  • Crusty lids in the morning
  • gritty burning eyes
  • red lid edges
  • a tender lump (stye)
  • recurrent

🚩 Get help if…

  • call 112 / 911 now Swollen red eyelid with fever, pain moving the eye or bulging eye
  • see a doctor soon Worsening redness spreading from the lid to the cheek or around the eye
  • see a doctor soon Eye pain, light sensitivity or blurred vision that does not clear with blinking
  • see a doctor soon A lid lump that keeps coming back in the same place or bleeds

Where it strikes

Medical treatment

  • Warm compresses and lid hygiene
  • antibiotic ointment
  • oral doxycycline for chronic cases
  • incision of a persistent chalazion

Natural & lifestyle

  • Warm compress twice daily and lid massage
  • dilute baby shampoo or lid wipes
  • omega-3
  • treat rosacea

Emerging & experimental

  • Intense pulsed light
  • thermal pulsation devices

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Tea-tree oil lid wipes against Demodex mites — trials show fewer mites and symptoms mixed evidence
  • Manuka honey eye products — small trials early / small studies

ICD codes